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Namitha.A.P
1st year MDS
Dept.of Prosthodontics
CONTENTS
Introduction
Definition
History of dental ceramics
Advantages and disadvantages
Structure
Basic constituents
Classification
Benefits and Drawbacks of metal ceramic
restorations
2
Metal Ceramic Systems
Composition
Fabrication of metal ceramic prosthesis
Cast metal for metal ceramic prostheses
Technical aspects of metal ceramic products
A. Cast metal coping and frameworks
B. Creep/sag
C. Bonding of porcelain to metal
D. Glazes and stain ceramics
Other metal ceramic systems
Methods of Strengthening Ceramics
3
All Ceramic Systems
Aluminous Porcelain
Effect of Design on Fracture Susceptibility of Metal-
Ceramic and All-Ceramic Restorations
Glass-Ceramics
Hot-Isostatically Pressed(HIP) Glass Ceramics
Glass Infiltrated Core Ceramics
Alumina Core Ceramic
Yttria-Stabilised Zirconia
Zirconia Toughened Alumina(ZTA)
Dispersion Strengthening and Toughening
Flourapatite Glass Ceramic
4
CAD-CAM Processing of Ceramics
Abrasiveness of Dental Ceramics
Clinical Performance of All-Ceramic Restorations
Chemical Attack of Glass-Phase Ceramics by Acidulated
Phosphate Fluoride
Porcelain Denture Teeth
Factors Affecting the Color and Appearance of Ceramics
Ceramic Veneers,Inlays,and Onlays
Critical Observation and Analysis of Fractures
Principles Governing the Selection of Dental Ceramics
Conclusion
References
5
INTRODUCTION
•Keramos
•Burned
earth
•Clay
6
Search for an ideal restorative
material!
Why ceramics? Challenges?!!
1. Biocompatible
2. Long term color stability
3. Chemical durability
4. Wear resistance
5. Ability to be formed into
precise shapes
1. Costly processing
equipments
2. Specialised training for lab
technicians
7
An inorganic compound with nonmetallic properties
typically consisting of oxygen and one or more
metallic or semi metallic 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 (GPT 7 Anusavice).
Definition
8
A journey through time!!!
9
Stone age>10,000 years ago!
• Craftman used rocks shaped in to
tools and artifacts by flaking
• Stone chips fractured away from
surface of hard,fine
grained/amorphous rocks
1. Chert
2. Flints
3. Ignimbrite
4. Indurated shale
5. Lava
6. Obsidian
7. Quartz
8. Silicified lime stone
6
1
8
7
2
5
3
4
7
10
Etruscans used teeth of
ivory and bone that were
held in place by a gold
framework. These were
obtained from hippopotamus
or elephants and were used
for many years thereafter.
•Animal bone
•Ivory from hippopotamus
and elephant
•Human teeth sold by poor
•Teeth obtained from dead
700 BC
11
Pierre Fauchard
(1728)Chinese (1000AD)
• First to suggest the
use of porcelain in
dentistry
12
•Porcelain
developed by
chinese
Pfaff(Germany)
1756
• Technique to make impression of mouth using
plaster of paris
13
John Greenwood
(1789)
• carved teeth from hippo ivory for complete
dentures he made for George Washington.
14
Dubois and Duchateau
(1774 A.D)
• French dentist Nicholas Dubois de Chemant
and his assistant Alexis Duchateau made the
first successful porcelain dentures for
Duchateau being tired of his stained and
malodorous ivory denture.
15
• 1774:Duchateau produced an
improved version of mineral
paste teeth
• Introduced to England by De
Chemant
• This baked compound was not
used to produce individual
teeth because there is no
effective way to attach the
teeth to denture base material
• •1789 Dubois continuously
improved porcelain
formulations and was awarded
French and British patents.
16
Guiseppangelo Fonzi (Italian dentist)
1808
• Practiced in paris
• Individual porcelain teeth
posterior porcelain blocks
originally dubbed as
‘terro-metallic teeth’
‘french bean teeth’
• Higher quality of
porcelain than chemant
• platinum attachment
mechanism
• Described as “little better
than crockery”
17
• 1817: Antoine
Plantou(French
dentist) : porcelain
teeth to America
• 1822:Peale,an artist
developed a baking
process in philadelphia
for these teeth
• 1837:ClaudiusAsh:an
improved version of
porcelain teeth
18
• 1825: Samuel Stockton: produces first
porcelain teeth in the US.
