DENTAL CROWN TYPES. Zirconia, Emax, PFZ, PFM, Metal!! Choosing the BEST!
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- čas přidán 29. 08. 2020
- PS - Skip to 5.40 min for discussion on case scenarios.
Do you think a zirconia crown or is always the best option?? What would you choose between a metal crown vs ceramic crown?
In the past, it was easy to suggest a type of posterior crown for a patient. It was either a metal or PFM. Today, we have so many more material options that, even we dentists get confused suggesting the best option.
This video will give u a clear understanding of the different dental crown materials available to us and the different case scenarios where each would be preferred. You will learn about the different types of dental crowns and the explanation for using Metal crown, a PFM (Porcelain fused to metal crown), PFZ (Porcelain Fused to Zirconia crown), Zirconia Crown and Lithium Disilicate Crown (Emax) depending on the case.
The case scenarios discussed are the following:
The best crown option in a case of Bruxism (parafunctional habit)
The best crown option in for a short clinical crown height
The best crown in terms of esthetics
Cases in which you can not opt for a zirconia/LiDiSi crown
Preferred crowns for patients with metal allergy
A short note on using these materials for Bridges / FPD
Credits:
Background Music - bensound.com
Presentation template - slidescarnival.com
Management of SHORT CLINICAL CROWN HEIGHT
• Short Clinical Crown M...
Great video! Explained things so well. Thank you.
Working as an esthetic dentist in Europe and like your informative presentation with all that basic knowledge that many dentists miss. I will follow your channel and see the further presentation
Thank you for educating us
Best of the best ❤ Thank you Ma’am for complete information 🙏🏻
Such a soothing voice u have Ma’am
Very useful and informative, thank you.
Thank you, very clear and straight to the point.
Glad it was helpful! :)
Very helpful video, Thankyou
One of the best video . Very well explained no words to appreciate . Thank you for your efffort
Thanks a lot! 😊
Superb and highly informative...
I’m a dental lab technician working my way into management and I absolutely love your videos! I am trying to learn as much as I can about dentistry in general so I can continue to grow with my company. Thanks so much for your time and for sharing all of this information! 😊😊😊
Thank You so much! This made my day!
More videos coming up soon! Stay tuned :)
Im dental lab technician from india
if you are dental lab technician then do you agree with her saying " that PFM lacks aesthetics compared to ZIr or Silicates) ? ..its a simple question ..
Which is best crown material for 7 number teeth lower?
excellent video with helpful answers to everyone
Glad it was helpful! :)
Great video! Very well explained! 👏🏻
Thanks a lot! Glad that you liked it! :)
Stay tuned for more!
@@Dentrickstrywhich crown usually shaves off the least amount of natural enamel? Would it be emax?
Thank you so much for this informative video 👍👍
Most welcome
Wonderful video! Thank you ☺️
Glad you liked it!
Awesome video...very informative 👌
Thanks a lot! Stay tuned for more such amazing videos!! :)
Good information.
Great information 🙂
This was GREAT! THANK YOU
Glad it was helpful! Stay tuned for more amazing dental videos! :)
Informative, Thank you
Glad it was helpful!
Hands DOWN the best video I have come across researching crown procedure. I went to my current dentist. Obviously she is in "business" to make money which I'm AOK on. Nevertheless I'm naturally hesitant to just.. proceed.. with a important decision, car repair as an example. Unfortunately dentists mirror auto mechanics in that they don't have good sales abilities. Understandably they want to take the path of least resistance. So. I have to get my tooth fixed. NOW I'm 'squared away' with the information necessary to have the proper dialogue BEFORE going forward. I'm DONE researching. Thank you DOCTOR!
Thank You so very MUCH!!! Means a lot! I'm glad this video could help :)
So what is the best material then?
@@JohnSmith-nz2yq Depends, but I think, CAD-CAM/PFM.
Very informative. Can you please make a video on gold crown. Why these are not used much in the dentistry inspite of so many advantages.
Very informative and detailed, however I'd like to point out that metal implants may have an impact during MRI scans as seen from other videos so this can be taken into consideration by those opting for monolithic / layered metal crowns.
Excellent
Good information
Hi,
Please do more videos.
