SlideShare una empresa de Scribd logo
1 de 113
Dental Ceramics
INDIAN DENTAL ACADEMY
Leader in continuing Dental Education
www.indiandentalacademy.com
Keramos: Greek
Keramika: Sanskrit
A material produced by firing or burning
” a combination of one or more metals with
a non metallic element, usually oxygen.”
Gilman 1967.
www.indiandentalacademy.com
Phillips. 11th
Ed.
An inorganic compound with nonmetallic properties
typically consisting of oxygen and one or more metallic
or semimetallic elements( Eg: Aluminium, calcium,
lithium, magnesium, potassium, silicon, sodium, tin,
titanium and zirconium) that is formulated to produce
the whole or
part of a ceramic based prosthesis.
Definition: Dental Ceramics
www.indiandentalacademy.com
Definition: Dental Ceramics
0’Brien:
Combination of one or more metals with non
metallic elements especially oxygen, larger
atoms of oxygen serving as a matrix with
smaller metal atoms tucked into the spaces
between oxygen.
www.indiandentalacademy.com
Ceramics : A historical perspective……
23,000BC
5500BC:
100BC:
1000AD:
White china clay + “Chine stone”
Ceramic so white that it was comparable only to snow,
So strong that vessels needed walls only 2-3 mm thick,
and consequently light could shine through it. So continuous
was the internal structure that a dish, if lightly struck,
would ring a bell. This is Porcelain!
Earthernware:
Stoneware:
Chinese porcelain
www.indiandentalacademy.com
Attempts to imitate the Chinese Porcelain……
1717: Pere, Francois Xavier d’ Entrecolles
In less than 60 years, dental restorative material!
1728: Pierre Fauchard.
1774: Alexis Duchateau: Porcelain dentures.
1791: Nicholas Dubois de Chemant of Paris
Paris Faculty of Medicine :
“united the qualities of beauty, solidity and comfort to the
exigencies of hygiene.”
www.indiandentalacademy.com
1806: Giuseppangelo Fonzi : Terrometallic teeth.
1817: Antoine Plantou : porcelain teeth to America
1830: Samuel Stockton: produces first porcelain teeth in the US.
1845: SS White : Porcelain teeth on a commercial basis.
1864: Claudius Ash : Tube Teeth
1882: William Herbst : Inlays of pulverized glass.
1884: Charles H Land : Platinum foil technique.
1886 : First successful inlays.
1894: Custer :Porcelain furnace.
1898: Jenkins :low fusing porcelain
1903: Land :porcelain jacket crown
Dental Ceramics :a historical perspective….
www.indiandentalacademy.com
1956: Brecker :ceramometal restorations
1962: Patents of Weinstein and Weinsteinand Weinstein et
al( 1962)
1963: First commercial porcelain :Vita Zahnfabrik
1965: Mc lean and Hughes :aluminous porcelain
1968: Mc Culloch Glass ceramic in dentistry.
1984: Grossman and Adair :Dicor
1985: Hobo and Iwata (Kyocera Bioceram group): Cerapearl.
1983: O’ Brien :high expansion magnesia core
1983: Sozio and Riley : Cerestore.
1984: Corning glass Company( Stookey): First commercial glass
ceramic
1988 :Mormann and Brandestini :CADCAM.
Dental Ceramics :a historical perspective….
www.indiandentalacademy.com
1988 : CEREC1
1989: Wohlwend and Scharer : Pressable ceramic
systems.
1991 : Celay copy milling system.
1994: CEREC II
1992: Ultralow fusing ceramic Ducera LFC
:Cerec3
Dental Ceramics :a historical perspective….
www.indiandentalacademy.com
Classification of Dental Ceramics: Phillips’
According to use or indications
Anterior
Posterior
Crowns
Veneers
Post and Cores
FPDS
Stain Ceramic
Glaze Ceramic.
www.indiandentalacademy.com
According to firing temperature:
Ultralow fusing< 8500
C
Low fusing 850-11000
C
Medium fusing 11010
C-13000
C
High fusing>13000
C:
Classification of Dental Ceramics: Phillips’
High fusing 1200/14500
C.
Medium fusing 1050/12000
C.
Low fusing 850/1050 0
C
High fusing( 850-1100)
Low fusing( < 850)
www.indiandentalacademy.com
High fusing:
Minimizing the additives such as sodium or potassium,
Maximizing the silicate cross links.
Low solubility, high strength and high stability.
Hardness exceeds enamel by 30%.
Classification of Dental Ceramics:
www.indiandentalacademy.com
Medium fusing:
fired under vacuum with air admitted at the end of
firing
Low fusing:
increasing the amount of additives in porcelain
reducing the number of crosslinks within the silicate network
It helps to avoid overheating the metal framework
slightly weaker and less stable than high fusing
fired under vacuum.
Classification of Dental Ceramics:
www.indiandentalacademy.com
Ultra low fusing:
Coefficient of thermal expansion match titanium
alloys.
Lower firing temperatures -less oxide formation.
Classification of Dental Ceramics: Phillips’
www.indiandentalacademy.com
According to the
processing method:
Sintering
Partial sintering
Glass infilteration
CADCAM
Copy milling.
According to microstructure
Glass
Crystalline.
Crystal containing glass.
Classification of Dental Ceramics: Phillips’
www.indiandentalacademy.com
According to composition/Type:
Feldspathic porcelain
Leucite-reinforced
porcelain
Aluminous porcelain
Alumina
Glass-infiltrated alumina
Glass-infiltrated spinel
Glass-infiltrated zirconia
Glass ceramic
According to translucency
Opaque
Translucent
Transparent.
Classification of Dental Ceramics: Phillips’
www.indiandentalacademy.com
According to application:
Core Porcelain.
Dentin or Body Porcelain
Enamel or incisal porcelain
According to the method of firing
Air fired.
Vacuum fired.
Classification of Dental Ceramics: Phillips’
www.indiandentalacademy.com
Craig:
All ceramic
Machined
Slip cast
Heat pressed
Sintered.
Ceramic- metal
Sintered.
Denture teeth.
Manufactured.
Classification of Dental Ceramics:
www.indiandentalacademy.com
Silicate ceramics Oxide ceramics Glass ceramics
Principal AMORPHOUS
glass phase with porous
structure i.e. mainly silica
(SiO2)
Principal CRYSTALLINE
phase e.g. Al2O3, MgO,
ZrO2
Principal AMORPHOUS
glass phase
Also contain crystals e.g.
K2O, Al2O3, MgO, ZrO2
None or small glass
phase content
Crystal phase induced
by controlled
crystallization
(feldspathic or
aluminous)
e.g.zirconia (ZrO2)
Pure alumina
e.g. Dicor glass ceramic
www.indiandentalacademy.com
Single unit crowns.
Porcelain Jacket Crowns.
Metal Ceramic Crown or PFMcrowns.
Castable glass ceramic crowns.
Veneers for crowns and bridges.
Artificial teeth.
Inlays and Onlays.
Ceramic Brackets used in Orthodontia.
Applications of dental ceramics:
www.indiandentalacademy.com
Ceramic V/S Porcelain :
What’s the difference?
www.indiandentalacademy.com
Ceramic:
Nonmetallic
Inorganic
Man made objects formed by baking raw materials at high
temperatures.
www.indiandentalacademy.com
Porcelain:
Feldspar
Kaolin Quartz
All porcelains are ceramics.www.indiandentalacademy.com
Esthetic alternative to discolored teeth.
Esthetic alternative :grossly decayed carious teeth.
Congenital anamolies
Veneers
Inlays
Onlays
Abutment retainers
Denture tooth materials.
Orthodontics as ceramic brackets.
Indications for ceramics:
www.indiandentalacademy.com
Young permanent teeth.
Small short or thin crowns( relative contraindications)
PFM not indicated in high lip line patients.
Teeth round in cross section OR
Teeth more axially tapered than usual.
Abusive bite.
Patient’s lifestyle susceptible to trauma.
Contraindications:
www.indiandentalacademy.com
Biocompatibility
Esthetics:
Color and translucency
Capable of being pigmented.
Colour stability.
Stain resistance.
Chamaleon like effect
Durability: Wear resistance and low solubility.
Ability to form precise shapes
High stiffness
High melting point.
Low thermal conductivity
Low electrical conductivity.
Advantages
www.indiandentalacademy.com
Brittle: Low fracture toughness.
High firing shrinkage of conventional porcelains.
Attrition of opposing teeth.
More tooth reduction.
Cervical bulge and metal line in case of PFM restoration
Technique sensitive.
Specialized training required.
Expensive equipment required.
Difficult to repair if fails.
Cannot be repaired if the shade is altered.
Patient may complain of crackling sound on biting.
Disadvantages:
www.indiandentalacademy.com
Feldspar
Quartz Kaolin
www.indiandentalacademy.com
Composition of various porcelains( %)
Material Kaolin Silica
( Quartz)
Feldspar
( Binder)
Glasses
Decorative
porcelain
50 25 25 0
High fusing
dental
4 15 80 0
Low fusing
dental
0 25 60 15
www.indiandentalacademy.com
Tile sanitory ware
Porcelain artware
Bone china
dinnerware
Dental
porcelain
Silica
ClayFeldspar
www.indiandentalacademy.com
Composition of Dental Porcelain
Feldspar 60-80%( Basic glass former)
Kaolin- 3-5%( Binder)
Quartz- 15-25%( Filler)
Alumina-8-20%( Glass former)
Boric oxide-2-7%(Glass former and fluxes)
Oxides of Na, K and Ca -9-15%(Fluxes or glass
modifiers)
Metallic pigments less than 1%(Color matching)
www.indiandentalacademy.com
Naturally occurring double silicate of potassium and
aluminium.K20.Al2O36SiO2
Dentistry: Potash Feldspar:
Increased resistance to pyroplastic flow
Increased viscosity.
Functions of Feldspar:
Basic Glass former.
During firing fuses to form a matrix and the porcelain
powder particles will fuse together by a process of liquid
phase sintering.
Acts as a flux and surface glaze.
Feldspar (60-80%) Basic glass former
www.indiandentalacademy.com
Resistance to pyroplastic flow
Incongruent melting (11500
C and 15300
C )
Leucite:
Large coefficient of thermal expansion (20-25 ppm/0
C.)
thermally compatible with dental casting alloys.
Strengthening material.
Incongruent melting( Peritectic transformation)
Feldspar: Properties
www.indiandentalacademy.com
Hydrated aluminium silicate.
Functions:
Binder.
Pyrochemical reaction: rigidity.
Opacity to the mass.
Disadvantages:
White :reduces the translucency of porcelain.
added in small amounts.
Starch or sugar.
Kaolin( 3-5%)Binder
www.indiandentalacademy.com
O2
Si4+
Si4+
Si4+
Tetrahedral Silica
Quartz/ Silica (15-25%) Filler
Crystalline quartz
Cristobalite
Tridymite
Amorphous fused quartz.
Below 5750
C Alpha quartz
Above 5750
C Beta quartz
Above 8700
C Tridymite
Above 1470o
C Crystobalite
www.indiandentalacademy.com
Functions:
Refractory skeleton
Provides strength and hardness to porcelain during fusing.
Unchanged at the usual firing temperatures : stability to the
mass during heating.
Quartz/ Silica (15-25%)
Grinding Pure Quartz
www.indiandentalacademy.com
Functions:
Strength and opacity to the porcelain.
Alters softening point
increases the viscosity of porcelain during firing.
Aluminium oxide( 8-20% glass former)
www.indiandentalacademy.com
O2
Si4+
Si4+
Si4+
Sodium carbonate
Lithium carbonate
low fusing glasses.
Function:
Lower the sintering temperature
and increase flow of porcelain.
They also absorb and remove
impurities.
Excess flux:
Reduces the chemical durability
Crystallization and devitrification
Fluxes (9-15%)
Interrupts silica network.
www.indiandentalacademy.com
Glass modifiers
Lower the softening temperature.
Increase the CTE.
Decrease viscosity.
Oxides : Sodium, Potassium and Calcium oxide( 9-15%)
Boric oxide- 2-7% is also added for the same purpose.
Water is an important but a weaker glass modifier.
When porcelains are exposed to tensile stresses in moist
environment for long periods
H30+ replaces alkali metal ions in porcelain
slow crack growth
New ultra low fusing porcelains : large amount of sodium oxide and
hydroxyl group to lower the fusion temperature to as low as 6600
C.
www.indiandentalacademy.com
Pigments
Feldspars are colorless or greyish.
Color frits
Metallic oxides Glass Feldspar
Ferric oxide, platinum Grey.
Chromium oxide, copper oxide Green
Cobalt salts Blue
Ferrous oxide,nickel oxide Brown
Titanium oxide Yellowish brown
Manganese oxide Lavender
Chromium tin, Chromium alumina Pink
Indium Yellow, ivory
www.indiandentalacademy.com
Opacifiers:
Oxides of Cerium, titanium, zirconium and tin.
Ground to a particle size of less than 5 µm.
Differenc in the RI between glass and opacifiers cause more
opalescence.
Fluorescing agents:
Cerium oxide ( eg. Fluorescent bulbs and sunlight).
Fluorescence is the phenomenon in which an object emits light
when it is illuminated by a specific light source, in case of teeth, it
gives an appearance of vitality.
Uranium compounds: Health hazard.
Opacifiers and Fluorescing agents.
www.indiandentalacademy.com
Fritting:
•Combination of blending, melting and quenching the glass
components
Frit:
•The resultant product after fritting.
•Components are mixed, fused and quenched
•Cracking and fracturing throughout the fused mass.
•Frit then ground to fine powder.
Manufacture
www.indiandentalacademy.com
Pyrochemical reaction occurs and much of the shrinkage is
complete
Technician fuses the porcelain powder, he simply remelts the
fluxes without causing significant increase in reaction
between the components.
Glaze:
• Overglaze.
• Selfglaze.
www.indiandentalacademy.com
Overglazes :
Ceramic powders containing more glass modifiers
Lower fusion temperatures.
The coefficient of thermal expansion slightly lower than that of
the body porcelain.
Self glaze:
Constituents of porcelain frit completely melted to form a
single phase glass.
Chemical durability is better due to higher fusion temperature.
Glazes
www.indiandentalacademy.com
Strengthening of the material perse.
Methods of designing components.
Methods of strengthening porcelain
www.indiandentalacademy.com
Introduction of residual
compressive stresses into the
surface of the material
Interruption of crack propogation
Ion exchange
Thermal tempering
Thermal expansion
coefficient mismatch
Polishing
Dispersion of a crystalline phase
Transformational toughening
Hydrothermal porcelain
www.indiandentalacademy.com
Introduction of Residual Compressive Stresses:
The restoration will not yield and fracture due to tensile stress.
The residual stresses must first be negated by developing tensile
stresses before any net tensile stress develop.
www.indiandentalacademy.com
Na+
Na+
Na+
Na+
Na+
Na+
Na+
Na+
Na+
K+
K+
K+ K+
K+
K+
K+
Na+
Na+
Na+
K+ K+
K+K+
Na+
K+
K+
Before ion exchange After ion exchange
K+
K+
Na+
1.33 Ǻ
0.98 Ǻ
Stuffing
www.indiandentalacademy.com
Ion Exchange:
GC’s Tuf Coat.
Internal surface of an all ceramic crown
Not recommended for new high- strength porcelains
( i.e. aluminous porcelain, Procera, In- Ceram)
Major Application:
Anterior porcelain jacket crown made from a feldspathic
porcelain without a core.
www.indiandentalacademy.com
Thermal Tempering:
Quench hot molten glass in silicone oils or other liquids so as to
uniformly cool the surface.
www.indiandentalacademy.com
Thermal Expansion coefficient mismatch:
Fabrication of glass or ceramic in combination with metal.
Ceramic in combination with metal are heated and cooled
The metal of the MCRs has a slightly higher CTE
It contracts more than the porcelain on cooling after firing.
Residual compressive stresses in porcelain.
www.indiandentalacademy.com
Advantage:
No major investments
reduces the surface flaws.
dramatically increases the strength by 50- 100%
Shofu or Soflex finishing disks-Reglazing .
Polishing
www.indiandentalacademy.com
Interruption of crack propogation
www.indiandentalacademy.com
Dispersion of a crystalline phase
Aluminous Porcelain:
Alumina( Al203) is added in particulate form.
Dicor:
Mica crystals grow in situ when the cast crown in subjected
to heat treatment.
The coefficient of thermal expansion between the crystalline
material and the surrounding glass matrix require a close
match. Eg. Alumina and zirconium.
www.indiandentalacademy.com
Transformation Toughening
Transformation toughened Zirconia: a polycrystalline material
Firing temperature:
Tetragonal
Room temperature
Monoclinic( 4.4%)
Stabilization of tetragonal form at room temp.
( 3-8% mass) of calcium and later yttrium or cerium.
Metastable: The trapped energy drives it back to monoclinic under stress
www.indiandentalacademy.com
Disadvantages:
Long term instability in the presence of water.
Porcelain compatibility issues
Opacity.
Transformation Toughening
Change in crystal structure under stress to absorb energy from the
crack
www.indiandentalacademy.com
Hydrothermal Porcelain
Duceram LFC.
specialized nonfeldspathic composition
forms a plasticized surface layer when hydrated.
Surface hardness is reduced.
Flexural strength is increased.
The increase in strength is due to the plastic nature of
the hydrated surface, which allows for deformation of
surface flaws and prevents them from propogating
through the bulk.
www.indiandentalacademy.com
O
Si
O
O
O
O
O
O
Si
Si
Si
Si
O
O
O
O
O
Si
Si
Si
Si
Si
Si
Si
Si
Si
Na+
Na+
Na+
Hydroxyl groups
Hydrothermal Porcelain
www.indiandentalacademy.com
The design should not be subjected to tensile stress.
Sharp line angles on the preparation and coping avoided.
The porcelain thickness should be uniform.
In PJC,the tensile stresses avoided by having favorable occlusion
In PFM, metal should be strong and ductile not allowing flexing.
In brigdes, use greater connector height( 4mm) ,broader connctor
Designing of the components:
www.indiandentalacademy.com
Esthetic Properties:
Colour, translucency and vitality .
Chemical stability:
Chemically inert
Some form of fluoride can damage porcelain.
1.23 % ( APF)
8% stannous fluoride Dull and rough within min.
Hydrofluoric acid.
Stannous fluoride( 0.4%) or sodium fluoride(2%) :will not etch .
The etching of the interior with hydrofluoric acid: Bonding.
Phosphoric acid, has very little effect on dental porcelain.
Properties of Ceramics.
www.indiandentalacademy.com
Shrinkage on heating:
The linear shrinkage : 11.5% for high fusing porcelain
14% for low fusing porcelain.
CTE should match tooth structure to minimize shrinkage and gap
CTE should be slightly lower than that of the casting alloy
keeping the porcelain in residual compression upon cooling from
firing temperatures.
CTE: 12-13X 10-60
C
Thermal shock failure:
Caused by uneven heating or cooling.
More severe on reheating or glazing a crown than cooling.
Thermal properties:
www.indiandentalacademy.com
Compressive strength :good.
Tensile strength: Poor.
Unavoidable surface defects like porosities and microscopic cracks.
When porcelain is placed under tension, stress concentrates around
these imperfections resulting in brittle fracture.
Shear strength: low :due to the lack of ductility
Mechanical properties:
www.indiandentalacademy.com
Property Value
Strength
Flexure Strength Ground-75.8 Mpa(11,000psi)
Glazed141.1Mpa( 20,465psi)
Compressive Strength 331Mpa(48,000psi)
Tensile Strength( low) 34Mpa( 5000psi)
Shear strength( low) 110 Mpa( 16.000psi)
Modulus of elasticity( high) 60-70 Mpa( 10x106 psi)
Surface hardness 460KHN 611-703VHN( Kg/mm2)
www.indiandentalacademy.com
Property Value
Coefficient of thermal
expansion
Feldspathic:6.4-7.8x10-60
C.
Reinforced:12.38-16.23 x10-60
C
Thermal conductivity 2.39 Mcal/s(cm2)( 0C/cm)
Specific gravity 2.2-2.3( true is 2.242)
www.indiandentalacademy.com
Fabrication of metal fused to ceramic restoration
Fabrication of coping for metal ceramic prosthesis:
Casting a pure metal( Titanium) or an alloy( High noble, noble