1839:invention of vulcanised rubber
allowed porcelain denture teeth to be used
effectively in a denture base.
• 1844: Stockton’s nephew found SS
White company : mass production of
porcelain teeth.
1903:Dr. Charles Land : introduced
first ceramic crown using platinum foil
matrix and high-fusing feldspathic
porcelain.
• Early 1960s- Weinstein et al introduced porcelain fused to
metal restoration(PFM)
• 1963: First commercial porcelain :Vita Zahnfabrik was developed.
• 1965 – aluminium porcelain was introduced by McLean and Huges
• 1968 – MacCulloch introduced the use of glass ceramic in
dentistry
• 1983 – the concept of bonding composite resin to acid-etched
porcelain was first reported by Simonsen and Calamia
• 1983 – Horn reported the successful cementation of porcelain
veeners using adhesive cements
• 1983-84 – the first castable
glass ceramic was introduced
by Grossman and Adair called
DICOR (tetrasilicic flouromica
crystals in glass matrix)
• 1985 – CAD/CAM technique
were developed.
• 1988- cerec1 system was
introduced.
• 1989 – Sadoun developed the
first slip cast alumina ceramic
called Inceram alumina.
21
• 1989: Wohlwend and Scharer : Pressable
ceramic systems.
• 1991 : Celay copy milling system.
• 1992: Ultralow fusing ceramic Duceram LFC
• Early 1990s- IPS Empress was developed containing
approx 34vol% leucite
• 1994 -CEREC II
• Late 1990s- IPS Empress 2 was developed containing
approx 70vol% of Lithia disilicate crystals.
Advantages
• Resistant to corrosion
• Chemical inertness
• Remain stable over long
time periods.
• Biocompatible
• High hardness
• Resilient
• Potential for matching
appearance of natural teeth
• Refractory nature
• Thermal insulating
properties(low thermal
conductivity and diffusivity)
• Freedom from galvanic
effects(low electrical
conductivity)
23
Disadvantages
• Susceptibility to tensile
fracture
• Brittleness
• Low to moderate strength
and fracture toughness
• Poor ductility/elongation
• Flexed easily when
heated and
cooled(Thermal shock)
24
25
• Brittle fracture
• Plastic deformation
26
Structure
27
GLASS
PHASE
CRYSTAL
PHASE
CERAMIC
28
29
Feldspathic porcelain
Glassy/Vitreous/Matrix phase
• Acts as matrix
• Feldspars are mixture of
Anhydrated alumino-silicates
of both
• Potash feldspar = K2O. Al2O3.
6 SiO2 A
• Soda feldspar = Na2O. Al2O3.
6 SiO2
• Increasing the amount of
glassy phase lowers the
resistance to crack
propagation but increases
translucency
Crystalline/Mineral phase
• Dispersed within matrix
• Mineral phase including
silica and other oxides
• Improve strength and other
properties
• Eg.alumina,spinel,zirconia
ceramic restorations have
increased amounts of
crystalline phase (between
35% and 90%) for better
mechanical properties
30
31
COMPOSITION
Feldspar
60 to 80%
basic glass former
Kaolin
3 to 5 %
binder
Quartz
15 to 25%
filler
Alumina
8 to 20 %
glass former and flux
Oxides of sodium,potassium
and calcium
9 to 15%
fluxes
Metal pigments
<1%
colour matching
33
Feldspar
SiO2 MATRIX-52-65%
Al2O3-ALUMINA-11-20%
K2O-POTASH-10-15%
Na2O-SODA-4-15%
OTHER ADDITIVES
By weight. 34
Feldspar(Basic glass former)
• Naturally occurring mineral
• Also known as Albite
• Most of the components
needed to make dental
porcelain are present in it
• When fused at high
temperature it forms
feldspathic glass containing
potash feldspar/soda
feldspar
• Quite colorless and
transparent
35
Kaolin(Binder)
• White clay like material
(hydrated aluminum
silicate).
• Acts as a binder
• Gives opacity to the
mass.
• Some manufacturers
use sugar or starch
instead of kaolin.
36
SILICA
CRYSTALLINE
QUARTZ
NON
CRYSTALLINE
FUSED SILICA
CRYSTALLINE
TRIDYMITE
CRYSTALLINE
CRISTOBALITE
37
Quartz(Filler)
• Form of silica.
