Case Study: Fabrication of a single CERAMCO® PFZ crown Zirconia is equipped with valuable properties such as biocompatibility, translucency, opacity and has the possibility of colorized copings, and compared to precious alloy- due to its ubiquitous availability the base material is of low price. To create a natural looking crown three steps are crucial: 1. The adequate design of the framework to create sufficient support for the longevity of the ceramic. 2. The correct layering of the ceramic. An even amount of ceramic has to be applied around the framework to avoid failures when the ceramic is fired. 3. Ceramco® PFZ (PZ shades) are extremely easy to use and provide a natural appearance with shade matching that is keyed to the VITA® 3D-Master* Shade Guide. Step 1 Zirconia coping A 73 year old patient presented himself with a fractured lingual cusp of tooth #12. Cusp support on the lingual aspect was needed to avoid problems with ceramic i.e. chipping. Step 3 PFZ Internal Stains To accentuate color, e.g. in cervical areas PFZ stains can be used. Even with a thin layer of ceramic the proper color that enhances the depth is attained. Treatment: Dr. Patrick Leconte Step 2 PFZ Margin Porcelain and Modifier Properly fitting Zirconia coping with adequate ceramic support. Perfect seal of the margin. Margin porcelain mixed with glaze liquid is used. Fired at 60°C/min to 1000°C with a hold for one minute. Step 4 Step 5 PFZ Opaceous Dentin PFZ Clear A thin layer of opaceous dentin porcelain is applied to cover the coping * Vita and 3D-Master are registered trademarks of Vita. Clear is applied 60° around the incisal area and contact points of the adjacent teeth. With margin porcelain modifiers (Ceramco), the chroma can be increased in certain areas. Step 6 PFZ Dentin Dentin mixed with 50% dentin modifier is applied only over the occlusal table. The surface is covered as thin as possible with this mixture. Step 7 PFZ Dentin and Dentin Modifier Step 8 Dentin, Opaceous and Modifier Firing 2/3’s of the tooth structure and parts of the mamelon area are covered with Dentin ceramic. The ceramic is baked and the crown is fitted on the cast model and adjusted as needed. The only purpose of this initial bake is to obtain color and volume. The chroma should be a little bit chromatic than the shade desired, because anatomy and final volume will be created during second bake. Adjustments are made before applying enamel. Step 9 Enamel Light & Ivory Step 10 Finishing With enamel (natural enamel light and ivory) chroma can easily be achieved, and only limited contraction occurs during bake. After cooling adjustment are made of the occlusion with large wheel to create wear facets. Polishing of the surface. Glazing Polishing After polishing Polishing of the surface. Use of a diamond bur to produce the correct texture. Occlusal view of the crown after polishing. Preparation of the tooth. Notice the deep chamfer at the preparation margin. Crown placement. The final crown in situ. Use of a diamond bur to produce the correct texture. Recommendation: second bake 10°C less than the first one. Basal view. Distal view. About the Author: Carlos Montaner, CDT - 30 years of experience in dental technology - Studied in Boston/MA – Presented as an International Speaker - Published numerous articles in Venezuela, Argentina, Brazil and Spain - Owner of Montaner Dental Studio in APEX/NC DENTSPLY International, Inc., DENTSPLY Prosthetics, 570 West College Avenue, York, PA 17401 ©2016 DENTSPLY International, Inc. All rights reserved. 1-800-243-1942 prosthetics.dentsply.com DP-0000158 Rev. 0 (02/2016)
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