or predominantly base meta) through lost wax process.
Electrodeposition of gold or other metal on a duplicate die.
Burnishing and heat treating metal foils on a die.
CAD- CAM processing of a metal ingot.
The platinum foil matrix is a thin sheet of pure platinum 0.001” thick that is
swaged over a die to form a support for firing the porcelain.
www.indiandentalacademy.com
Cleaned by air blasting or sand- blasting.
Degassing:
Formation of an oxide layer.
Removes impurities, prevents formation of bubbles on the oxide surface
This oxide is responsible for the development of a bond between the
metal and porcelain.
Noble metals: Indium and tin
Base metal: Alloys do not need such additions.
Too thick oxide layer leads to poor bond formation.
Degassing
www.indiandentalacademy.com
Building up of porcelain:
A plastic mass : Powder and liquid.
With a brush, the plastic mass is applied over the matrix. It is built
to the shape of a crown in layers of core, dentin and enamel.
www.indiandentalacademy.com
Application of Wash Opaque
Powder opaque Paste opaque Spray on method
www.indiandentalacademy.com
Application of opaque: Hides color and forms bond.
Dentin Layering: Body porcelain Enamel: Incisal porcelain.
www.indiandentalacademy.com
The process of bringing the particles closer and of removing the liquid
binder is known as condensation.
Liquid binder :
Distilled water.
Propylene glycol :alumina core build up.
Alcohol or formaldehyde based liquids :opaque or core build up.
Aim : To pack the particles as close as possible in order to reduce the
amount of porosity and shrinkage during firing.
Factors determining the effectiveness of condensation:
Size of the particles:
One size: void space of 45%
Two sizes : 25%
Three or more sizes:22%. Gap Grading System.
Shape of the particles: Round particles :better packing compared to
angular particles.
Condensation
www.indiandentalacademy.com
Methods of Condensation
Vibration
Spatulation
Brush technique
Ultrasonic
Gravitational
Whipping.
www.indiandentalacademy.com
creamy
capable of being transferred in small increments.
High quality sable hair brushes
Advantages of wet brush technique:
Maintains the moisture content in the porcelain.
Metal spatulas causes more rapid drying out.
The brush can be used to introduce enamel colors, effect
masses or stains without changing instruments.
Greater control over small increments.
Blending of enamel veneers
Wet brush technique/
Brush additive technique:
www.indiandentalacademy.com
Mild vibration to densely pack the wet powder
upon the underlying matrix.
The excess water :blotted with a tissue.
Serrated handle of a porcelain instrument
lightly passed over the model or die pin.
Vibration:
www.indiandentalacademy.com
Spatulation:
Spatula used to apply and
smoothen the porcelain
Disadvantages:
Danger of dislodging the porcelain
particles ,may cause invisible cracks.
The sandpaper like effect of
porcelain on metal
Discoloration of the final product.
www.indiandentalacademy.com
Dry Brush technique:
Dry powder sprinkled over the wet porcelain
Disadvantage:
It enhances the risk of porcelain drying out
Control of powder :difficult ,time consuming.
Ultrasonic:
Vibrator.
The low amplitude with high rate of vibrations
per second pulls the liquid to the surface with
almost no disturbance in porcelain contour.
This is a final condensing procedure.
Condensation Methods:
www.indiandentalacademy.com
A large soft brush moved in light dusting action over the wet porcelain
Brings excess water to the surface,
Same brush can be used to remove any coarse surface particles along
with excess water.
Combination of vibration and the whipping.
Disadvantage:
This method works best with fine grain,
Excess manipulation could allows these fine particles to float away with
liquid during blotting.
Surface tension of water is the driving force for condensation.
Whipping
www.indiandentalacademy.com
Internal or External Stains:
Intrinsic Stain Extrinsic Stain.
Built into the succesive layers of
porcelain.
Placed on the surface of
the final layer.
must be stripped completely
and rebuilt if modifications
are found necessary.
Susceptible to dissolution in
oral fluids as the fusion
temperatures of glazes are
reduced by the addition of
glass modifiers, which
unfortunately lower the
chemical durability.
www.indiandentalacademy.com
Pre firing procedures:
If directly in a hot furnace:
it will evolve steam rapidly ,crumble or
explode.
Dry the wet structure in a warm atmosphere
before placing into the hot furnace.
At the elevated temperatures of the furnace,
the starch or sugar binder ignites ;
the surface of the structure blackens.
The door of the furnace is slightly left ajar.
www.indiandentalacademy.com
Sintering/ Firing Procedure of Dental Porcelain:
The temperature raised to the firing temperature of the porcelain
10660
C : aluminous core porcelain
9820
C :opaque porcelains.
Densification : Sintering
Partial fusion and bonding of adjacent surfaces of particles rather
than complete melting.
www.indiandentalacademy.com
Firing shrinkage: 30-40% by volume.
32-37% :low fusing
28-34% :high fusing. Due to loss of water and sintering.
Porcelain is built up of a larger size before firing.
Porosity:
Air inclusion during firing: Reduce the translucency.
Firing Shrinkage and Porosity:
www.indiandentalacademy.com
Firing Methods:
9800
c
Temperature method: Temperature- Time method
www.indiandentalacademy.com
Electrically heated muffle
Pyrometer :indicates the temperature.
Most furnaces :firing under vacuum.
Reduction in porosity: 4.6% to about 0.5%.
1 Horizontal muffle:
2.Vertical muffle:
Porcelain Furnace:
www.indiandentalacademy.com
Air firing :
Voids or bubbles
Inclusion of air during firing
Byproduct of vitrification of feldspar.
Reduced translucency and strength.
Coarse porcelain particles are air fired.
Vacuum:
Dense pore free mass.
Reduced firing temperature.
Diffusible glass:
Diffusible gas like helium, hydrogen or steam.
Media used for firing:
www.indiandentalacademy.com
Surface appearance of an unglazed porcelain : “bisque”.
Low Bisque:
Rigid and porous.
Little shrinkage.
Particles lack cohesion
Do not have translucency or glaze.
The grains begin to lense at their contact points.
Medium Bisque:
Cohesion between the particles.
Still porous, lacks translucency and high glaze.
Definite shrinkage.
High Bisque stage:
Shrinkage is complete ,mass exhibits a smooth surface.
Slight porosity.
The body does not appear to be glazed.
Stages in maturity:
Lesser firing: Higher strength and esthetics.www.indiandentalacademy.com
First dentin firing
Second dentin firing
www.indiandentalacademy.com
Finishing Glazing
Completed restoration.
Glazing:
Improves appearance.
Removes surface imperfections.
Improves mechanical properties
www.indiandentalacademy.com
Advantages:
High strength.
Ideal for long span bridges.
Excellent fit.
Disadvantages:
Appearance of metal margins.
Discoloration by metals.
Difficulty in producing an appearance of translucency.
Bond failure with metals.
Possible disadvantages of alloys used.
Extensive tooth reduction( 1.75 mm).
Porcelain- Fused- to Metal Alloys:
www.indiandentalacademy.com
Indications for metal ceramic restorations.
Discolored teeth.
Grossly decayed carious teeth.
Congenital anamolies.
Abutment retainers.
Splinting mobile teeth.
Occlusal corrections.
Contraindications:
Active caries or untreated periodontal disease.
In young patient with large pulp chambers.
Enamel wear is high and there is insufficient room for M and P.
High lip line.
Where esthetics is of prime importance.
Short and thin crowns.
Metal Ceramic Restorations.
www.indiandentalacademy.com
Requirements for alloys for porcelain bonding.
Coefficient of thermal expansion of alloy close or nearly the same
as that of porcelain. High tensile stresses will otherwise develop.
Fusion temperature of the alloy higher than that of the porcelain
so that it resists melt or sag at the firing temperature of porcelain.
The modulus of elasticity: should be high to prevent flexing of metal
framework and hence avoid fracture of porcelain.
Capable of forming bond with porcelain.
Oxide formation which provide a chemical bond.
Capable of wetting porcelain :mechanical bonding.
Should not contain copper or silver.
Should have a high proportional limit, to avoid excess stress on the
porcelain, which is brittle.
www.indiandentalacademy.com
Changes in alloys for PFM Restorations.
Platinum
Palladium
Copper
Silver
Melting temperature
1200-13000
C.
Higher elastic properties.
Greater sag resistance.
CTE matching the porcelains.
Poor castability.
www.indiandentalacademy.com
Noble metal alloy systems:
High gold: Gold platinum palladium
Low gold: Gold palladium silver
Gold free: Palladium silver
Palladium Copper.
Base metal alloys:
Nickel Chromium alloys without beryllium.
Nickel Chromium alloys with beryllium.
Co- Cr based alloys.
Foil copings
Bonded platinum foil coping.
Swaged gold alloy foil coping.
Cast metal ceramic alloys:
www.indiandentalacademy.com
Typical composition for alloys for PFM restorations
% Au Pt Pd Cu Ag Others
High gold 86 9 5 - - -
Low gold 52 38 - - - 9% In
Pd Ag - - 65 - 35 -
Pd Cu - - 80 15 - 5% others
Ni Cr - - - - - 65%Ni,17%Cr
www.indiandentalacademy.com
Composition of ceramic for metal ceramic restoration.
Increased CTE.
Tendency to devitrify and appear cloudy.
Should not be subjected to repeated firing cycles.
Soda
Potash
www.indiandentalacademy.com
Nature of the metal ceramic bond:
Chemical bonding:
•Primary bonding mechanism for most dental ceramics.
•Adherent oxide layer is essential for good bond formation.
•Precious metal alloy: tin and iridium oxide
•Base metal alloys :chromium oxide.
For good chemical bonding:
•Sandblasting,
•Ultrasonic cleaner
•Oxidation.
www.indiandentalacademy.com
Procedure recommended to clean the metal of organic debris and
remove entrapped surface gases such as hydrogen.
Advantage:
Removes volatile contaminants not eliminated by Steam or air abrasion.
Allows specific oxides to form on the surface which help in bonding.
Post oxidation treatment:
To reduce oxide layer:
Acid treatment: Hydroflouric, Hydrochloric or dilute sulfuric acids.
Non acid treatment: Air abrasion with pure 50 μm aluminium oxide.
Oxidation or degassing:
www.indiandentalacademy.com
Oxide layer is permanently bonded to the metal substructure
on one side while dental porcelain remains on the other.
Oxide layer sandwiched between the M and P.
Surface oxides dissolve or are dissolved by the opaque layer.
Porcelain is brought into atomic contact with the metal
surface for enhanced wetting by the metal, and direct
chemical bonding by sharing of electrons between porcelain
and metal.
Both covalent and ionic bonds are thought to form, but only a
monomolecular layer of oxide is thought to be responsible for
bonding.
www.indiandentalacademy.com
A layer of pure gold is deposited onto the cast metal,
short flash deposition of tin.
Cobalt chromium, stainless steel.
Palladium silver, high and low gold content alloys
Titanium.
Advantages:
Improved wetting of the metal by porcelain.
Electrodeposited layer acts as a barrier to inhibit ion penetration by
the metal
Gold color of the oxide film :vitality and esthetics.
Color control of the oxidated surface from gray to reddish brown to gold
Deposited layer acts as a buffer zone to absorb stresses.
The maturation time and temperature of the porcelain is reduced :highly
reflective surface of the gold layer, and the infrared radiation emitted by
the gold on heating.
Bonding using electrodeposition:
www.indiandentalacademy.com
Mechanical interlocking:
Presence of surface roughness
Wettability is important for bonding.
Smaller the contact angle: better is the wetting efficiency.
3. Vanderwaals Forces:
Secondary forces generated by a physical attraction between the
charged particles rather than by actual sharing of electrons
4. Compressive Forces:
Ceramic is strongest under compression and weakest under tension
Hence if the coefficient of thermal expansion of the metal substrate is
greater than the porcelain fired over it, porcelain is under compression.
Nature of the metal ceramic bond
www.indiandentalacademy.com
Bond failure classification:
Type I: Metal porcelain:
When the metal surface is totally depleted of
oxide prior to firing porcelain, or
When no oxides are available( Gold alloys).
Also on contaminated porous surface.
Type II: Metal oxide- porcelain:
Base metal alloy system.
The porcelain fractures at the metal oxide
surface
leaving the oxide firmly attached to the metal.
Type III: Cohesive within porcelain:
Tensile fracture within the porcelain when the
bond strength exceeds the strength of the
Metal
Porcelain
Metal
Porcelain
Metal oxide
Metal
Porcelain
Porcelain
Metal oxide
www.indiandentalacademy.com
Type IV: Metal- metal oxide:
Base metal alloys
Due to the overproduction of Ni and Cr oxides
The metal oxide is left attached to ceramic.
5.Type V: Metal oxide- Metal oxide
Fracture occurs through the metal because of
the overproduction of oxide causing a sandwich
between porcelain and metal
6. Type VI :Cohesive within metal
Unlikely in individual metal ceramic crowns.
Connector area of bridges.
Metal
Porcelain
Metal oxide
Metal
Porcelain
Metal oxide
Metal oxide
Metal
Porcelain
Metal oxide
www.indiandentalacademy.com
www.indiandentalacademy.com
Improved bonding on the bondable surface of the metal
can be achieved by the following ways:
•Grit blasting with 30-50µm alumina particles at an air pressure of
0.4 to 0.7 Mpa .
•Electrochemical etching.
•Naturally formed oxides on the base metal surface also contributes
to the bonding when MDP or 4 META based resins are used.
•In noble metals :electrochemically deposit a thin layer of tin( 0.5µm)
on noble metal and heat it to an appropriate temperature to
form metal oxide.
A silica coating can be used to improve bonding to noble and
base metal alloys
Bonding of metallic prosthesis
www.indiandentalacademy.com
Bonded platinum foil coping:
Defects originating from the internal
surface of the crown:
Fracture of porcelain.
Tinplating the platinum foil.
Laying down 2 platinum foils in close
approximation with each other.
Inner foil: 0.025 mm platinum
provides a matrix for baking ceramic
Outer foil: forms the inner skin to the crown
tin plated and oxidized
strong chemical bond with aluminous
porcelain crown.
Bonded alumina crown/ twin foil technique: Mc Lean and Sced( 1976)
The inner foil is then removed after porcelain firing.
Bonded gold foil coping: Rogers 1979. UMK68www.indiandentalacademy.com
To prevent porcelain from lifting the platinum skirt and spoling the fit:
Cervical Contact technique:
Application of a layer of porcelain on the shoulder area to shrink first.
The second bake will then shrink towards the cervical porcelain and
maintain the fit.
Cervical ditch technique:
Porcelain is removed from the shoulder area after the initial build up is
complete, such that a thinnest ditch possible is made to expose the
cervical platinum at the shoulder.
www.indiandentalacademy.com
Removal of platinum foil:
Soaking the crown in water.
A fine pointed tweezer is used to lift the skirt away from the edge.
Peel the platinum away from the entire circumference without
damaging the fine porcelain edge (internally towards the incisal
edge).
www.indiandentalacademy.com
Porcelain veneer crowning of adolescent teeth where
minimal tooth preparation is necessary.
Anterior teeth, when metal reinforcement is essential.
In heavily worn teeth, thin or short teeth where minimal
occlusal clearance present (not less than 0.8mm), porcelain
crowning of all anterior teeth is indicated.
Repair of fractured metal- ceramic bridges, when removal of
bridge or splint is undesirable.
Coping jacket crowns on unit built bridge -work
Indications for bonded alumina crowns
www.indiandentalacademy.com
In periodontally involved teeth, where preparations extend
deeply into root- face and no shoulder preparations are
possible.
Posterior teeth where large areas of tooth are missing and
uneven bulk of porcelain is inevitable.
If lingual shoulder preparations are impossible particularly in
molar region.
Contraindications for bonded alumina crowns
www.indiandentalacademy.com
Dr. Itzhak Shoher and Mr. Aaron Whiteman in Europe
Fabrication of PFM restorations without waxing, investing or casting.
Pleated gold and palladium foil consisting of four layers.
Technology of Clad metals:
4 layers clad in a sandwich fashion under high pressure.
Renaissance Crown( Non cast metal ceramic
system)
0.997 Pure palladium
Gold ceramic alloy
Gold ceramic alloy
24k Pure gold.
The pleats are folded, crimped , burnished and swagged.
Heat treated to permit diffusion of the layers to form a interfacial
material.
www.indiandentalacademy.com
Initial adaptation:
The form is placed on the die until it
touches the occlusal or incisal surface
The pleats of the form are then closed
with crimping forceps.
Cutting the folds:
The midpoint of each pleat is determined
Cut is made through the pleat with the
crown scissors provided.
Simultaneously twisted to allow for the
final alloying of the metal during
alloying process.
Renaissance Crown fabrication:
www.indiandentalacademy.com
Folding the pleats:
Pleats are then folded in the same direction
with the crimping forceps.
Burnishing the form:
Burnished and closely adapted
Swagging:
After appropriate die spacing,
form and the die and placed in a swagger
Renaissance Crown fabrication:
www.indiandentalacademy.com
Alloying:
Propane torch for 4-6 Sec.
Glow brightly , gold will diffuse through the cuts
Interfacial alloy:
It is a metal ceramic solder in powder form
produced by precipitation,
mixed into a creamy paste
applied onto the form.
Renaissance Crown fabrication:
www.indiandentalacademy.com
“Capillary casting technology”.( Captek, Davis
Schottlander and Davis, Letchworth, UK)
Principle of capillary attraction to produce a gold
composite metal.
Elimination of casting process .
Procedure:
Adaptation of a wax strip, impregnated with a
gold- platinum- palladium powdered alloy, to a
refractory die. ( Captek P)
Firing procedures produce a rigid porous layer
which is then infilled with gold from a 2ND
wax strip
( Captek G) by capillary action
The finalized metal coping is then veneered
with porcelain.
CAPTEK
www.indiandentalacademy.com
Fig shows the metal coping after firing.
The shear bond strength values atleast equal to PFM.
Composite
Gold matrix reinforced with small particles of Pt-Pd- Au
alloy
The inner and outer surfaces contain approximately
97% Au. The grain size of the foil is 15-20µm.
High melting temperature
Capillary effect when ceramic is applied.
Advantages of CAPTEK:
Improve marginal fit(capillary cast, rather than lost wax )
Enhanced esthetics.
Biocompatibility.
www.indiandentalacademy.com