• Ground quartz acts as a
refractory skeleton
• Provides strength and
hardness to porcelain
during firing.
• It remains relatively
unchanged during and
after firing
38
Alumina
• Replaces some of the
silica in the glass
network.
• Strength and opacity
• It alters the softening
point and increases the
viscosity of porcelain
during firing.
39
Glass modifiers/Fluxes
Too high modifier concentration
glass may crystallize (devitrify) during porcelain firing
operations
reduces the chemical durability
.Three-dimensional silica network contains many linear chains of silica tetrahedra that are able to move easily at lower temperatures than the
atoms that are locked into the three-dimensional structure of silica tetrahedra.
Increases thermal expansionLower softening /fusion temperature
increased fluidity (decreased
viscosity)
Bonds between the silica tetrahedra can be broken by the addition of alkali metal ions such as sodium, potassium, and calcium
These ions are associated with the oxygen atoms at the
corners of the tetrahedra
Interruption of oxygen silicon bonds
Sintering temperature of crystalline silica is too high to use as a veneer on dental cast alloys
Alloys would melt
Coefficient of thermal contraction of crystalline silica is too
low for alloys
40
Color Modifiers
Metallic oxide colour
Titanium oxide yellowish brown
Nickel oxide Brown
Copper oxide Green
Cobalt oxide Blue
Manganese oxide Lavender
Zirconia, alumina, silica White
41
METAL COMPOSITION
42
Requirements of the metal
1. Melting temperature higher than the
porcelain firing temperature
2. Able to form an oxide layer that provides the
chemical bond to porcelain
3. Coefficient of thermal expansion a little bit
higher than that of porcelain
4. No greening effect on the porcelain color
5. High elastic modulus
43
CLASSIFICATION
1.Based on use/indications
Anterior crowns
Posterior crowns
Inlays
Onlays
Veneers
Post and cores
FPDs
Stain ceramic
Glaze ceramic.
44
2.Composition
3.Principal crystal
phase and /or matrix
phase
• Pure alumina
• Pure zirconia
• Silica glass
• Leucite based glass
• Lithia based glass
• Silica glass
• Leucite based
feldspathic porcelain
• Leucite based glass
ceramic
• Aluminous porcelain
• Alumina
• Glass infused alumina
• Glass infused spinel
• Glass infused
alumina/zirconia 45
4) Processing method:
• Sintering
• Partial sintering
• Glass infiltration
• CAD-CAM
• Copy milling
• Condensation
• Heat pressing
• Casting
• Slip-casting
46
VENEERED AND STAINED
• Traditional metal-
ceramic restorations,
some aluminous
porcelains (Vitadur-N,
Vitadur Alpha, Hi-
Ceram), and pure
alumina ceramic
(Procera AllCeram) are
condensed by vibration
and sintered at high
temperatures.
47
HOT PRESSED CERAMICS
• (IPS Empress, IPS Empress 2, Finesse All-
Ceramic, and OPC-3G) are heated, injected
under pressure into a mold, and then
veneered.
48
CAST AND CERAMMED CROWNS
• Glass-ceramic
• Made using the lost-
wax technique.
• The glass was cast into
a mold, heat-treated to
form a glassceramic,
and colored with
shading porcelain and
surface stains.
49
SLIP CAST CERAMICS
• In-Ceram
• In-Ceram Spinell
• In-Ceram Zirconia
• A slurry of liquid and particles
of alumina, magnesia-alumina
silicate (spinel), or zirconia and
alumina are placed on a dry
refractory die that draws out the
water from the slurry.
• The slip-cast deposit is sintered
on this die
• coated with a slurry of a glass-
phase layer.
• During firing, the glass melts
and infiltrates the porous
ceramic core.
• Translucent porcelain veneers
are then fired onto the core to
provide final contour and color 50
CAD-CAM
• The ceramic block materials (Dicor MGC, VITA
Cerec Mk I, and VITA Cerec Mk II) are shaped
into inlays, onlays, or crowns using a
CAD/CAM system (Cerec).
• These blocks can also be used in copy-milling
devices (Celay) that mill or machine blocks
into core shapes
51
52
5) Firing temperature:
53
6.Microstructure
• Glass
• Crystalline
• Crystal-containing glass
8.Fracture resistance
1. Low
2. Medium
3. High
7.Translucency
• Opaque
• Translucent
• Transparent
9.Abrasiveness
• (comparison relative to
restorstion against tooth
enamel).