It's really helpful for us 🤓
Thankyou! Yes, I will try to upload more...:)
Really helpful thanks
I really luv u madam... It's really incredible👍😍🤩 God bless u...
Hi Doc! I learned a lot from your video. Thank you for sharing 😊Would just like to ask if you also have inputs for 'Tilite' crowns?
Thank you so much in advance!
Tilite crowns are considered as PFM.. Where medical grade alloys as they claimed are used in casting. During its launching, they claimed that it will eliminate the common problem of PFM (grey lines in long term) but clinicians observe it in long term practice and as expected, it failed.
Thank you soooooo much ❤❤❤
Hi Doc, great video. I've got a problem , can you help me please?. I had 2 gold crowns installed on premolars right side upper jaw 5 wks ago. The gold crowns are 70% gold, rest are various noble metals including 8% copper in the alloy mix. In 2016, I had 3 gold crowns installed left upper jaw. A premolar, & 2 molars. I'm now tasting a copper metalic taste in my mouth. I never had this problem till the recent gold crown installation. I have no amalgam fillings. Both left & right side lower jaw ,I have PFM on my molars. I am in good health, I don't take any type of medication or recreational drugs. My dentist advised it a galvanic reaction between dissimilar metals in my mouth causing the metallic taste. My dentist has recommended removing 2 new gold crown & replacing them with monolithic zirconia crowns. What do you recommend? I look forward to your reply. Regards James in Queensland, Australia.
Thank you so mush
Very good
Hello mam...your video was very informative and to the point...plz keep making such videos...it helped me a lot
Thank you, I will :)
I currently have ceramic bridges. I have a cavity and needs to be treated. My dentist suggested Zirconia bridge for long term use. But they are very expensive and my insurance is not covering them. My insurance covers porcelain bridge. Please advise look wise if porcelain bridges ok. Thanks.
Was really helpful mam .. liked it .
Glad that you liked it! Stay tuned for more :)
great video
Thank You! :)
Very informative, explained in an understanding way. Thank you so much..
Thanks a lot for the appreciation! Means a lot!! :)
When I opted for metal(steel),they said there is risk of oral cancer. Is that true.
@@anumaevangalin.u.s6220
Hey!! So, the risk of oral cancer increases with a crown which irritates a part of your oral cavity be it metal, PFM, Zirconia etc. So if you have a faulty crown which is hurting your tongue or oral mucosa, you should get that replaced.
However, there are studies supporting that metal crowns could be a contributing factor for oral cancer...especially if you have other dissimilar metal based prosthesis in your mouth (silver filling/other metal crowns)...this produces galvanic currents...which again irritates your oral mucosa/tongue etc and may result in oral cancer.
Don't worry..i'm sure you will be fine with the metal crown...if you still have any apprehensions, you can keep checking for any whitish/ reddish lesions in the oral cavity near your crown time to time. And if present, you may have to replace the crown.
Also, this is possible phenomenon only if u have other fillings or crowns of a different metallic material.
If you want to know more, feel free to ask. :)
Thank you very much for your detailed description. So it would be safe for me since I'm not having other prosthesis in my mouth. However I will do examine the site from time to time. Thank you
@@anumaevangalin.u.s6220 You're welcome! :)
THANK YOUUUUUUUU!!!!!!
I have done with root canal yet to put crown, because of small teeth hight doc suggested me to go with pfm but I wanted zirconia, as per doc zirconia will not fit and give strength as pfm will for the back teeth, plz suggest me should I go with zirconia or pfm as per my docs advice
My teeth enamel are a bit thin so would the metal zirconia be the best idea for less abrasion
One video full salutations. Excellent.
Thank You :)
Hands down for posterior molars high noble metal gold crown, inlay or onlay are the best. Durability and biocompatibility.
I'm looking at having crowns put in on one upper molar on each side. One will be just a crown on my natural tooth and the other will be a dental implant with a crown. I've decided to definitely go for a zirconia implant but am trying to choose between gold and zirconia for the crown. I was already leaning towards gold. Your comment might have just pushed me over the edge so thank you.