Más contenido relacionado

La actualidad más candente

La actualidad más candente (20)

Onlays
OnlaysOnlays
Onlays
 
Inlays and onlays
Inlays and onlaysInlays and onlays
Inlays and onlays
 
Resin Modified Glassionomer cement
Resin Modified Glassionomer cementResin Modified Glassionomer cement
Resin Modified Glassionomer cement
 
All ceramic restortion shadan
All ceramic restortion shadanAll ceramic restortion shadan
All ceramic restortion shadan
 
Dental ceramics
Dental ceramicsDental ceramics
Dental ceramics
 
Dental veneer @
Dental veneer  @Dental veneer  @
Dental veneer @
 
Cast restorations
Cast restorationsCast restorations
Cast restorations
 
Laminate veneer.
Laminate veneer.Laminate veneer.
Laminate veneer.
 
Ceramics seminar
Ceramics seminarCeramics seminar
Ceramics seminar
 
Ceramics in fixed prosthodontics considerations for use in dental practice
Ceramics in fixed prosthodontics   considerations for use in dental practiceCeramics in fixed prosthodontics   considerations for use in dental practice
Ceramics in fixed prosthodontics considerations for use in dental practice
 
Retraction cords
Retraction cordsRetraction cords
Retraction cords
 
Retention and resistance forms of cavity design
Retention and resistance forms of cavity designRetention and resistance forms of cavity design
Retention and resistance forms of cavity design
 
Pressable ceramics
Pressable ceramicsPressable ceramics
Pressable ceramics
 
2. speeds in dentistry
2. speeds in dentistry 2. speeds in dentistry
2. speeds in dentistry
 
Glass ionomer cement
Glass ionomer cementGlass ionomer cement
Glass ionomer cement
 
Factors Determining Post Selection
Factors Determining Post Selection Factors Determining Post Selection
Factors Determining Post Selection
 
direct and indirect Veneer
direct and indirect Veneer direct and indirect Veneer
direct and indirect Veneer
 
all ceramic restoration
all ceramic restorationall ceramic restoration
all ceramic restoration
 
LAMINATES VENEERS.pptx
LAMINATES VENEERS.pptxLAMINATES VENEERS.pptx
LAMINATES VENEERS.pptx
 
Inlay
InlayInlay
Inlay
 

Destacado

Dental ceramics/certified fixed orthodontic courses by Indian dental academy
Dental ceramics/certified fixed orthodontic courses by Indian dental academy  Dental ceramics/certified fixed orthodontic courses by Indian dental academy
Dental ceramics/certified fixed orthodontic courses by Indian dental academy Indian dental academy
 
Dental ceramics/prosthodontic courses
Dental ceramics/prosthodontic coursesDental ceramics/prosthodontic courses
Dental ceramics/prosthodontic coursesIndian dental academy
 
DENTAL CERAMICS Dental Porcelain All-CERAMIC RESTORATIONS dental material
DENTAL CERAMICS Dental Porcelain All-CERAMIC RESTORATIONS dental materialDENTAL CERAMICS Dental Porcelain All-CERAMIC RESTORATIONS dental material
DENTAL CERAMICS Dental Porcelain All-CERAMIC RESTORATIONS dental materialDr-Faisal Al-Qahtani
 
Classification of porcelain / dental implant companies
Classification of porcelain / dental implant companiesClassification of porcelain / dental implant companies
Classification of porcelain / dental implant companiesIndian dental academy
 
New microsoft office power point presentation
New microsoft office power point presentationNew microsoft office power point presentation
New microsoft office power point presentationIndian dental academy
 
Metal free ceramics /certified fixed orthodontic courses by Indian dental aca...
Metal free ceramics /certified fixed orthodontic courses by Indian dental aca...Metal free ceramics /certified fixed orthodontic courses by Indian dental aca...
Metal free ceramics /certified fixed orthodontic courses by Indian dental aca...Indian dental academy
 
Dental ceramics /certified fixed orthodontic courses by Indian dental academy
Dental ceramics  /certified fixed orthodontic courses by Indian dental academy Dental ceramics  /certified fixed orthodontic courses by Indian dental academy
Dental ceramics /certified fixed orthodontic courses by Indian dental academy Indian dental academy
 
Dental+ceramics
Dental+ceramicsDental+ceramics
Dental+ceramicsIAU Dent
 
Different fabrication techniques of ceramics
Different  fabrication techniques of ceramicsDifferent  fabrication techniques of ceramics
Different fabrication techniques of ceramicsRadwa Eldessouky
 