54
10.It’s function within ceramics
• Core ceramics-supports and reinforces the
restoration
• Opaquer ceramics-masks or hides the metal
• Veneering ceramics
1. Body/dentin- dentin portion of natural teeth
2. Incisal - enamel portion of natural teeth
3. Gingival –gingival portion of teeth
• Translucent-translucent incisal enamel
• Stains
• Glazes
55
Applications of ceramics in dentistry
56
Metal ceramic/PFM(porcelain
fused to metal
All ceramic
58
METAL CARAMICS
Advantages
• High overall survival
percentage
• Low fracture rate
• Less removal of tooth
structure
• Less wear of antagonist
enamel
• Better marginal fit
Disadvantages
• Potential for metal allergy
• Poor esthetics(Can not be
used when when a
relatively high degree of
translucency is desired.)
• metal framework and lack
of translucency sometimes
shows through gingiva
resulting in dark margins
59
Mandibular teeth abraded by
opposing porcelain surfaces
60
Metal ceramic system
61
Types of Metal Ceramic Systems
1. Cast metal ceramic restorations
Cast noble metal alloys (feldspathic porcelain)
Cast base metal alloys (feldspathic porcelain)
Cast titanium (ultra low fusing porcelain)
2. Swaged metal ceramic restorations
Gold alloy foil coping (Renaissance, Captek)
Bonded platinum foil coping.
62
COMPOSITION OF METAL CERAMIC
• Higher alkali content
• The opaquer powder -
high content of
opacifiers.
• Glazes - Higher
concentration of glass
modifiers like soda,
potash and boric oxide.
DENTIN
PORCELAIN
ENAMEL
PORCELAIN
Silica (SiO2) 59.2 63.5
Soda (Na2O) 4.8 5
Alumina
(Al2O3)
18.5 18.9
Potash
(K2O)
11.8 2.3
Boric oxide
(B2O3)
4.6 0.12
Zinc oxide
(ZnO)
0.58 0.11
Zirconium
oxide (ZrO2)
0.39 0.13
A sample percentage composition
of porcelain powder for metal
ceramics
63
Supplied as
1. Enamel porcelain powders in various shades (in bottles)
2. Dentin porcelain powders in various shades (in bottles)
3. Liquid for mixing enamel, dentin, gingival and transparent
4. Opaquer powders in various shades/ together with a liquid
for mixing
5. Gingival porcelain powder in various shades
6. Transparent porcelain powder
7. A variety of stain (color) powders
8. Glaze powder
9. Special liquid for mixing stains and glaze.
64
Manipulation and technical
considerations
Condensation/packing
Pre-heating/drying
Sintering /firing
Surface treatments
Porcelain cooling
• Conventional powder/slurry
technique
65
Condensation/packing
• Process of packing the
powder particles together
and removing excess water
Benefits
1. Lower firing shrinkage
2. Less porosity (Improves
substructure of the
porcelain & dispense
trapped air )
3. Improved strength and
density
4. Remove excess water
5. Enhanced surface texture
66
Techniques
1. Vibration-tapping/running
serrated instrument on the
forceps holding the metal
frame
2. Ultrasonic vibrators
3. Spatulation-a small spatula
to apply and smoothen
wet porcelain
4. Dry powder-placed on the
opposite side of wet
increment.water moves
towards the dry powder
pulling wet particles
together
67
•Advantages of ultrasonic
condensation
• Reduces the fluid content of
layered ceramics; resulting
in denser and more vibrant
porcelain mass.
• Enhances translucency and
the shade qualities of the
fired ceramic.
• Shrinkage can be reduced to
below 5%!
• Time-saving as it reduces
the number of
compensatory firing cycles
68
CONDENSATION STEPS
1.Build up of cervical
porcelain
2.Build up of body
porcelain
3.Cut back
4.Build up of enamel
porcelain
69
Dentin
• Pink powder+distilled
water/supplied liquid
• Glass spatula should be
used
• The main bulk of tooth
• A portion of the dentin in
the incisal area is cut back
for enamel porcelain.