But it’s ugly
@@jenshaw8085
Gold restorations if done by a Dentist who specializes in gold inlays, onlays and gold crowns can do a far better job than having composite materials and white colored crowns. Gold have been used for centuries. Check out Dr. Stevenson dental gold restorations. Beauty is in the eyes of the beholder.
What type of dental crowns and inlays/ onlays do Dentist’s themselves use for their posterior molars. I had a Dentist show me his yellow high noble gold crown. Dentist’s are no longer trained in conservative gold restorations because of costs and esthetics.
Chrome cobalt ceramic alloy is the strongest and can be made thinner to 0.3mm copings. Best for long span bridges with less bulky connectors.
The PFM is considered as gold standard and all monolithic and all materials are compared to the very good pfm in all ways.
I have seen very few dentists know how to prepare a for a monolithic or pfm crowns.
Chrome cobalt pfm crowns are the best,bas compared to all the new materials available today.
Porcelain fusednto zerconia is a failure because zerconia is too hard and not flexible like cocr alloy so the ceramic fractured easily and not advisable.
99 % dentists do not know how to prepare the crown properly and do not know to take good impressions. They do not take complete impression and also proper bite.
Even for a single crown full arch impression is required so the technician can check lateral movements, so dentist do not have to grind high points in lateral movements.
Most dentist avoid making temporary crown. So in few days the prepared crown shifts and the properly prepared crown painstakingly by dengan technician doesn't fit, then the dentist blame the technician for not making proper crown.
Most dentist are very careless I have seen in my 37 years working as a dental technician.
The reality and truth is that even prothodontist do not know how to prepare the crown and take proper impression.
CrCo Pfm crown will remain gold standard always. Cad Cam tools are only as good as the operator. Most of the Cad/ cam operating in dental labs are not dental technicians and they do not know dental anatomy at all. Only an experienced and expert dental technician can produce properly fitting dental restorations with the use of Cad/cam.
If an sculptor do not now anatomy of the body hoe cam he sculpt a human sculpture on Cad software. The same is true for dental technicians, who has not learned dental anatomy in his/her life properly, and the same is true for dentists. How many dentists can carve a single central incisor properly. One in thousand.
I do not criticize dentists but the truth can not change. No dental college in India, make dentist make 100 pfm crowns in his college studies, non.
I can go on writing but I will not waste more time.
All dentists know the truth of themselves.
99 percent dentist do not follow the ethical rules set by Indian dental council. How many dentists know about the ethics book pdf available on the site of Dental council of India.
Be happy
Am a final year dental student, nd this one is literally an eye opening .., thankyou....
Sometimes when we have to remove the crown zirconia crown is the most difficult one.
For long term relationship which crown would you suggest for the patient.?especially for molars where esthetics may not be the concern.
Somehow I feel pfm better over zirconia. Your opinion please 🙏
I agree with you
Thnkyu mam it was really very helpful 😊
Most welcome 😊
My full mouth implants is done six implants upper jaw & six implants lower jaw, please suggest me the best crown/teeth s fixing on implants & rate also quote, thanks, please reply
Ati sunder 👌👍
Which crown is best for front upper teeth and lower teeth
Thanks mam
which crown mimics the natural teeth best?
I think one disadvantage is wrong about monolithic zirconia .: the wear generated by zirconium oxide on the antagonist enamel is less than that produced by f porcelain as long as it is well polished (Jung et al. 2010, Tambra et al. 2010, Preis et al. 2011, Rosentritt et al. 2012, Kim et al. 2012, Mitov et al. 2012, Janyavula et al. 2013, Stawarczyk et al. 2013, Preis et al. 2013, Stober et al. 2014, Burgess et al. 2014).
Thanks a lot for your valuable inputs. :)
Yes, I think I mentioned that as a disadvantage in the beginning...but later on in the video, I did stress on the importance of zirconia polishing to avoid tooth wear.
which one is lighter weight zirconia is lighter weight? I neet all on 6 crowns but lightweight also
Which is best for front teeth
Isn’t lithium disilicate scary? Will it be toxic like mercury filling?
Hi man ,, how can i get ppt ?
Hello ma'am.Recently I have done my rct with pfm on upper right last molar tooth.Since then there is mild headache( everytime) at one point just above the molar teeth.There is no problem with biting and chewing the food.Please help me.