12.dental ceramics /certified fixed orthodontic courses by Indian dental academy
12.dental ceramics /certified fixed orthodontic courses by Indian dental academy12.dental ceramics /certified fixed orthodontic courses by Indian dental academy
12.dental ceramics /certified fixed orthodontic courses by Indian dental academyIndian dental academy
 
dental ceramics / oral surgery courses
dental ceramics  / oral surgery courses  dental ceramics  / oral surgery courses
dental ceramics / oral surgery courses Indian dental academy
 
Allceramic restorations /certified fixed orthodontic courses by Indian dental...
Allceramic restorations /certified fixed orthodontic courses by Indian dental...Allceramic restorations /certified fixed orthodontic courses by Indian dental...
Allceramic restorations /certified fixed orthodontic courses by Indian dental...Indian dental academy
 
Mechanical properties of dental materials / dental courses in india
Mechanical properties of dental materials / dental courses in indiaMechanical properties of dental materials / dental courses in india
Mechanical properties of dental materials / dental courses in indiaIndian dental academy
 
Dental ceramics/certified fixed orthodontic courses by Indian dental academy
Dental ceramics/certified fixed orthodontic courses by Indian dental academy  Dental ceramics/certified fixed orthodontic courses by Indian dental academy
Dental ceramics/certified fixed orthodontic courses by Indian dental academy Indian dental academy
 
Dental Ceramics.. old and new.
Dental Ceramics.. old and new.Dental Ceramics.. old and new.
Dental Ceramics.. old and new.malek mohammed
 
Dental ceramic & cad cam
Dental ceramic  & cad camDental ceramic  & cad cam
Dental ceramic & cad camAkriti Goel
 

Destacado (20)

Dental ceramics/certified fixed orthodontic courses by Indian dental academy
Dental ceramics/certified fixed orthodontic courses by Indian dental academy  Dental ceramics/certified fixed orthodontic courses by Indian dental academy
Dental ceramics/certified fixed orthodontic courses by Indian dental academy
 
Dental ceramics/prosthodontic courses
Dental ceramics/prosthodontic coursesDental ceramics/prosthodontic courses
Dental ceramics/prosthodontic courses
 
DENTAL CERAMICS Dental Porcelain All-CERAMIC RESTORATIONS dental material
DENTAL CERAMICS Dental Porcelain All-CERAMIC RESTORATIONS dental materialDENTAL CERAMICS Dental Porcelain All-CERAMIC RESTORATIONS dental material
DENTAL CERAMICS Dental Porcelain All-CERAMIC RESTORATIONS dental material
 
Classification of porcelain / dental implant companies
Classification of porcelain / dental implant companiesClassification of porcelain / dental implant companies
Classification of porcelain / dental implant companies
 
New microsoft office power point presentation
New microsoft office power point presentationNew microsoft office power point presentation
New microsoft office power point presentation
 
Metal free ceramics /certified fixed orthodontic courses by Indian dental aca...
Metal free ceramics /certified fixed orthodontic courses by Indian dental aca...Metal free ceramics /certified fixed orthodontic courses by Indian dental aca...
Metal free ceramics /certified fixed orthodontic courses by Indian dental aca...
 
Dental ceramics /certified fixed orthodontic courses by Indian dental academy
Dental ceramics  /certified fixed orthodontic courses by Indian dental academy Dental ceramics  /certified fixed orthodontic courses by Indian dental academy
Dental ceramics /certified fixed orthodontic courses by Indian dental academy
 
laminates
 laminates laminates
laminates
 
Dental+ceramics
Dental+ceramicsDental+ceramics
Dental+ceramics
 
Ceramics
CeramicsCeramics
Ceramics
 
Ceramic
CeramicCeramic
Ceramic
 
Different fabrication techniques of ceramics
Different  fabrication techniques of ceramicsDifferent  fabrication techniques of ceramics
Different fabrication techniques of ceramics
 
12.dental ceramics /certified fixed orthodontic courses by Indian dental academy
12.dental ceramics /certified fixed orthodontic courses by Indian dental academy12.dental ceramics /certified fixed orthodontic courses by Indian dental academy
12.dental ceramics /certified fixed orthodontic courses by Indian dental academy
 
dental ceramics / oral surgery courses
dental ceramics  / oral surgery courses  dental ceramics  / oral surgery courses
dental ceramics / oral surgery courses
 
Ceramics
CeramicsCeramics
Ceramics
 
Allceramic restorations /certified fixed orthodontic courses by Indian dental...
Allceramic restorations /certified fixed orthodontic courses by Indian dental...Allceramic restorations /certified fixed orthodontic courses by Indian dental...
Allceramic restorations /certified fixed orthodontic courses by Indian dental...
 
Mechanical properties of dental materials / dental courses in india
Mechanical properties of dental materials / dental courses in indiaMechanical properties of dental materials / dental courses in india
Mechanical properties of dental materials / dental courses in india
 
Dental ceramics/certified fixed orthodontic courses by Indian dental academy
Dental ceramics/certified fixed orthodontic courses by Indian dental academy  Dental ceramics/certified fixed orthodontic courses by Indian dental academy
Dental ceramics/certified fixed orthodontic courses by Indian dental academy
 
Dental Ceramics.. old and new.
Dental Ceramics.. old and new.Dental Ceramics.. old and new.
Dental Ceramics.. old and new.
 
Dental ceramic & cad cam
Dental ceramic  & cad camDental ceramic  & cad cam
Dental ceramic & cad cam
 

Similar a Dental Ceramics: A Historical Perspective and Classification Guide

DENTAL CERAMICS AN INTRODUCTION
DENTAL CERAMICS AN INTRODUCTIONDENTAL CERAMICS AN INTRODUCTION
DENTAL CERAMICS AN INTRODUCTIONNAMITHA ANAND
 
Porcelains used in metal ceramics /certified fixed orthodontic courses by Ind...
Porcelains used in metal ceramics /certified fixed orthodontic courses by Ind...Porcelains used in metal ceramics /certified fixed orthodontic courses by Ind...
Porcelains used in metal ceramics /certified fixed orthodontic courses by Ind...Indian dental academy
 
Dental implants and material
Dental implants and materialDental implants and material
Dental implants and materialSatarupabando
 
Evolution of all ceramics&amp;recent advances (2)/ dental courses
Evolution of all ceramics&amp;recent advances (2)/ dental coursesEvolution of all ceramics&amp;recent advances (2)/ dental courses
Evolution of all ceramics&amp;recent advances (2)/ dental coursesIndian dental academy
 
All ceramics /fixed orthodontic training
All ceramics /fixed orthodontic trainingAll ceramics /fixed orthodontic training
All ceramics /fixed orthodontic trainingIndian dental academy
 
Metal free ceramics /certified fixed orthodontic courses by Indian dental aca...
Metal free ceramics /certified fixed orthodontic courses by Indian dental aca...Metal free ceramics /certified fixed orthodontic courses by Indian dental aca...
Metal free ceramics /certified fixed orthodontic courses by Indian dental aca...Indian dental academy
 
Metal free ceramics/ online orthodontic courses
Metal free ceramics/ online orthodontic coursesMetal free ceramics/ online orthodontic courses
Metal free ceramics/ online orthodontic coursesIndian dental academy
 
Metal free ceramics /certified fixed orthodontic courses by Indian dental aca...
Metal free ceramics /certified fixed orthodontic courses by Indian dental aca...Metal free ceramics /certified fixed orthodontic courses by Indian dental aca...
Metal free ceramics /certified fixed orthodontic courses by Indian dental aca...Indian dental academy
 
Dental ceramics/ rotary endodontic courses by indian dental academy
Dental ceramics/ rotary endodontic courses by indian dental academyDental ceramics/ rotary endodontic courses by indian dental academy
Dental ceramics/ rotary endodontic courses by indian dental academyIndian dental academy
 
Recent advances in dental porcelain materials / cosmetic dentistry courses
Recent advances in dental porcelain materials / cosmetic dentistry coursesRecent advances in dental porcelain materials / cosmetic dentistry courses
Recent advances in dental porcelain materials / cosmetic dentistry coursesIndian dental academy
 
Metal ceramics xam./ Labial orthodontics
Metal ceramics xam./ Labial orthodonticsMetal ceramics xam./ Labial orthodontics
Metal ceramics xam./ Labial orthodonticsIndian dental academy
 
318500924-6-DENTAL-CERAMICS-PPT.ppt
318500924-6-DENTAL-CERAMICS-PPT.ppt318500924-6-DENTAL-CERAMICS-PPT.ppt
318500924-6-DENTAL-CERAMICS-PPT.pptSusovanGiri6
 
Evolution of all ceramics&recent advances (2)
Evolution of all ceramics&recent advances (2)Evolution of all ceramics&recent advances (2)
Evolution of all ceramics&recent advances (2)Indian dental academy
 

Similar a Dental Ceramics: A Historical Perspective and Classification Guide (20)

Basic ceramic (2).ppt
Basic ceramic (2).pptBasic ceramic (2).ppt
Basic ceramic (2).ppt
 
DENTAL CERAMICS AN INTRODUCTION
DENTAL CERAMICS AN INTRODUCTIONDENTAL CERAMICS AN INTRODUCTION
DENTAL CERAMICS AN INTRODUCTION
 
Porcelains used in metal ceramics /certified fixed orthodontic courses by Ind...
Porcelains used in metal ceramics /certified fixed orthodontic courses by Ind...Porcelains used in metal ceramics /certified fixed orthodontic courses by Ind...
Porcelains used in metal ceramics /certified fixed orthodontic courses by Ind...
 
Dental implants and material
Dental implants and materialDental implants and material
Dental implants and material
 
Evolution of all ceramics&amp;recent advances (2)/ dental courses
Evolution of all ceramics&amp;recent advances (2)/ dental coursesEvolution of all ceramics&amp;recent advances (2)/ dental courses
Evolution of all ceramics&amp;recent advances (2)/ dental courses
 
Dental ceramics
Dental ceramicsDental ceramics
Dental ceramics
 
All ceramics /fixed orthodontic training
All ceramics /fixed orthodontic trainingAll ceramics /fixed orthodontic training
All ceramics /fixed orthodontic training
 
Metal free ceramics /certified fixed orthodontic courses by Indian dental aca...
Metal free ceramics /certified fixed orthodontic courses by Indian dental aca...Metal free ceramics /certified fixed orthodontic courses by Indian dental aca...
Metal free ceramics /certified fixed orthodontic courses by Indian dental aca...
 
Metal free ceramics/ online orthodontic courses
Metal free ceramics/ online orthodontic coursesMetal free ceramics/ online orthodontic courses
Metal free ceramics/ online orthodontic courses
 
Metal free ceramics /certified fixed orthodontic courses by Indian dental aca...
Metal free ceramics /certified fixed orthodontic courses by Indian dental aca...Metal free ceramics /certified fixed orthodontic courses by Indian dental aca...
Metal free ceramics /certified fixed orthodontic courses by Indian dental aca...
 
Ceramic 2
Ceramic 2Ceramic 2
Ceramic 2
 
Dental ceramics/ rotary endodontic courses by indian dental academy
Dental ceramics/ rotary endodontic courses by indian dental academyDental ceramics/ rotary endodontic courses by indian dental academy
Dental ceramics/ rotary endodontic courses by indian dental academy
 
Ceramic 2
Ceramic 2Ceramic 2
Ceramic 2
 
Recent advances in dental porcelain materials / cosmetic dentistry courses
Recent advances in dental porcelain materials / cosmetic dentistry coursesRecent advances in dental porcelain materials / cosmetic dentistry courses
Recent advances in dental porcelain materials / cosmetic dentistry courses
 
Metal ceramics xam./ Labial orthodontics
Metal ceramics xam./ Labial orthodonticsMetal ceramics xam./ Labial orthodontics
Metal ceramics xam./ Labial orthodontics
 
318500924-6-DENTAL-CERAMICS-PPT.ppt
318500924-6-DENTAL-CERAMICS-PPT.ppt318500924-6-DENTAL-CERAMICS-PPT.ppt
318500924-6-DENTAL-CERAMICS-PPT.ppt
 
Evolution of all ceramics&recent advances (2)
Evolution of all ceramics&recent advances (2)Evolution of all ceramics&recent advances (2)
Evolution of all ceramics&recent advances (2)
 
CERAMICS IN ORTHODONTICS
CERAMICS IN ORTHODONTICSCERAMICS IN ORTHODONTICS
CERAMICS IN ORTHODONTICS
 
Dental Ceramics
Dental CeramicsDental Ceramics
Dental Ceramics
 
Dental ceramics.ppt
Dental ceramics.pptDental ceramics.ppt
Dental ceramics.ppt
 

Más de Indian dental academy

Indian Dentist - relocate to united kingdom
Indian Dentist - relocate to united kingdomIndian Dentist - relocate to united kingdom
Indian Dentist - relocate to united kingdomIndian dental academy
 
1ST, 2ND AND 3RD ORDER BENDS IN STANDARD EDGEWISE APPLIANCE SYSTEM /Fixed ort...
1ST, 2ND AND 3RD ORDER BENDS IN STANDARD EDGEWISE APPLIANCE SYSTEM /Fixed ort...1ST, 2ND AND 3RD ORDER BENDS IN STANDARD EDGEWISE APPLIANCE SYSTEM /Fixed ort...
1ST, 2ND AND 3RD ORDER BENDS IN STANDARD EDGEWISE APPLIANCE SYSTEM /Fixed ort...Indian dental academy
 
Invisalign -invisible aligners course in india
Invisalign -invisible aligners course in india Invisalign -invisible aligners course in india
Invisalign -invisible aligners course in india Indian dental academy
 
Invisible aligners for your orthodontics pratice
Invisible aligners for your orthodontics praticeInvisible aligners for your orthodontics pratice
Invisible aligners for your orthodontics praticeIndian dental academy
 
Development of muscles of mastication / dental implant courses
Development of muscles of mastication / dental implant coursesDevelopment of muscles of mastication / dental implant courses
Development of muscles of mastication / dental implant coursesIndian dental academy
 
Corticosteriods uses in dentistry/ oral surgery courses  
Corticosteriods uses in dentistry/ oral surgery courses  Corticosteriods uses in dentistry/ oral surgery courses  
Corticosteriods uses in dentistry/ oral surgery courses  Indian dental academy
 
Cytotoxicity of silicone materials used in maxillofacial prosthesis / dental ...
Cytotoxicity of silicone materials used in maxillofacial prosthesis / dental ...Cytotoxicity of silicone materials used in maxillofacial prosthesis / dental ...
Cytotoxicity of silicone materials used in maxillofacial prosthesis / dental ...Indian dental academy
 