Enamel
• White powder
• build the restoration
• Transparent porcelains used
near incisal edges
Gingival porcelain
• More darker cervical
portion
• (gingival/neck dentin)
70
• Return to furnace for sintering
• Additions in deficient areas
• Each additional firing is done at lower
temperature
71
Pre-heating
• Placing the porcelain object
on a tray in front of/below
the muffle of a preheated
furnace
• at 650C for 5min for low
fusing porcelain
• at 480C for 8min for high
fusing porcelains till
reaching the green or
leathery state.
Significance of pre-heating stage:
• Removal of excess water
allowing the porcelain object
to gain its green strength.
• Preventing sudden production
of steam that could result in
voids or fractures.
• Ceramic particles held
together in the “green state”
after all liquid has been dried
off
72
Pre- heating
73
Sintering procedure/firing
• The purpose of firing is to sinter the particles of
powder together properly for a specific time and
temperature combination to form the prosthesis
• The thermochemical reactions between the
porcelain powder components are virtually
completed during the original manufacturing
process. Thus. Some chemical reactions occur
during prolonged firing times or multiple firings
74
Sintering procedure/firing
The initial firing temperature
• The voids are occupied by
the atmosphere of the
furnace.
• As the sintering of the
particles begins, the
porcelain particles bond at
their points of contact.
As temperature is raised
• The sintered glass gradually
flows to fill up the air
spaces.
• The particles fuse together
by sintering forming a
continuous mass, this
results in a decrease in
volume referred to as firing
shrinkage
75
With progression of firing
• The gaps between particles
become porosities. The
viscosity of the glass is low
enough for it to flow due to
its own surface tension. The
result is that the porosity
voids will gradually become
rounded as firing proceeds
The final firing stage
• The voids slowly rise to free
surfaces and disappear
76
77
Stages of porcelain maturity
•porcelain surface is quite porous porcelain grains begin to soften
and ‘tense’ at their contact points
•minimal Shrinkage
•the fired porcelain body is extremely weak or friable
Low
bisque
•Pores still exist on the surface of porcelain The flow of glass grains is
increased. As a result, any entrapped furnace atmosphere that
could not escape via the grain boundaries becomes trapped and
sphere shaped
•A definite shrinkage is evident
Medium
bisque
•shrinkage smooth porcelain surface The flow of glass grains is
further increased, thereby completely sealing the surface and
presenting smoothness to the porcelain.
•The fired porcelain body is strong and any corrections by grinding
can be made
High
bisque
78
Low bisque Medium
bisque
High bisque
79
Over firing
1.Firing at above the correct firing
temperature 2.longer firing time
1.reduce the strength due to
formation of undesirable crystal
phases at higher temperature [de-
vitrification]
2.increases the chances of slumping
[eliminate the shape we made and
leave a globule of ceramic].
Under
firing
The porcelain object will have a
chalky white color overlaying its
shade ,Because light is reflected
and scattered at boundaries
between particles and at the
surfaces of porosity
80
Vacuum(negative pressure) firing
• Porcelain in furnace- packed powderparticles+air
channels around
• Air pressure reduced to 1/10th by vacuum pump
• Air around particles reduced,as temperature rises
the particles sinter together
• Closed pores with in porcelain mass.
• This helps to reduce porosity
• Air inside these pores are isolated from the
furnace atmosphere
81
Porcelain surface treatment
Natural/auto glaze
Applied/add-on glaze
Polishing
Custom staining
82
Cooling
• Should be well
controlled
• slowly
• Uniformly
• Usually computer
controlled
• Rapid cooling can cause
cracks
• Induce stresses and
weakens ceramic
83
If it cools too slowly
• Crystals form within the
glass body which will
degrade its optical
properties, turning if from a
clear glass into a cloudy
one. Devitrification.
[annealing]
if it is cooled too quickly
• Stress build up in the glass.
• To reduce the stresses ,it is
kept near the glass transition
temperature (its solidus) for a
long time so that the atoms in
the glass can rearrange just
enough to relieve the stress.
• When most of the stress has
been eliminated, the finished
glass is finally allowed to cool
to room temperature
84
1.Construction of the cast metal
copings and framework
• Can be produced by
1. Casting of molten metal
2. CAD-CAM Machining
3. Electrolytic deposition
techniques
4. Swaged metal processes
Most common method is
melting and casting.
• A wax pattern of
restoration constructed
• Cast in metal
• High melting temperature
of alloys-phosphate
bonded investment
85
2.Metal preparation
• Clean metal surface-
essential for good bonding
• Oil from fingers and other
sources such as airlines –
possible contaminant
• Cleanse surface
• Finish with clean ceramic
bonded stones/sintered
diamonds
• Final sandblasting with high
purity alumina
3.Degassing and oxidizing
• Heat in porcelain furnace to
burn off any impurities to
the form thin oxide layer.