Hey there! There is mostly a point on your crown which is high, it needs to be adjusted. I would recommend you to visit your dentist and get that fixed.
Hope it helps! :)
Thank you soo much.🙏
Straight to the point Fully evidence based 👍.
Can u make videos on laminates, veneer, lamineers etc ✅✍️🔬 .
Thank you .
Sure, those topics are already on my list :)
Can you please share the link as I cannot find video on that topic? Laminate veneers?
@@sidrabajwa9397 Will be posting in a while...stay tuned :)
Hey ! I am suffering from amelieogenis imperfecta and my dentist suggested me monolethic zerconia crowns for front 6 teeth . Is this correct for me please help
yes, you can rely on your dentists suggestion
The original veneer on my front tooth fell out before and was reattached by my current dentist 3-4yrs ago. Recently it completely cracked and I will need to replace it with a crown. Which type should I get to cover that darkness if he isn’t able to clean it and something that looks natural yet strong?
Depends on how discolored the tooth is. If it is mild, it can be masked with either appropriate thickness of Emax or High translucent zirconia crowns. For severe cases, an opaque layer will be needed...so an option like layered emax or layered zirconia will be good in my opinion.
Don't worry, your dentist will probably check the degree of discoloration and will suggest you the best option. :)
Or the use of a blocked out Zirconia. It works perfectly. Either layered or Multilayer full anatomical Zirconia if there is sufficient thickness. Layered is the best in my opinion
I have PFM cap which having on my front teeth. I have half of my original teeth so dentist suggest to apply cap.. is this good how much lasting. Lifetime?
It can last many years...provided the fit of the crown is not compromised and you take care of your oral hygiene.
Mam which company crown is best
madam plz elaborate implant prosthesis opposite to natural teeth. pla also help me to decide the cement to be used for cementing crown on implants
will try to post a video for this :)
Hi. Which is better option for molars ? PFM or Metal ? Please reply very confused..
You can go for either. Metal if you are not too concerned about the esthetics as the ceramic / porcelain on the PFM could to chip off over time exposing the metal.
Mam i had root canal done and fix zirconia crown but it looks white and different from other teeth it upper posterior teeth. What should be done to make similar colour like other teeth?
You will have to get that crown replaced
I went to a new dentist, because my dentist retired, I'm 62 and had some bleeding when I brush my teeth only in the front bottom left of my mouth, the new dentist cleaned my teeth and told everything was ok, except I needed 3 crowns on the teeth that I chew with because they had been filled so much they might crack or break, but what else can I do, I can't afford those,do I take my chances with nothing, my old dentist just retired 1 year ago and never mentioned crowns or caps, he would just clean my teeth every 6 months and my teeth were fine, should I get a second opinion, because I kind of feel like it's a money thing, oh yeh the new dentist said they will handle everything for 1700.00 for each tooth, I need 3 teeth crowned! Help from everyone is appreciated, thank you.
Thanks! Great info! One question pls. Pls do more videos in CAD/CAM crowns, inlay/onlay restorations, individual crowns vs joined blocks where no tooth is missing but multiple adjacent crown are required. Also, pls be honest, why do dentists charge such high prices for crown, when the actual lab rate is just a fraction, at least in India. Also, pls educate us on the guarantees that come with the PFM CAD/CAM crowns, is it just a gimmick, will they provide a replacement if chipped in guarantee period? What is DMLS crown? PFM vs PFZ, is PFZ more expensive?
You're welcome! Hope it helped.
Yes!! I will keep these topics in mind for videos in the near future. Thank you for suggesting.
Coming to your question....Well, you are not really paying for the lab charges, the dentist is charging you for their skills and medical advise. Even if something as small as crown cementation goes wrong, it can have devastating effects on the surrounding gums or opposing teeth or your neuromuscular system. So, everything has to be done with utmost precision.
Guarantees are provided by the lab...and in my experience, if your crown chips off or fractures, they do give a replacement for the same.
DMLS is direct metal laser sintered...in simple terms, 3-D printed crowns...they have a better fit compared to conventional ones.