Diagnosis and treatment planning in completely endntulous arches/dental courses
Diagnosis and treatment planning in completely endntulous arches/dental coursesDiagnosis and treatment planning in completely endntulous arches/dental courses
Diagnosis and treatment planning in completely endntulous arches/dental coursesIndian dental academy
 
Properties of Denture base materials /rotary endodontic courses
Properties of Denture base materials /rotary endodontic coursesProperties of Denture base materials /rotary endodontic courses
Properties of Denture base materials /rotary endodontic coursesIndian dental academy
 
Use of modified tooth forms in complete denture occlusion / dental implant...
Use of modified  tooth forms  in  complete denture occlusion / dental implant...Use of modified  tooth forms  in  complete denture occlusion / dental implant...
Use of modified tooth forms in complete denture occlusion / dental implant...Indian dental academy
 
Dental luting cements / oral surgery courses  
Dental   luting cements / oral surgery courses  Dental   luting cements / oral surgery courses  
Dental luting cements / oral surgery courses  Indian dental academy
 
Dental casting alloys/ oral surgery courses  
Dental casting alloys/ oral surgery courses  Dental casting alloys/ oral surgery courses  
Dental casting alloys/ oral surgery courses  Indian dental academy
 
Dental casting investment materials/endodontic courses
Dental casting investment materials/endodontic coursesDental casting investment materials/endodontic courses
Dental casting investment materials/endodontic coursesIndian dental academy
 
Dental casting waxes/ oral surgery courses  
Dental casting waxes/ oral surgery courses  Dental casting waxes/ oral surgery courses  
Dental casting waxes/ oral surgery courses  Indian dental academy
 
Dental implant/ oral surgery courses  
Dental implant/ oral surgery courses  Dental implant/ oral surgery courses  
Dental implant/ oral surgery courses  Indian dental academy
 
Dental perspective/cosmetic dentistry courses
Dental perspective/cosmetic dentistry coursesDental perspective/cosmetic dentistry courses
Dental perspective/cosmetic dentistry coursesIndian dental academy
 
Dental tissues and their replacements/ oral surgery courses  
Dental tissues and their replacements/ oral surgery courses  Dental tissues and their replacements/ oral surgery courses  
Dental tissues and their replacements/ oral surgery courses  Indian dental academy
 
Dentalcasting alloys/certified fixed orthodontic courses by Indian dental aca...
Dentalcasting alloys/certified fixed orthodontic courses by Indian dental aca...Dentalcasting alloys/certified fixed orthodontic courses by Indian dental aca...
Dentalcasting alloys/certified fixed orthodontic courses by Indian dental aca...Indian dental academy
 

Más de Indian dental academy (20)

Indian Dentist - relocate to united kingdom
Indian Dentist - relocate to united kingdomIndian Dentist - relocate to united kingdom
Indian Dentist - relocate to united kingdom
 
1ST, 2ND AND 3RD ORDER BENDS IN STANDARD EDGEWISE APPLIANCE SYSTEM /Fixed ort...
1ST, 2ND AND 3RD ORDER BENDS IN STANDARD EDGEWISE APPLIANCE SYSTEM /Fixed ort...1ST, 2ND AND 3RD ORDER BENDS IN STANDARD EDGEWISE APPLIANCE SYSTEM /Fixed ort...
1ST, 2ND AND 3RD ORDER BENDS IN STANDARD EDGEWISE APPLIANCE SYSTEM /Fixed ort...
 
Invisalign -invisible aligners course in india
Invisalign -invisible aligners course in india Invisalign -invisible aligners course in india
Invisalign -invisible aligners course in india
 
Invisible aligners for your orthodontics pratice
Invisible aligners for your orthodontics praticeInvisible aligners for your orthodontics pratice
Invisible aligners for your orthodontics pratice
 
online fixed orthodontics course
online fixed orthodontics courseonline fixed orthodontics course
online fixed orthodontics course
 
online orthodontics course
online orthodontics courseonline orthodontics course
online orthodontics course
 
Development of muscles of mastication / dental implant courses
Development of muscles of mastication / dental implant coursesDevelopment of muscles of mastication / dental implant courses
Development of muscles of mastication / dental implant courses
 
Corticosteriods uses in dentistry/ oral surgery courses  
Corticosteriods uses in dentistry/ oral surgery courses  Corticosteriods uses in dentistry/ oral surgery courses  
Corticosteriods uses in dentistry/ oral surgery courses  
 
Cytotoxicity of silicone materials used in maxillofacial prosthesis / dental ...
Cytotoxicity of silicone materials used in maxillofacial prosthesis / dental ...Cytotoxicity of silicone materials used in maxillofacial prosthesis / dental ...
Cytotoxicity of silicone materials used in maxillofacial prosthesis / dental ...
 
Diagnosis and treatment planning in completely endntulous arches/dental courses
Diagnosis and treatment planning in completely endntulous arches/dental coursesDiagnosis and treatment planning in completely endntulous arches/dental courses
Diagnosis and treatment planning in completely endntulous arches/dental courses
 
Properties of Denture base materials /rotary endodontic courses
Properties of Denture base materials /rotary endodontic coursesProperties of Denture base materials /rotary endodontic courses
Properties of Denture base materials /rotary endodontic courses
 
Use of modified tooth forms in complete denture occlusion / dental implant...
Use of modified  tooth forms  in  complete denture occlusion / dental implant...Use of modified  tooth forms  in  complete denture occlusion / dental implant...
Use of modified tooth forms in complete denture occlusion / dental implant...
 
Dental luting cements / oral surgery courses  
Dental   luting cements / oral surgery courses  Dental   luting cements / oral surgery courses  
Dental luting cements / oral surgery courses  
 
Dental casting alloys/ oral surgery courses  
Dental casting alloys/ oral surgery courses  Dental casting alloys/ oral surgery courses  
Dental casting alloys/ oral surgery courses  
 
Dental casting investment materials/endodontic courses
Dental casting investment materials/endodontic coursesDental casting investment materials/endodontic courses
Dental casting investment materials/endodontic courses
 
Dental casting waxes/ oral surgery courses  
Dental casting waxes/ oral surgery courses  Dental casting waxes/ oral surgery courses  
Dental casting waxes/ oral surgery courses  
 
Dental implant/ oral surgery courses  
Dental implant/ oral surgery courses  Dental implant/ oral surgery courses  
Dental implant/ oral surgery courses  
 
Dental perspective/cosmetic dentistry courses
Dental perspective/cosmetic dentistry coursesDental perspective/cosmetic dentistry courses
Dental perspective/cosmetic dentistry courses
 
Dental tissues and their replacements/ oral surgery courses  
Dental tissues and their replacements/ oral surgery courses  Dental tissues and their replacements/ oral surgery courses  
Dental tissues and their replacements/ oral surgery courses  
 
Dentalcasting alloys/certified fixed orthodontic courses by Indian dental aca...
Dentalcasting alloys/certified fixed orthodontic courses by Indian dental aca...Dentalcasting alloys/certified fixed orthodontic courses by Indian dental aca...
Dentalcasting alloys/certified fixed orthodontic courses by Indian dental aca...
 

Último

Kisan Call Centre - To harness potential of ICT in Agriculture by answer farm...
Kisan Call Centre - To harness potential of ICT in Agriculture by answer farm...Kisan Call Centre - To harness potential of ICT in Agriculture by answer farm...
Kisan Call Centre - To harness potential of ICT in Agriculture by answer farm...Krashi Coaching
 
Paris 2024 Olympic Geographies - an activity
Paris 2024 Olympic Geographies - an activityParis 2024 Olympic Geographies - an activity
Paris 2024 Olympic Geographies - an activityGeoBlogs
 
CARE OF CHILD IN INCUBATOR..........pptx
CARE OF CHILD IN INCUBATOR..........pptxCARE OF CHILD IN INCUBATOR..........pptx
CARE OF CHILD IN INCUBATOR..........pptxGaneshChakor2
 
Introduction to AI in Higher Education_draft.pptx
Introduction to AI in Higher Education_draft.pptxIntroduction to AI in Higher Education_draft.pptx
Introduction to AI in Higher Education_draft.pptxpboyjonauth
 
Alper Gobel In Media Res Media Component
Alper Gobel In Media Res Media ComponentAlper Gobel In Media Res Media Component
Alper Gobel In Media Res Media ComponentInMediaRes1
 
“Oh GOSH! Reflecting on Hackteria's Collaborative Practices in a Global Do-It...
“Oh GOSH! Reflecting on Hackteria's Collaborative Practices in a Global Do-It...“Oh GOSH! Reflecting on Hackteria's Collaborative Practices in a Global Do-It...
“Oh GOSH! Reflecting on Hackteria's Collaborative Practices in a Global Do-It...Marc Dusseiller Dusjagr
 
Presentation by Andreas Schleicher Tackling the School Absenteeism Crisis 30 ...
Presentation by Andreas Schleicher Tackling the School Absenteeism Crisis 30 ...Presentation by Andreas Schleicher Tackling the School Absenteeism Crisis 30 ...
Presentation by Andreas Schleicher Tackling the School Absenteeism Crisis 30 ...EduSkills OECD
 
Call Girls in Dwarka Mor Delhi Contact Us 9654467111
Call Girls in Dwarka Mor Delhi Contact Us 9654467111Call Girls in Dwarka Mor Delhi Contact Us 9654467111
Call Girls in Dwarka Mor Delhi Contact Us 9654467111Sapana Sha
 
_Math 4-Q4 Week 5.pptx Steps in Collecting Data
_Math 4-Q4 Week 5.pptx Steps in Collecting Data_Math 4-Q4 Week 5.pptx Steps in Collecting Data
_Math 4-Q4 Week 5.pptx Steps in Collecting DataJhengPantaleon
 
A Critique of the Proposed National Education Policy Reform
A Critique of the Proposed National Education Policy ReformA Critique of the Proposed National Education Policy Reform
A Critique of the Proposed National Education Policy ReformChameera Dedduwage
 
PSYCHIATRIC History collection FORMAT.pptx
PSYCHIATRIC   History collection FORMAT.pptxPSYCHIATRIC   History collection FORMAT.pptx
PSYCHIATRIC History collection FORMAT.pptxPoojaSen20
 
Hybridoma Technology ( Production , Purification , and Application )
Hybridoma Technology  ( Production , Purification , and Application  ) Hybridoma Technology  ( Production , Purification , and Application  )
Hybridoma Technology ( Production , Purification , and Application ) Sakshi Ghasle
 
Mastering the Unannounced Regulatory Inspection
Mastering the Unannounced Regulatory InspectionMastering the Unannounced Regulatory Inspection
Mastering the Unannounced Regulatory InspectionSafetyChain Software
 
microwave assisted reaction. General introduction
microwave assisted reaction. General introductionmicrowave assisted reaction. General introduction
microwave assisted reaction. General introductionMaksud Ahmed
 
Accessible design: Minimum effort, maximum impact
Accessible design: Minimum effort, maximum impactAccessible design: Minimum effort, maximum impact
Accessible design: Minimum effort, maximum impactdawncurless
 
18-04-UA_REPORT_MEDIALITERAСY_INDEX-DM_23-1-final-eng.pdf
18-04-UA_REPORT_MEDIALITERAСY_INDEX-DM_23-1-final-eng.pdf18-04-UA_REPORT_MEDIALITERAСY_INDEX-DM_23-1-final-eng.pdf
18-04-UA_REPORT_MEDIALITERAСY_INDEX-DM_23-1-final-eng.pdfssuser54595a
 
Measures of Central Tendency: Mean, Median and Mode
Measures of Central Tendency: Mean, Median and ModeMeasures of Central Tendency: Mean, Median and Mode
Measures of Central Tendency: Mean, Median and ModeThiyagu K
 

Último (20)

Kisan Call Centre - To harness potential of ICT in Agriculture by answer farm...
Kisan Call Centre - To harness potential of ICT in Agriculture by answer farm...Kisan Call Centre - To harness potential of ICT in Agriculture by answer farm...
Kisan Call Centre - To harness potential of ICT in Agriculture by answer farm...
 
Paris 2024 Olympic Geographies - an activity
Paris 2024 Olympic Geographies - an activityParis 2024 Olympic Geographies - an activity
Paris 2024 Olympic Geographies - an activity
 
Código Creativo y Arte de Software | Unidad 1
Código Creativo y Arte de Software | Unidad 1Código Creativo y Arte de Software | Unidad 1
Código Creativo y Arte de Software | Unidad 1
 
CARE OF CHILD IN INCUBATOR..........pptx
CARE OF CHILD IN INCUBATOR..........pptxCARE OF CHILD IN INCUBATOR..........pptx
CARE OF CHILD IN INCUBATOR..........pptx
 
Introduction to AI in Higher Education_draft.pptx
Introduction to AI in Higher Education_draft.pptxIntroduction to AI in Higher Education_draft.pptx
Introduction to AI in Higher Education_draft.pptx
 
Alper Gobel In Media Res Media Component
Alper Gobel In Media Res Media ComponentAlper Gobel In Media Res Media Component
Alper Gobel In Media Res Media Component
 
“Oh GOSH! Reflecting on Hackteria's Collaborative Practices in a Global Do-It...
“Oh GOSH! Reflecting on Hackteria's Collaborative Practices in a Global Do-It...“Oh GOSH! Reflecting on Hackteria's Collaborative Practices in a Global Do-It...
“Oh GOSH! Reflecting on Hackteria's Collaborative Practices in a Global Do-It...
 
TataKelola dan KamSiber Kecerdasan Buatan v022.pdf
TataKelola dan KamSiber Kecerdasan Buatan v022.pdfTataKelola dan KamSiber Kecerdasan Buatan v022.pdf
TataKelola dan KamSiber Kecerdasan Buatan v022.pdf
 
Presentation by Andreas Schleicher Tackling the School Absenteeism Crisis 30 ...
Presentation by Andreas Schleicher Tackling the School Absenteeism Crisis 30 ...Presentation by Andreas Schleicher Tackling the School Absenteeism Crisis 30 ...
Presentation by Andreas Schleicher Tackling the School Absenteeism Crisis 30 ...
 
