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Question:

All ceramic vs metal fused crowns?

I‘m 33 yrs male living in India. I‘m about to have 6 of my upper teeth crowned after root canaling them to improve my smile. This is purely for esthetic reasons. My dentist recommends metal fused to porcelain crowns for strength and durability. He says all ceramic crowns have a high rate of failure due to breakage. But since my upper front teeth are involved and I‘m undergoing this procedure for purely esthetic reasons, I prefer all ceramic crowns. Please help me to make a decision as it is a big investment and can‘t really be undone later on. Should I insist on all ceramic crowns or let the dentist decide since he knows better? Thanks in advance.

Answer:

if i were u id jus get a sucker fish to clean out yo aquarium
The new E-Max crowns are zirconia based with porcelain coverings. They are actually more durable than the porcelain fused to metal crowns and there is no comparison in the cosmetics. Good Luck
I agree totally that PFM is better then all ceramic for durability reasons. If you think about it all porcelain is just like your china you eat off, can break under pressure. However people get them up front everyday, but it depends on what kind of force is placed on the fronts while you are chewing. The reason people choose all ceramic is b/c sometimes at the margin where the Crown meets the gums there is a dark line of metal shine through, not usually a big deal unless you have a high smile line. I truly believe that people should worry more about function then esthetics's, but we are a cosmetic surgery world so maybe you could ask them to check with their labs to see if they offer PFG, porcelain fused to gold. Gold is your strongest dental metal and is not dark so you would not have that margin problem. In the end it is all your decision you a paying for them and have to look at yourself in the mirror, the doc does not. So in the end do what makes you happy! Good Luck!

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