PFZ is more expensive than PFM crowns, but they have better esthetics and fit as well.
@@Dentrickstry Thank you so much dear for your detailed reply. My question about the high cost of crown was because more than one dentist told me a PFM manual crown was X amount and same done by CAD was 2000 rs more. Based on what you just told me, if the cost of the crown is made up of the dentist charges, his/her work for both types of crown is the same. Then why such a steep price hike in charge? This prompted my question.
Mam Girconia look very artificial white 😢 ishe emas crown se replace karna thik hoga🙏🙏
please tell me which crown is best for molar teeth...zirconia or e max
Zirconia for molar in my opinion. Better strength.
@@Dentrickstry zirconia is difficult to cut and remove if needed to replace
As a family dentist in long term thinking which is better in case we have to remove it later for any reason?
Mam can you plz tell me is it possible to use PEEK material for making crowns
As far as I know, it is mostly used as a coping or a framework material....i am not sure of its applications as a crown...
Katekam konsa type mai ata hai please
I need to get crown for tooth #3. Which is a better crown Mono Zerconia or PFM? I'm kinda having second thoughts after watching your video regarding polishing the Zerconia because the opposing tooth is natural and can get damaged. Should I just get a PFM?
Zirconia is better…almost everywhere polished zirconia is given now, so shouldn’t be a problem
@@Dentrickstry Yea thanks, my dentist said it would be glazed and he doesn't do PFM. He also said the crown will be a digit crown do you happen to know if that makes a difference? is it better or not?
@@DentrickstryI m using Dentcare Zirconia crown in 26..But I can see black line near gums what could be the cause
I am having pfm crowns in front and they feel totally artificial... Very thick...like something is against my tounge , my tounge keeps constantly touching the crowns and it is covering my gum line so i feel sensation in the gum line under the crown...having constant tooth ache..but my dentist says everything is fine and i am overthinking..what should i do?? I am very depressed and don't feel like living
I want to throw them away and live with my natural teeth
How are you doing now? With same pfm crowns?
Does it actually hurt having crowns and feels irritating?
Mam mera front teeth may smoll size caviti aa gaya to doctor ne bola hay remove korneke exam Vennaring treatment korneke leya keya yesa kornese mera teeth caviti se bos jayega ye permenet hoga keya
Please rply
Mam, just one more thing.there was this patient whose upper right 6 (UR6) crown was very short.so i gave her PFM for UR 5,6,7.she wants to submit this in her office for reimbursement.Is it ok to write in this way in prescription: Diagnosis- insufficient crown UR 6 Treatment- 3 unit PFM given for UR 5,6,7.
(And then rate with cost of treatment.)
I guess you could write your prescription that way....
But, why give a 3 unit FPD for a case of short clinical crown height with UR 6...why not do a crown lengthening procedure to increase the height?
Watch this video to know how to manage a case of short clinical crown height - czcams.com/video/7PcKTMmwsTc/video.html
@@Dentrickstry Thanks a lot mam.crown height was less than 2 mm but sure i will take care to apply crown lengthening procedure next time.
Very useful information madam my dentist suggests zirconia crown madam how many years its come ? Any side effect?
No side effect of zirconia crowns that I know of...zirconia crowns are pretty good, so you can go for it.
@@Dentrickstry there is side effects and allergic reactions im gonna have the crowns tested to see whats actually in them
I'm using Zirconia for my upper teeth
Great choice! :)
how is it now
it is useful
Not Mentioned:
1. Translucent zirconia has the special advantage of hopefully being able to see when a tooth starts decaying beneath the crown.
2. Opposing zirconia teeth don't wear as the other teeth wear, which later leads to toothaches as these teeth start carrying more than their share of the chewing forces.
Which one should i have for my front four ????
Zirconia or Emax is better...but it all depends on the clinical situation....
Mam zirconia crown abrade opposing natural teeth?
Zirconia crowns abrade the opposing tooth only if it is not polished. Even before glazing, it is better to get your crowns polished. Convey the same to your technician.
Also, if you happen to make any adjustments on the crown before final cementation, make sure you polish the occlusal surface again. Either you can keep a zirconia polishing kit at your clinic and do it yourself or send it back to the lab.