Call Girls in Dwarka Mor Delhi Contact Us 9654467111
Call Girls in Dwarka Mor Delhi Contact Us 9654467111Call Girls in Dwarka Mor Delhi Contact Us 9654467111
Call Girls in Dwarka Mor Delhi Contact Us 9654467111
 
_Math 4-Q4 Week 5.pptx Steps in Collecting Data
_Math 4-Q4 Week 5.pptx Steps in Collecting Data_Math 4-Q4 Week 5.pptx Steps in Collecting Data
_Math 4-Q4 Week 5.pptx Steps in Collecting Data
 
A Critique of the Proposed National Education Policy Reform
A Critique of the Proposed National Education Policy ReformA Critique of the Proposed National Education Policy Reform
A Critique of the Proposed National Education Policy Reform
 
PSYCHIATRIC History collection FORMAT.pptx
PSYCHIATRIC   History collection FORMAT.pptxPSYCHIATRIC   History collection FORMAT.pptx
PSYCHIATRIC History collection FORMAT.pptx
 
Model Call Girl in Tilak Nagar Delhi reach out to us at 🔝9953056974🔝
Model Call Girl in Tilak Nagar Delhi reach out to us at 🔝9953056974🔝Model Call Girl in Tilak Nagar Delhi reach out to us at 🔝9953056974🔝
Model Call Girl in Tilak Nagar Delhi reach out to us at 🔝9953056974🔝
 
Hybridoma Technology ( Production , Purification , and Application )
Hybridoma Technology  ( Production , Purification , and Application  ) Hybridoma Technology  ( Production , Purification , and Application  )
Hybridoma Technology ( Production , Purification , and Application )
 
Mastering the Unannounced Regulatory Inspection
Mastering the Unannounced Regulatory InspectionMastering the Unannounced Regulatory Inspection
Mastering the Unannounced Regulatory Inspection
 
microwave assisted reaction. General introduction
microwave assisted reaction. General introductionmicrowave assisted reaction. General introduction
microwave assisted reaction. General introduction
 
Accessible design: Minimum effort, maximum impact
Accessible design: Minimum effort, maximum impactAccessible design: Minimum effort, maximum impact
Accessible design: Minimum effort, maximum impact
 
18-04-UA_REPORT_MEDIALITERAСY_INDEX-DM_23-1-final-eng.pdf
18-04-UA_REPORT_MEDIALITERAСY_INDEX-DM_23-1-final-eng.pdf18-04-UA_REPORT_MEDIALITERAСY_INDEX-DM_23-1-final-eng.pdf
18-04-UA_REPORT_MEDIALITERAСY_INDEX-DM_23-1-final-eng.pdf
 
Measures of Central Tendency: Mean, Median and Mode
Measures of Central Tendency: Mean, Median and ModeMeasures of Central Tendency: Mean, Median and Mode
Measures of Central Tendency: Mean, Median and Mode
 