• Degas the interior structure
of alloy
• Eg.Olympia (Heraeus
Kulzer), a gold-palladium,
silver-free alloy, is heated in
the porcelain furnace to a
temperature of 1038 °C
86
4.Opaqer
• Dense yellowish white powder+special liquid
• Mask/cover the metal frame and prevent it
from being visible
• Bond the veneering porcelains to the
underlying frame
87
• Condensed on the oxidized surface at a thickness of approximately
0.3 mm
• Fired to its sintering temperature.
• Translucent porcelain is applied
• Tooth form is created.
• Porcelain powder is applied by the condensation methods
• The unit is again fired.
• Several cycles of porcelain application and firing may be necessary
to complete the restoration.
• A final glaze is then produced either by self-glazing or firing an
overglaze layer.
88
Creep/sag
• When an alloy is heated close
to its solidus temperature, it
may become susceptible to
flow under its own mass
• The degree of creep can be
enhanced by the size of the
prosthesis and the number of
firings that are required for
porcelain veneering.
• All metal-ceramic alloys
should have a solidus
temperature that is
significantly higher than the
sintering temperature of the
porcelain so as to minimize
creep deformation
89
Bonding of porcelain to metal
1.Chemical/atomic bonding
• Primary bonding mechanism
• An adherent oxide layer is
essential
1. Base metal alloys-chromic
oxide
2. Noble metal alloys-iridium
oxide
• Inadequate oxide
formation/excessive oxide
build up
Delamination of overlying
porcelain
2.Mechanical interlocking
• Principal bond in some
systems
• Infiltration (flow) of the
fused ceramic into the
surface irregularities of the
metal coping
• Sandblasting prepares metal
surface
90
Sand blasting
91
92
Chemical bonding
• Ionic bond between the metal
oxide layer and the opaque
porcelain.
• Metal degassing is important
for oxide formation, removing
the surface contaminants and
greases.
• Thin oxide layer (in case of
noble alloys) provides stronger
bond than the thick one (in
case of base metal alloys)
93
3.Coeff. of thermal expansion
mismatch:
• As a result of higher metal
contraction on cooling , -
The fused porcelain will be
sucked (attracted) more
strongly into the metal
surface irregularities. -
Residual compressive
stresses will developed in
and strengthen the
porcelain.
4. Application of a special
bonding agent:
• Certain metal system
(electro-forming) requires
the application of specific
bonding paste before
building-up the porcelain.
Bonding of porcelain to the
metal Coping
94
Durability of metal ceramic bonding
Inter atomic
bonding across the
oxide-porcelain
interface
Type and magnitude of residual
stress in the veneering ceramic
Mechanical inter
locking/inter atomic
bonding at the
inteface between
porcelain and metal
oxide
95
Glazing
Objectives
• Life like appearance/Esthetics
• Improves Strength and life
• Color match to adjacent teeth
or restorations
• Seal surface flaws
• Reduce stress concentrations
• Inhibits crack propagation
• Enhances Hygiene
• Reduces wear of opposing
teeth
Steps
• Restoration is tried in
mouth
• Occlusion checked
• Adjusted by grinding
• Smoothen with a fine stone
• Restoration is ready for
glazing!
96
Auto glazed veneer ceramic
Smooth and glossy surface to the
restoration
Over glaze
• Glaze powder+special liquid
• Applied on to restoration
• Firing temperature<that of
body porcelain
• Firing cycles does not
include vacuum
• Disadvantage-Chemical
durability less compared to
self glaze(because of the
high flux content)
Self glaze
• No separate glaze layer
• Restoration subjected to
controlled heating at fusion
temperature
• Only surface layer melts and
flows to form a vitreous layer
resembling glaze
• Disadvantage-porcelain must
be stripped completely if it is
unacceptable
97
Glazing
• Have adequate durability
when produced in thickness
of 50micron or more
• If dentist is adjusting the
occlusion by grinding with
diamond bur can weaken
glaze
Polishing
• Using special abrasives
• Sof-
Lex(3M,Minneapolis,MN),Fi
nishing disks (Shofu, Kyoto,
Japan) porcelain laminate
polishing kit, or other
abrasive system.