But, it is mandatory that zirconia crowns are polished :)
@@Dentrickstry mam thank you so much for replying .I will follow all steps before crowning
@@Dentrickstry you are so kind
Hi Doc..my dentist gave me two crown option for molar teeth (upper right 6 &7). first is 3M Lava with 5year warranty and 2nd is 3M lava with 10 years warranty. Which ll be the among these two options according to you? Is there any any major difference between these two models.
My opinion PFM is better than zirconia..
@@fafaamirfaf9428 kya aap bta skte ho ki pfm kese jada behtar h
Hey which looks more natural emax or zirconium crowns?
Emax but with less strength,zirconia also can be perfected
Which one do you recommend? What about porcelain veneers?
Yup! Emax will definitely give you best natural appearance...these days you have natural looking Zirconia crowns as well. So it comes down to the case that is in front of us. The ultimate selection depends on a few factors like discoloration, amount of enamel present for bonding, tooth structure we have, occlusion etc.
Porcelain veneers are great too...minimally invasive and very natural looking.
Decision between crowns and laminates depends on the case.
Not every case is suitable for porcelain laminates.
So, if you are looking for a smile makeover/design, it all has to go through a process of treatment planning which involves clinical and radiographic examination, digital photographs, study models etc. A mock treatment is usually planned on the models 1st and the best suggestion is given to the patient accordingly.
Feldspathic porcelains are the most aesthetic but they cannot be used in all cases, since their indications are more limited.
Mam, what is the treatment for advanced Gingivitis
For gingivitis, you should start with scaling and root planing followed by proper oral hygiene instructions to the patients. Most cases of gingivitis resolve with this conventional protocol.
If the case has progressed to periodontitis, apart from the interventions mentioned, surgical procedures may also required with or without antibiotic coverage.
Every case is different, you need to 1st identify the cause and then plan your treatment protocol.
Refer the case to a periodontist for better results.
@@Dentrickstry Thanks mam
I think I like better Emax for veneers. What y'all think?
Agree with you! :)
😍Great video!
Zirconia or metal which is best for long last? Please let me know
Gold.
👍
Jo cap Same tooth jesa lage wo best konsaha hai plz reply
You can go for Lithium Disilicate crown (Emax)...Wo best option rahega if you want it to mimic a natural tooth.
Other option would be a translucent zirconia crown.
Dmls best crown
@@Dentrickstry lovely
What about a chromium Cobalt crown? Isn't Cobalt toxic to your health?
no
What is PFM ?
Thank you
Procelain fused to metal / Metal ceramic crowns
MLS crown is strong or not ,doctor told its lifetime and 10yr warrant ?????
Yes, strength is good
references??
Pfm
1.Zirconia cap how much price please reply me
Hello Steeve, in India, the average price range is between ₹7,000-10,000...
I'm using Zirconia, it cost 10k per teeth.
Ten thousand price
@@AKZ14 hi the cost it is in dollars? I need to know going to do zirconium
@@AKZ14 U lying
Mam can i replace PFM TO zirconia
You can replace if you are unhappy with PFM crown.
Can I replace my teeth cap
Metal cap to emax cap
yes
Mam I have amelogenesis imperfecta disease
So I want to know which crown is best for my teeth
Mam please suggest
For -- molar-
Premolar-
Canine-
Incisors-
Please Mam reply
Sorry, can't comment without clinical evaluation
Zirconia crowns or zirconia exam are better
Both are good. It all depends on the case..
have you even heard of MARGIN materials. They can be used on PFM Disilicates AND ZIR .. if you haven't then thats why you think PFM is unaesthetic ...find a Laboratory which understands materials ..second aesthetics nothing beats the fully layered crown and does not matter what substructure is zir silicates or metal ..from aesthetic side a pure PFM beats by far monolithic Zir and Silicate crowns ..second u cant put a transparent ZIR or Silicate on a discolored prep tooth (u can but amount of masking it requires huge skill and time which costs allot)..
so basically why POFM is today in second plan is because of lack of good Ceramists and ones who are good want their work to be paid ..monolithic zir and silicates are in 99% done just by painting stains over it which requires little training