Dental Ceramics: A Historical Perspective and Classification Guide

  • 1. Dental Ceramics INDIAN DENTAL ACADEMY Leader in continuing Dental Education www.indiandentalacademy.com
  • 2. Keramos: Greek Keramika: Sanskrit A material produced by firing or burning ” a combination of one or more metals with a non metallic element, usually oxygen.” Gilman 1967. www.indiandentalacademy.com
  • 3. Phillips. 11th Ed. An inorganic compound with nonmetallic properties typically consisting of oxygen and one or more metallic or semimetallic elements( Eg: Aluminium, calcium, lithium, magnesium, potassium, silicon, sodium, tin, titanium and zirconium) that is formulated to produce the whole or part of a ceramic based prosthesis. Definition: Dental Ceramics www.indiandentalacademy.com
  • 4. Definition: Dental Ceramics 0’Brien: Combination of one or more metals with non metallic elements especially oxygen, larger atoms of oxygen serving as a matrix with smaller metal atoms tucked into the spaces between oxygen. www.indiandentalacademy.com
  • 5. Ceramics : A historical perspective…… 23,000BC 5500BC: 100BC: 1000AD: White china clay + “Chine stone” Ceramic so white that it was comparable only to snow, So strong that vessels needed walls only 2-3 mm thick, and consequently light could shine through it. So continuous was the internal structure that a dish, if lightly struck, would ring a bell. This is Porcelain! Earthernware: Stoneware: Chinese porcelain www.indiandentalacademy.com
  • 6. Attempts to imitate the Chinese Porcelain…… 1717: Pere, Francois Xavier d’ Entrecolles In less than 60 years, dental restorative material! 1728: Pierre Fauchard. 1774: Alexis Duchateau: Porcelain dentures. 1791: Nicholas Dubois de Chemant of Paris Paris Faculty of Medicine : “united the qualities of beauty, solidity and comfort to the exigencies of hygiene.” www.indiandentalacademy.com
  • 7. 1806: Giuseppangelo Fonzi : Terrometallic teeth. 1817: Antoine Plantou : porcelain teeth to America 1830: Samuel Stockton: produces first porcelain teeth in the US. 1845: SS White : Porcelain teeth on a commercial basis. 1864: Claudius Ash : Tube Teeth 1882: William Herbst : Inlays of pulverized glass. 1884: Charles H Land : Platinum foil technique. 1886 : First successful inlays. 1894: Custer :Porcelain furnace. 1898: Jenkins :low fusing porcelain 1903: Land :porcelain jacket crown Dental Ceramics :a historical perspective…. www.indiandentalacademy.com
  • 8. 1956: Brecker :ceramometal restorations 1962: Patents of Weinstein and Weinsteinand Weinstein et al( 1962) 1963: First commercial porcelain :Vita Zahnfabrik 1965: Mc lean and Hughes :aluminous porcelain 1968: Mc Culloch Glass ceramic in dentistry. 1984: Grossman and Adair :Dicor 1985: Hobo and Iwata (Kyocera Bioceram group): Cerapearl. 1983: O’ Brien :high expansion magnesia core 1983: Sozio and Riley : Cerestore. 1984: Corning glass Company( Stookey): First commercial glass ceramic 1988 :Mormann and Brandestini :CADCAM. Dental Ceramics :a historical perspective…. www.indiandentalacademy.com
  • 9. 1988 : CEREC1 1989: Wohlwend and Scharer : Pressable ceramic systems. 1991 : Celay copy milling system. 1994: CEREC II 1992: Ultralow fusing ceramic Ducera LFC :Cerec3 Dental Ceramics :a historical perspective…. www.indiandentalacademy.com
  • 10. Classification of Dental Ceramics: Phillips’ According to use or indications Anterior Posterior Crowns Veneers Post and Cores FPDS Stain Ceramic Glaze Ceramic. www.indiandentalacademy.com
  • 11. According to firing temperature: Ultralow fusing< 8500 C Low fusing 850-11000 C Medium fusing 11010 C-13000 C High fusing>13000 C: Classification of Dental Ceramics: Phillips’ High fusing 1200/14500 C. Medium fusing 1050/12000 C. Low fusing 850/1050 0 C High fusing( 850-1100) Low fusing( < 850) www.indiandentalacademy.com
  • 12. High fusing: Minimizing the additives such as sodium or potassium, Maximizing the silicate cross links. Low solubility, high strength and high stability. Hardness exceeds enamel by 30%. Classification of Dental Ceramics: www.indiandentalacademy.com
  • 13. Medium fusing: fired under vacuum with air admitted at the end of firing Low fusing: increasing the amount of additives in porcelain reducing the number of crosslinks within the silicate network It helps to avoid overheating the metal framework slightly weaker and less stable than high fusing fired under vacuum. Classification of Dental Ceramics: www.indiandentalacademy.com
  • 14. Ultra low fusing: Coefficient of thermal expansion match titanium alloys. Lower firing temperatures -less oxide formation. Classification of Dental Ceramics: Phillips’ www.indiandentalacademy.com
  • 15. According to the processing method: Sintering Partial sintering Glass infilteration CADCAM Copy milling. According to microstructure Glass Crystalline. Crystal containing glass. Classification of Dental Ceramics: Phillips’ www.indiandentalacademy.com
  • 16. According to composition/Type: Feldspathic porcelain Leucite-reinforced porcelain Aluminous porcelain Alumina Glass-infiltrated alumina Glass-infiltrated spinel Glass-infiltrated zirconia Glass ceramic According to translucency Opaque Translucent Transparent. Classification of Dental Ceramics: Phillips’ www.indiandentalacademy.com
  • 17. According to application: Core Porcelain. Dentin or Body Porcelain Enamel or incisal porcelain According to the method of firing Air fired. Vacuum fired. Classification of Dental Ceramics: Phillips’ www.indiandentalacademy.com
  • 18. Craig: All ceramic Machined Slip cast Heat pressed Sintered. Ceramic- metal Sintered. Denture teeth. Manufactured. Classification of Dental Ceramics: www.indiandentalacademy.com
  • 19. Silicate ceramics Oxide ceramics Glass ceramics Principal AMORPHOUS glass phase with porous structure i.e. mainly silica (SiO2) Principal CRYSTALLINE phase e.g. Al2O3, MgO, ZrO2 Principal AMORPHOUS glass phase Also contain crystals e.g. K2O, Al2O3, MgO, ZrO2 None or small glass phase content Crystal phase induced by controlled crystallization (feldspathic or aluminous) e.g.zirconia (ZrO2) Pure alumina e.g. Dicor glass ceramic www.indiandentalacademy.com
  • 20. Single unit crowns. Porcelain Jacket Crowns. Metal Ceramic Crown or PFMcrowns. Castable glass ceramic crowns. Veneers for crowns and bridges. Artificial teeth. Inlays and Onlays. Ceramic Brackets used in Orthodontia. Applications of dental ceramics: www.indiandentalacademy.com
  • 21. Ceramic V/S Porcelain : What’s the difference? www.indiandentalacademy.com
  • 22. Ceramic: Nonmetallic Inorganic Man made objects formed by baking raw materials at high temperatures. www.indiandentalacademy.com
  • 23. Porcelain: Feldspar Kaolin Quartz All porcelains are ceramics.www.indiandentalacademy.com
  • 24. Esthetic alternative to discolored teeth. Esthetic alternative :grossly decayed carious teeth. Congenital anamolies Veneers Inlays Onlays Abutment retainers Denture tooth materials. Orthodontics as ceramic brackets. Indications for ceramics: www.indiandentalacademy.com
  • 25. Young permanent teeth. Small short or thin crowns( relative contraindications) PFM not indicated in high lip line patients. Teeth round in cross section OR Teeth more axially tapered than usual. Abusive bite. Patient’s lifestyle susceptible to trauma. Contraindications: www.indiandentalacademy.com
  • 26. Biocompatibility Esthetics: Color and translucency Capable of being pigmented. Colour stability. Stain resistance. Chamaleon like effect Durability: Wear resistance and low solubility. Ability to form precise shapes High stiffness High melting point. Low thermal conductivity Low electrical conductivity. Advantages www.indiandentalacademy.com
  • 27. Brittle: Low fracture toughness. High firing shrinkage of conventional porcelains. Attrition of opposing teeth. More tooth reduction. Cervical bulge and metal line in case of PFM restoration Technique sensitive. Specialized training required. Expensive equipment required. Difficult to repair if fails. Cannot be repaired if the shade is altered. Patient may complain of crackling sound on biting. Disadvantages: www.indiandentalacademy.com
  • 29. Composition of various porcelains( %) Material Kaolin Silica ( Quartz) Feldspar ( Binder) Glasses Decorative porcelain 50 25 25 0 High fusing dental 4 15 80 0 Low fusing dental 0 25 60 15 www.indiandentalacademy.com
  • 30. Tile sanitory ware Porcelain artware Bone china dinnerware Dental porcelain Silica ClayFeldspar www.indiandentalacademy.com
  • 31. Composition of Dental Porcelain Feldspar 60-80%( Basic glass former) Kaolin- 3-5%( Binder) Quartz- 15-25%( Filler) Alumina-8-20%( Glass former) Boric oxide-2-7%(Glass former and fluxes) Oxides of Na, K and Ca -9-15%(Fluxes or glass modifiers) Metallic pigments less than 1%(Color matching) www.indiandentalacademy.com
  • 32. Naturally occurring double silicate of potassium and aluminium.K20.Al2O36SiO2 Dentistry: Potash Feldspar: Increased resistance to pyroplastic flow Increased viscosity. Functions of Feldspar: Basic Glass former. During firing fuses to form a matrix and the porcelain powder particles will fuse together by a process of liquid phase sintering. Acts as a flux and surface glaze. Feldspar (60-80%) Basic glass former www.indiandentalacademy.com
  • 33. Resistance to pyroplastic flow Incongruent melting (11500 C and 15300 C ) Leucite: Large coefficient of thermal expansion (20-25 ppm/0 C.) thermally compatible with dental casting alloys. Strengthening material. Incongruent melting( Peritectic transformation) Feldspar: Properties www.indiandentalacademy.com
  • 34. Hydrated aluminium silicate. Functions: Binder. Pyrochemical reaction: rigidity. Opacity to the mass. Disadvantages: White :reduces the translucency of porcelain. added in small amounts. Starch or sugar. Kaolin( 3-5%)Binder www.indiandentalacademy.com
  • 35. O2 Si4+ Si4+ Si4+ Tetrahedral Silica Quartz/ Silica (15-25%) Filler Crystalline quartz Cristobalite Tridymite Amorphous fused quartz. Below 5750 C Alpha quartz Above 5750 C Beta quartz Above 8700 C Tridymite Above 1470o C Crystobalite www.indiandentalacademy.com
  • 36. Functions: Refractory skeleton Provides strength and hardness to porcelain during fusing. Unchanged at the usual firing temperatures : stability to the mass during heating. Quartz/ Silica (15-25%) Grinding Pure Quartz www.indiandentalacademy.com
  • 37. Functions: Strength and opacity to the porcelain. Alters softening point increases the viscosity of porcelain during firing. Aluminium oxide( 8-20% glass former) www.indiandentalacademy.com
  • 38. O2 Si4+ Si4+ Si4+ Sodium carbonate Lithium carbonate low fusing glasses. Function: Lower the sintering temperature and increase flow of porcelain. They also absorb and remove impurities. Excess flux: Reduces the chemical durability Crystallization and devitrification Fluxes (9-15%) Interrupts silica network. www.indiandentalacademy.com
  • 39. Glass modifiers Lower the softening temperature. Increase the CTE. Decrease viscosity. Oxides : Sodium, Potassium and Calcium oxide( 9-15%) Boric oxide- 2-7% is also added for the same purpose. Water is an important but a weaker glass modifier. When porcelains are exposed to tensile stresses in moist environment for long periods H30+ replaces alkali metal ions in porcelain slow crack growth New ultra low fusing porcelains : large amount of sodium oxide and hydroxyl group to lower the fusion temperature to as low as 6600 C. www.indiandentalacademy.com
  • 40. Pigments Feldspars are colorless or greyish. Color frits Metallic oxides Glass Feldspar Ferric oxide, platinum Grey. Chromium oxide, copper oxide Green Cobalt salts Blue Ferrous oxide,nickel oxide Brown Titanium oxide Yellowish brown Manganese oxide Lavender Chromium tin, Chromium alumina Pink Indium Yellow, ivory www.indiandentalacademy.com
  • 41. Opacifiers: Oxides of Cerium, titanium, zirconium and tin. Ground to a particle size of less than 5 µm. Differenc in the RI between glass and opacifiers cause more opalescence. Fluorescing agents: Cerium oxide ( eg. Fluorescent bulbs and sunlight). Fluorescence is the phenomenon in which an object emits light when it is illuminated by a specific light source, in case of teeth, it gives an appearance of vitality. Uranium compounds: Health hazard. Opacifiers and Fluorescing agents. www.indiandentalacademy.com
  • 42. Fritting: •Combination of blending, melting and quenching the glass components Frit: •The resultant product after fritting. •Components are mixed, fused and quenched •Cracking and fracturing throughout the fused mass. •Frit then ground to fine powder. Manufacture www.indiandentalacademy.com
  • 43. Pyrochemical reaction occurs and much of the shrinkage is complete Technician fuses the porcelain powder, he simply remelts the fluxes without causing significant increase in reaction between the components. Glaze: • Overglaze. • Selfglaze. www.indiandentalacademy.com
  • 44. Overglazes : Ceramic powders containing more glass modifiers Lower fusion temperatures. The coefficient of thermal expansion slightly lower than that of the body porcelain. Self glaze: Constituents of porcelain frit completely melted to form a single phase glass. Chemical durability is better due to higher fusion temperature. Glazes www.indiandentalacademy.com
  • 45. Strengthening of the material perse. Methods of designing components. Methods of strengthening porcelain www.indiandentalacademy.com
  • 46. Introduction of residual compressive stresses into the surface of the material Interruption of crack propogation Ion exchange Thermal tempering Thermal expansion coefficient mismatch Polishing Dispersion of a crystalline phase Transformational toughening Hydrothermal porcelain www.indiandentalacademy.com
  • 47. Introduction of Residual Compressive Stresses: The restoration will not yield and fracture due to tensile stress. The residual stresses must first be negated by developing tensile stresses before any net tensile stress develop. www.indiandentalacademy.com
  • 48. Na+ Na+ Na+ Na+ Na+ Na+ Na+ Na+ Na+ K+ K+ K+ K+ K+ K+ K+ Na+ Na+ Na+ K+ K+ K+K+ Na+ K+ K+ Before ion exchange After ion exchange K+ K+ Na+ 1.33 Ǻ 0.98 Ǻ Stuffing www.indiandentalacademy.com
  • 49. Ion Exchange: GC’s Tuf Coat. Internal surface of an all ceramic crown Not recommended for new high- strength porcelains ( i.e. aluminous porcelain, Procera, In- Ceram) Major Application: Anterior porcelain jacket crown made from a feldspathic porcelain without a core. www.indiandentalacademy.com
  • 50. Thermal Tempering: Quench hot molten glass in silicone oils or other liquids so as to uniformly cool the surface. www.indiandentalacademy.com
  • 51. Thermal Expansion coefficient mismatch: Fabrication of glass or ceramic in combination with metal. Ceramic in combination with metal are heated and cooled The metal of the MCRs has a slightly higher CTE It contracts more than the porcelain on cooling after firing. Residual compressive stresses in porcelain. www.indiandentalacademy.com
  • 52. Advantage: No major investments reduces the surface flaws. dramatically increases the strength by 50- 100% Shofu or Soflex finishing disks-Reglazing . Polishing www.indiandentalacademy.com
  • 53. Interruption of crack propogation www.indiandentalacademy.com
  • 54. Dispersion of a crystalline phase Aluminous Porcelain: Alumina( Al203) is added in particulate form. Dicor: Mica crystals grow in situ when the cast crown in subjected to heat treatment. The coefficient of thermal expansion between the crystalline material and the surrounding glass matrix require a close match. Eg. Alumina and zirconium. www.indiandentalacademy.com
  • 55. Transformation Toughening Transformation toughened Zirconia: a polycrystalline material Firing temperature: Tetragonal Room temperature Monoclinic( 4.4%) Stabilization of tetragonal form at room temp. ( 3-8% mass) of calcium and later yttrium or cerium. Metastable: The trapped energy drives it back to monoclinic under stress www.indiandentalacademy.com
  • 56. Disadvantages: Long term instability in the presence of water. Porcelain compatibility issues Opacity. Transformation Toughening Change in crystal structure under stress to absorb energy from the crack www.indiandentalacademy.com
  • 57. Hydrothermal Porcelain Duceram LFC. specialized nonfeldspathic composition forms a plasticized surface layer when hydrated. Surface hardness is reduced. Flexural strength is increased. The increase in strength is due to the plastic nature of the hydrated surface, which allows for deformation of surface flaws and prevents them from propogating through the bulk. www.indiandentalacademy.com
  • 59. The design should not be subjected to tensile stress. Sharp line angles on the preparation and coping avoided. The porcelain thickness should be uniform. In PJC,the tensile stresses avoided by having favorable occlusion In PFM, metal should be strong and ductile not allowing flexing. In brigdes, use greater connector height( 4mm) ,broader connctor Designing of the components: www.indiandentalacademy.com
  • 60. Esthetic Properties: Colour, translucency and vitality . Chemical stability: Chemically inert Some form of fluoride can damage porcelain. 1.23 % ( APF) 8% stannous fluoride Dull and rough within min. Hydrofluoric acid. Stannous fluoride( 0.4%) or sodium fluoride(2%) :will not etch . The etching of the interior with hydrofluoric acid: Bonding. Phosphoric acid, has very little effect on dental porcelain. Properties of Ceramics. www.indiandentalacademy.com
  • 61. Shrinkage on heating: The linear shrinkage : 11.5% for high fusing porcelain 14% for low fusing porcelain. CTE should match tooth structure to minimize shrinkage and gap CTE should be slightly lower than that of the casting alloy keeping the porcelain in residual compression upon cooling from firing temperatures. CTE: 12-13X 10-60 C Thermal shock failure: Caused by uneven heating or cooling. More severe on reheating or glazing a crown than cooling. Thermal properties: www.indiandentalacademy.com
  • 62. Compressive strength :good. Tensile strength: Poor. Unavoidable surface defects like porosities and microscopic cracks. When porcelain is placed under tension, stress concentrates around these imperfections resulting in brittle fracture. Shear strength: low :due to the lack of ductility Mechanical properties: www.indiandentalacademy.com
  • 63. Property Value Strength Flexure Strength Ground-75.8 Mpa(11,000psi) Glazed141.1Mpa( 20,465psi) Compressive Strength 331Mpa(48,000psi) Tensile Strength( low) 34Mpa( 5000psi) Shear strength( low) 110 Mpa( 16.000psi) Modulus of elasticity( high) 60-70 Mpa( 10x106 psi) Surface hardness 460KHN 611-703VHN( Kg/mm2) www.indiandentalacademy.com
  • 64. Property Value Coefficient of thermal expansion Feldspathic:6.4-7.8x10-60 C. Reinforced:12.38-16.23 x10-60 C Thermal conductivity 2.39 Mcal/s(cm2)( 0C/cm) Specific gravity 2.2-2.3( true is 2.242) www.indiandentalacademy.com
  • 65. Fabrication of metal fused to ceramic restoration Fabrication of coping for metal ceramic prosthesis: Casting a pure metal( Titanium) or an alloy( High noble, noble or predominantly base meta) through lost wax process. Electrodeposition of gold or other metal on a duplicate die. Burnishing and heat treating metal foils on a die. CAD- CAM processing of a metal ingot. The platinum foil matrix is a thin sheet of pure platinum 0.001” thick that is swaged over a die to form a support for firing the porcelain. www.indiandentalacademy.com
  • 66. Cleaned by air blasting or sand- blasting. Degassing: Formation of an oxide layer. Removes impurities, prevents formation of bubbles on the oxide surface This oxide is responsible for the development of a bond between the metal and porcelain. Noble metals: Indium and tin Base metal: Alloys do not need such additions. Too thick oxide layer leads to poor bond formation. Degassing www.indiandentalacademy.com
  • 67. Building up of porcelain: A plastic mass : Powder and liquid. With a brush, the plastic mass is applied over the matrix. It is built to the shape of a crown in layers of core, dentin and enamel. www.indiandentalacademy.com
  • 68. Application of Wash Opaque Powder opaque Paste opaque Spray on method www.indiandentalacademy.com
  • 69. Application of opaque: Hides color and forms bond. Dentin Layering: Body porcelain Enamel: Incisal porcelain. www.indiandentalacademy.com
  • 70. The process of bringing the particles closer and of removing the liquid binder is known as condensation. Liquid binder : Distilled water. Propylene glycol :alumina core build up. Alcohol or formaldehyde based liquids :opaque or core build up. Aim : To pack the particles as close as possible in order to reduce the amount of porosity and shrinkage during firing. Factors determining the effectiveness of condensation: Size of the particles: One size: void space of 45% Two sizes : 25% Three or more sizes:22%. Gap Grading System. Shape of the particles: Round particles :better packing compared to angular particles. Condensation www.indiandentalacademy.com
  • 71. Methods of Condensation Vibration Spatulation Brush technique Ultrasonic Gravitational Whipping. www.indiandentalacademy.com
  • 72. creamy capable of being transferred in small increments. High quality sable hair brushes Advantages of wet brush technique: Maintains the moisture content in the porcelain. Metal spatulas causes more rapid drying out. The brush can be used to introduce enamel colors, effect masses or stains without changing instruments. Greater control over small increments. Blending of enamel veneers Wet brush technique/ Brush additive technique: www.indiandentalacademy.com
  • 73. Mild vibration to densely pack the wet powder upon the underlying matrix. The excess water :blotted with a tissue. Serrated handle of a porcelain instrument lightly passed over the model or die pin. Vibration: www.indiandentalacademy.com
  • 74. Spatulation: Spatula used to apply and smoothen the porcelain Disadvantages: Danger of dislodging the porcelain particles ,may cause invisible cracks. The sandpaper like effect of porcelain on metal Discoloration of the final product. www.indiandentalacademy.com
  • 75. Dry Brush technique: Dry powder sprinkled over the wet porcelain Disadvantage: It enhances the risk of porcelain drying out Control of powder :difficult ,time consuming. Ultrasonic: Vibrator. The low amplitude with high rate of vibrations per second pulls the liquid to the surface with almost no disturbance in porcelain contour. This is a final condensing procedure. Condensation Methods: www.indiandentalacademy.com
  • 76. A large soft brush moved in light dusting action over the wet porcelain Brings excess water to the surface, Same brush can be used to remove any coarse surface particles along with excess water. Combination of vibration and the whipping. Disadvantage: This method works best with fine grain, Excess manipulation could allows these fine particles to float away with liquid during blotting. Surface tension of water is the driving force for condensation. Whipping www.indiandentalacademy.com
  • 77. Internal or External Stains: Intrinsic Stain Extrinsic Stain. Built into the succesive layers of porcelain. Placed on the surface of the final layer. must be stripped completely and rebuilt if modifications are found necessary. Susceptible to dissolution in oral fluids as the fusion temperatures of glazes are reduced by the addition of glass modifiers, which unfortunately lower the chemical durability. www.indiandentalacademy.com
  • 78. Pre firing procedures: If directly in a hot furnace: it will evolve steam rapidly ,crumble or explode. Dry the wet structure in a warm atmosphere before placing into the hot furnace. At the elevated temperatures of the furnace, the starch or sugar binder ignites ; the surface of the structure blackens. The door of the furnace is slightly left ajar. www.indiandentalacademy.com
  • 79. Sintering/ Firing Procedure of Dental Porcelain: The temperature raised to the firing temperature of the porcelain 10660 C : aluminous core porcelain 9820 C :opaque porcelains. Densification : Sintering Partial fusion and bonding of adjacent surfaces of particles rather than complete melting. www.indiandentalacademy.com
  • 80. Firing shrinkage: 30-40% by volume. 32-37% :low fusing 28-34% :high fusing. Due to loss of water and sintering. Porcelain is built up of a larger size before firing. Porosity: Air inclusion during firing: Reduce the translucency. Firing Shrinkage and Porosity: www.indiandentalacademy.com
  • 81. Firing Methods: 9800 c Temperature method: Temperature- Time method www.indiandentalacademy.com
  • 82. Electrically heated muffle Pyrometer :indicates the temperature. Most furnaces :firing under vacuum. Reduction in porosity: 4.6% to about 0.5%. 1 Horizontal muffle: 2.Vertical muffle: Porcelain Furnace: www.indiandentalacademy.com
  • 83. Air firing : Voids or bubbles Inclusion of air during firing Byproduct of vitrification of feldspar. Reduced translucency and strength. Coarse porcelain particles are air fired. Vacuum: Dense pore free mass. Reduced firing temperature. Diffusible glass: Diffusible gas like helium, hydrogen or steam. Media used for firing: www.indiandentalacademy.com
  • 84. Surface appearance of an unglazed porcelain : “bisque”. Low Bisque: Rigid and porous. Little shrinkage. Particles lack cohesion Do not have translucency or glaze. The grains begin to lense at their contact points. Medium Bisque: Cohesion between the particles. Still porous, lacks translucency and high glaze. Definite shrinkage. High Bisque stage: Shrinkage is complete ,mass exhibits a smooth surface. Slight porosity. The body does not appear to be glazed. Stages in maturity: Lesser firing: Higher strength and esthetics.www.indiandentalacademy.com
  • 85. First dentin firing Second dentin firing www.indiandentalacademy.com
  • 86. Finishing Glazing Completed restoration. Glazing: Improves appearance. Removes surface imperfections. Improves mechanical properties www.indiandentalacademy.com
  • 87. Advantages: High strength. Ideal for long span bridges. Excellent fit. Disadvantages: Appearance of metal margins. Discoloration by metals. Difficulty in producing an appearance of translucency. Bond failure with metals. Possible disadvantages of alloys used. Extensive tooth reduction( 1.75 mm). Porcelain- Fused- to Metal Alloys: www.indiandentalacademy.com
  • 88. Indications for metal ceramic restorations. Discolored teeth. Grossly decayed carious teeth. Congenital anamolies. Abutment retainers. Splinting mobile teeth. Occlusal corrections. Contraindications: Active caries or untreated periodontal disease. In young patient with large pulp chambers. Enamel wear is high and there is insufficient room for M and P. High lip line. Where esthetics is of prime importance. Short and thin crowns. Metal Ceramic Restorations. www.indiandentalacademy.com
  • 89. Requirements for alloys for porcelain bonding. Coefficient of thermal expansion of alloy close or nearly the same as that of porcelain. High tensile stresses will otherwise develop. Fusion temperature of the alloy higher than that of the porcelain so that it resists melt or sag at the firing temperature of porcelain. The modulus of elasticity: should be high to prevent flexing of metal framework and hence avoid fracture of porcelain. Capable of forming bond with porcelain. Oxide formation which provide a chemical bond. Capable of wetting porcelain :mechanical bonding. Should not contain copper or silver. Should have a high proportional limit, to avoid excess stress on the porcelain, which is brittle. www.indiandentalacademy.com
  • 90. Changes in alloys for PFM Restorations. Platinum Palladium Copper Silver Melting temperature 1200-13000 C. Higher elastic properties. Greater sag resistance. CTE matching the porcelains. Poor castability. www.indiandentalacademy.com
  • 91. Noble metal alloy systems: High gold: Gold platinum palladium Low gold: Gold palladium silver Gold free: Palladium silver Palladium Copper. Base metal alloys: Nickel Chromium alloys without beryllium. Nickel Chromium alloys with beryllium. Co- Cr based alloys. Foil copings Bonded platinum foil coping. Swaged gold alloy foil coping. Cast metal ceramic alloys: www.indiandentalacademy.com
  • 92. Typical composition for alloys for PFM restorations % Au Pt Pd Cu Ag Others High gold 86 9 5 - - - Low gold 52 38 - - - 9% In Pd Ag - - 65 - 35 - Pd Cu - - 80 15 - 5% others Ni Cr - - - - - 65%Ni,17%Cr www.indiandentalacademy.com
  • 93. Composition of ceramic for metal ceramic restoration. Increased CTE. Tendency to devitrify and appear cloudy. Should not be subjected to repeated firing cycles. Soda Potash www.indiandentalacademy.com
  • 94. Nature of the metal ceramic bond: Chemical bonding: •Primary bonding mechanism for most dental ceramics. •Adherent oxide layer is essential for good bond formation. •Precious metal alloy: tin and iridium oxide •Base metal alloys :chromium oxide. For good chemical bonding: •Sandblasting, •Ultrasonic cleaner •Oxidation. www.indiandentalacademy.com
  • 95. Procedure recommended to clean the metal of organic debris and remove entrapped surface gases such as hydrogen. Advantage: Removes volatile contaminants not eliminated by Steam or air abrasion. Allows specific oxides to form on the surface which help in bonding. Post oxidation treatment: To reduce oxide layer: Acid treatment: Hydroflouric, Hydrochloric or dilute sulfuric acids. Non acid treatment: Air abrasion with pure 50 μm aluminium oxide. Oxidation or degassing: www.indiandentalacademy.com
  • 96. Oxide layer is permanently bonded to the metal substructure on one side while dental porcelain remains on the other. Oxide layer sandwiched between the M and P. Surface oxides dissolve or are dissolved by the opaque layer. Porcelain is brought into atomic contact with the metal surface for enhanced wetting by the metal, and direct chemical bonding by sharing of electrons between porcelain and metal. Both covalent and ionic bonds are thought to form, but only a monomolecular layer of oxide is thought to be responsible for bonding. www.indiandentalacademy.com
  • 97. A layer of pure gold is deposited onto the cast metal, short flash deposition of tin. Cobalt chromium, stainless steel. Palladium silver, high and low gold content alloys Titanium. Advantages: Improved wetting of the metal by porcelain. Electrodeposited layer acts as a barrier to inhibit ion penetration by the metal Gold color of the oxide film :vitality and esthetics. Color control of the oxidated surface from gray to reddish brown to gold Deposited layer acts as a buffer zone to absorb stresses. The maturation time and temperature of the porcelain is reduced :highly reflective surface of the gold layer, and the infrared radiation emitted by the gold on heating. Bonding using electrodeposition: www.indiandentalacademy.com
  • 98. Mechanical interlocking: Presence of surface roughness Wettability is important for bonding. Smaller the contact angle: better is the wetting efficiency. 3. Vanderwaals Forces: Secondary forces generated by a physical attraction between the charged particles rather than by actual sharing of electrons 4. Compressive Forces: Ceramic is strongest under compression and weakest under tension Hence if the coefficient of thermal expansion of the metal substrate is greater than the porcelain fired over it, porcelain is under compression. Nature of the metal ceramic bond www.indiandentalacademy.com
  • 99. Bond failure classification: Type I: Metal porcelain: When the metal surface is totally depleted of oxide prior to firing porcelain, or When no oxides are available( Gold alloys). Also on contaminated porous surface. Type II: Metal oxide- porcelain: Base metal alloy system. The porcelain fractures at the metal oxide surface leaving the oxide firmly attached to the metal. Type III: Cohesive within porcelain: Tensile fracture within the porcelain when the bond strength exceeds the strength of the Metal Porcelain Metal Porcelain Metal oxide Metal Porcelain Porcelain Metal oxide www.indiandentalacademy.com
  • 100. Type IV: Metal- metal oxide: Base metal alloys Due to the overproduction of Ni and Cr oxides The metal oxide is left attached to ceramic. 5.Type V: Metal oxide- Metal oxide Fracture occurs through the metal because of the overproduction of oxide causing a sandwich between porcelain and metal 6. Type VI :Cohesive within metal Unlikely in individual metal ceramic crowns. Connector area of bridges. Metal Porcelain Metal oxide Metal Porcelain Metal oxide Metal oxide Metal Porcelain Metal oxide www.indiandentalacademy.com
  • 102. Improved bonding on the bondable surface of the metal can be achieved by the following ways: •Grit blasting with 30-50µm alumina particles at an air pressure of 0.4 to 0.7 Mpa . •Electrochemical etching. •Naturally formed oxides on the base metal surface also contributes to the bonding when MDP or 4 META based resins are used. •In noble metals :electrochemically deposit a thin layer of tin( 0.5µm) on noble metal and heat it to an appropriate temperature to form metal oxide. A silica coating can be used to improve bonding to noble and base metal alloys Bonding of metallic prosthesis www.indiandentalacademy.com
  • 103. Bonded platinum foil coping: Defects originating from the internal surface of the crown: Fracture of porcelain. Tinplating the platinum foil. Laying down 2 platinum foils in close approximation with each other. Inner foil: 0.025 mm platinum provides a matrix for baking ceramic Outer foil: forms the inner skin to the crown tin plated and oxidized strong chemical bond with aluminous porcelain crown. Bonded alumina crown/ twin foil technique: Mc Lean and Sced( 1976) The inner foil is then removed after porcelain firing. Bonded gold foil coping: Rogers 1979. UMK68www.indiandentalacademy.com
  • 104. To prevent porcelain from lifting the platinum skirt and spoling the fit: Cervical Contact technique: Application of a layer of porcelain on the shoulder area to shrink first. The second bake will then shrink towards the cervical porcelain and maintain the fit. Cervical ditch technique: Porcelain is removed from the shoulder area after the initial build up is complete, such that a thinnest ditch possible is made to expose the cervical platinum at the shoulder. www.indiandentalacademy.com
  • 105. Removal of platinum foil: Soaking the crown in water. A fine pointed tweezer is used to lift the skirt away from the edge. Peel the platinum away from the entire circumference without damaging the fine porcelain edge (internally towards the incisal edge). www.indiandentalacademy.com
  • 106. Porcelain veneer crowning of adolescent teeth where minimal tooth preparation is necessary. Anterior teeth, when metal reinforcement is essential. In heavily worn teeth, thin or short teeth where minimal occlusal clearance present (not less than 0.8mm), porcelain crowning of all anterior teeth is indicated. Repair of fractured metal- ceramic bridges, when removal of bridge or splint is undesirable. Coping jacket crowns on unit built bridge -work Indications for bonded alumina crowns www.indiandentalacademy.com
  • 107. In periodontally involved teeth, where preparations extend deeply into root- face and no shoulder preparations are possible. Posterior teeth where large areas of tooth are missing and uneven bulk of porcelain is inevitable. If lingual shoulder preparations are impossible particularly in molar region. Contraindications for bonded alumina crowns www.indiandentalacademy.com
  • 108. Dr. Itzhak Shoher and Mr. Aaron Whiteman in Europe Fabrication of PFM restorations without waxing, investing or casting. Pleated gold and palladium foil consisting of four layers. Technology of Clad metals: 4 layers clad in a sandwich fashion under high pressure. Renaissance Crown( Non cast metal ceramic system) 0.997 Pure palladium Gold ceramic alloy Gold ceramic alloy 24k Pure gold. The pleats are folded, crimped , burnished and swagged. Heat treated to permit diffusion of the layers to form a interfacial material. www.indiandentalacademy.com
  • 109. Initial adaptation: The form is placed on the die until it touches the occlusal or incisal surface The pleats of the form are then closed with crimping forceps. Cutting the folds: The midpoint of each pleat is determined Cut is made through the pleat with the crown scissors provided. Simultaneously twisted to allow for the final alloying of the metal during alloying process. Renaissance Crown fabrication: www.indiandentalacademy.com
  • 110. Folding the pleats: Pleats are then folded in the same direction with the crimping forceps. Burnishing the form: Burnished and closely adapted Swagging: After appropriate die spacing, form and the die and placed in a swagger Renaissance Crown fabrication: www.indiandentalacademy.com
  • 111. Alloying: Propane torch for 4-6 Sec. Glow brightly , gold will diffuse through the cuts Interfacial alloy: It is a metal ceramic solder in powder form produced by precipitation, mixed into a creamy paste applied onto the form. Renaissance Crown fabrication: www.indiandentalacademy.com
  • 112. “Capillary casting technology”.( Captek, Davis Schottlander and Davis, Letchworth, UK) Principle of capillary attraction to produce a gold composite metal. Elimination of casting process . Procedure: Adaptation of a wax strip, impregnated with a gold- platinum- palladium powdered alloy, to a refractory die. ( Captek P) Firing procedures produce a rigid porous layer which is then infilled with gold from a 2ND wax strip ( Captek G) by capillary action The finalized metal coping is then veneered with porcelain. CAPTEK www.indiandentalacademy.com
  • 113. Fig shows the metal coping after firing. The shear bond strength values atleast equal to PFM. Composite Gold matrix reinforced with small particles of Pt-Pd- Au alloy The inner and outer surfaces contain approximately 97% Au. The grain size of the foil is 15-20µm. High melting temperature Capillary effect when ceramic is applied. Advantages of CAPTEK: Improve marginal fit(capillary cast, rather than lost wax ) Enhanced esthetics. Biocompatibility. www.indiandentalacademy.com