• Difficult to polish
98
• Even after polish/glaze
surface will breakdown
in presence of solvants
in our everyday diets
• Further degradation
during exposure of glass
phase ceramics such as
porcelain to acidulated
phosphate fluoride
99
Surface staining
characterisation and effects
• Stain powders + special liquid
• Applied and blended with brush
Porcelain stains and glazes
Stains-tinted glazes
Natural teeth- variety of hues and
colors
1. Intrinsic( like white flourosis
stains)
2. Acquired (like coffee,tobacco)
By staining and characterisation more
emphasis on recreating natural
look
Can include
1. Defects
2. Cracks
3. Other anomalies on enamel
100
101
Glazes
• Colorless porcelain
• Do not contain opacifiers
• Lower fusion temperature
• Increased content of glass
modifiers
• Less chemically durable
Stains
• High concentration of color
modifiers
• Lower fusion temperature
• Increased content of glass
modifiers
• To provide individual color
variation
102
103
Other metal ceramic systems
Swaged gold alloy foil ceramic
crowns
Bonded platinum foil ceramic
crowns/Aluminous core porcelain
104
Swaged gold alloy foil ceramic crowns
Renaissance and Captek
• Novel way of making a
metal frame without having
to cast it.
• Developed by Shoher and
Whiteman
• Captek(capillary casting
technique)
Advantages
• Thinner foil alloy
• Greater thickness of
ceramic
• Improved esthetics!
• Gold color of alloy
105
CAPTEK P CAPTEK G
• 97.5%-GOLD
• 2.5%-SILVER
• Provides characteristic gold
color
•Platinum/palladium/
gold
•Porous structure
•Serves as internal
reinforcing skeleton.
•On heating in a
furnace captek P acts
as metal sponge
draws hot liquid gold
completely into it
Final coping is a composite structure 106
Technique
107
Bonded platinum foil ceramic crowns
• Platinum foil coping
adapted on to the die
• Electrodeposition
technique-to improve
bonding and esthetics
• Thin layer of tin is
electrodeposited on to the
foil and then oxidized in a
furnace
Advantages
• Gold color enhances vitality
of porcelain thereby
esthetics
• Tin helps in chemical
bonding
• Improves wetting and
reduce porosity.
108
Electrodeposition Technique
• Improve both esthetics and bonding
• A layer of gold is electrodeposited on to the
metal
• Followed by a quick minimal deposition of tin
• Can be used on metals such as stainless
steel,cobalt chromium,titanium,and other non
gold and low gold alloys
109
Platinum matrix fabrication. A, A diamond-shaped foil is adapted to the facial surface (a cutting guide
is provided with the foil). B, Two cuts are made, one to each incisal corner, and a triangle of foil is
removed by cutting at 45 degrees toward the corners. C, The foil is folded onto the lingual surface and
burnished. D and E, It is then gathered on the lingual surface with tweezers and adapted with finger
pressure. F, The foil is trimmed to follow the lingual contour evenly. The two ends are separated, and
one is trimmed to exactly half the width of the other. G and H, The long end is folded over the short
end, and relieving cuts are made . Then the three-thickness joint is folded toward the short end. I, The
foil is adapted with a wooden point, always starting from the incisal edge and working toward the
margin. 110
J. A beaver-tail burnisher is used to adapt the
margin, working the foil toward the internal angle
to prevent a perforation. Better adaptation can be
achieved by swaging at this stage. The matrix is
removed with sticky wax
K. and annealed in a Bunsen flame
L.to relieve work hardening.