Notas del editor

  1. If the surface is treated to introduce a residual compressive stress which is higher than tensile stress, the resultant stress on the surface would still be a compressive stress.
  2. During the exchange process, the larger potassium ions squeeze into the spaces occupied by smaller sodium ions ( Stuffing) and exert residual compressive stress on the surface. Consequently, the flexural strength of the porcelain is increased as long as the surface is not damaged by grinding.
  3. In this process, the outer ‘skin’ of molten glass is frozen rapidly by jets of air. Later when the inner core solidifies, it ‘pulls’ on the outer skin, creating residual compressive stresses.
  4. In crown fractures, failure is often initiated from scratches on the internal surface of the crowns.It is foolish to place an expensive high strength ceramic material in the mouth in roughened state. PFM restorations are much less sensitive to these flaws
  5. It is another method of strengthening ceramics by reinforcing it with a dispersed phase of a different material that is capable of hindering a crack from propagating through the material.
  6. Unlike alumina, zirconium oxide is transformed from one crystalline state to another during firing. At firing temperature Zirconia is tetragonal and at room temperature it is monoclinic, with a unit cell of monoclinic occupying about 4.4% more volume than when tetragonal. Unchecked, this transformation was unfortunate because it led to the crumbling of the material on cooling. In the late 1980s, ceramic engineers learned to stabilize the tetragonal form at room temperature by adding small amounts( 3-8% mass) of calcium and later yttrium or cerium. Although stabilized at room temperature, the tetragonal form is “ metastable”, meaning that trapped energy exists within the material to drive it back to the monoclinic state. The highly localized stress ahead of the propogating crack will transform the ceramic back to monoclinic. The 4.4% volume increase becomes beneficial, essentially squeezing the crack closed.
  7. Molecular water has been detected in the glass structure.
  8. When a crown is removed from the surface and cooled in air, the surface will be losing heat more rapidly and contract faster than the interior and will be placed in compression by balancing tensile stress developed either in the core porcelain or metal coping due to their high thermal expansion.
  9. High quality sable hair brushes are used to rapidly transfer small increments of wet porcelain to the metal substructure using the fine point of a sable brush. The brush can be used to introduce enamel colors, effect masses or stains without changing instruments.
  10. The door of the furnace is slightly left ajar during this stage to allow the products of combustion to escape. The furnace door is then closed and firing is completed.
  11. The furnace temperature is raised at a constant rate until a specific temperature is reached: Temperature method. Temperature time method:This method involves raising the temperature at a given rate until certain levels are reached, after which the temperature is maintained for a measured period of time until the desired reactions are completed. completed.
  12. Large sized particles have fewer but larger air voids between them compared to the small sized particles. Fewer bubbles, even of large size give improved translucency. On the other hand, fine sized particles have multiple small air bubbles present in between the, which makes them slightly opaque. It is therefore clear that porcelain powders fired in air must be necessarily of coarse nature.
  13. Prior to the first dentine firing, the individual units of bridges must be separated in the interproximal areas down to the substructure. Prior to the first dentine firing, the individual units of bridges must be separated in the interproximal areas down to the substructure. Cooling: Whenever porcelain work is heated or cooled, the process must be carried out slowly. Porcelain is a poor conductor of heat and is brittle. Rapid cooling would result in cracking and loss of strength.
  14. Prior to glaze firing, the entire surface must be ground evenly and then grinding dust must be thoroughly removed.