M. The completed platinum foil matrix.
111

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DENTAL CERAMICS AN INTRODUCTION

  • 2. CONTENTS Introduction Definition History of dental ceramics Advantages and disadvantages Structure Basic constituents Classification Benefits and Drawbacks of metal ceramic restorations 2
  • 3. Metal Ceramic Systems Composition Fabrication of metal ceramic prosthesis Cast metal for metal ceramic prostheses Technical aspects of metal ceramic products A. Cast metal coping and frameworks B. Creep/sag C. Bonding of porcelain to metal D. Glazes and stain ceramics Other metal ceramic systems Methods of Strengthening Ceramics 3
  • 4. All Ceramic Systems Aluminous Porcelain Effect of Design on Fracture Susceptibility of Metal- Ceramic and All-Ceramic Restorations Glass-Ceramics Hot-Isostatically Pressed(HIP) Glass Ceramics Glass Infiltrated Core Ceramics Alumina Core Ceramic Yttria-Stabilised Zirconia Zirconia Toughened Alumina(ZTA) Dispersion Strengthening and Toughening Flourapatite Glass Ceramic 4
  • 5. CAD-CAM Processing of Ceramics Abrasiveness of Dental Ceramics Clinical Performance of All-Ceramic Restorations Chemical Attack of Glass-Phase Ceramics by Acidulated Phosphate Fluoride Porcelain Denture Teeth Factors Affecting the Color and Appearance of Ceramics Ceramic Veneers,Inlays,and Onlays Critical Observation and Analysis of Fractures Principles Governing the Selection of Dental Ceramics Conclusion References 5
  • 7. Search for an ideal restorative material! Why ceramics? Challenges?!! 1. Biocompatible 2. Long term color stability 3. Chemical durability 4. Wear resistance 5. Ability to be formed into precise shapes 1. Costly processing equipments 2. Specialised training for lab technicians 7
  • 8. An inorganic compound with nonmetallic properties typically consisting of oxygen and one or more metallic or semi metallic 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 (GPT 7 Anusavice). Definition 8
  • 9. A journey through time!!! 9
  • 10. Stone age>10,000 years ago! • Craftman used rocks shaped in to tools and artifacts by flaking • Stone chips fractured away from surface of hard,fine grained/amorphous rocks 1. Chert 2. Flints 3. Ignimbrite 4. Indurated shale 5. Lava 6. Obsidian 7. Quartz 8. Silicified lime stone 6 1 8 7 2 5 3 4 7 10
  • 11. Etruscans used teeth of ivory and bone that were held in place by a gold framework. These were obtained from hippopotamus or elephants and were used for many years thereafter. •Animal bone •Ivory from hippopotamus and elephant •Human teeth sold by poor •Teeth obtained from dead 700 BC 11
  • 12. Pierre Fauchard (1728)Chinese (1000AD) • First to suggest the use of porcelain in dentistry 12 •Porcelain developed by chinese
  • 13. Pfaff(Germany) 1756 • Technique to make impression of mouth using plaster of paris 13
  • 14. John Greenwood (1789) • carved teeth from hippo ivory for complete dentures he made for George Washington. 14
  • 15. Dubois and Duchateau (1774 A.D) • French dentist Nicholas Dubois de Chemant and his assistant Alexis Duchateau made the first successful porcelain dentures for Duchateau being tired of his stained and malodorous ivory denture. 15
  • 16. • 1774:Duchateau produced an improved version of mineral paste teeth • Introduced to England by De Chemant • This baked compound was not used to produce individual teeth because there is no effective way to attach the teeth to denture base material • •1789 Dubois continuously improved porcelain formulations and was awarded French and British patents. 16
  • 17. Guiseppangelo Fonzi (Italian dentist) 1808 • Practiced in paris • Individual porcelain teeth posterior porcelain blocks originally dubbed as ‘terro-metallic teeth’ ‘french bean teeth’ • Higher quality of porcelain than chemant • platinum attachment mechanism • Described as “little better than crockery” 17
  • 18. • 1817: Antoine Plantou(French dentist) : porcelain teeth to America • 1822:Peale,an artist developed a baking process in philadelphia for these teeth • 1837:ClaudiusAsh:an improved version of porcelain teeth 18
  • 19. • 1825: Samuel Stockton: produces first porcelain teeth in the US. 1839:invention of vulcanised rubber allowed porcelain denture teeth to be used effectively in a denture base. • 1844: Stockton’s nephew found SS White company : mass production of porcelain teeth. 1903:Dr. Charles Land : introduced first ceramic crown using platinum foil matrix and high-fusing feldspathic porcelain.
  • 20. • Early 1960s- Weinstein et al introduced porcelain fused to metal restoration(PFM) • 1963: First commercial porcelain :Vita Zahnfabrik was developed. • 1965 – aluminium porcelain was introduced by McLean and Huges • 1968 – MacCulloch introduced the use of glass ceramic in dentistry • 1983 – the concept of bonding composite resin to acid-etched porcelain was first reported by Simonsen and Calamia • 1983 – Horn reported the successful cementation of porcelain veeners using adhesive cements
  • 21. • 1983-84 – the first castable glass ceramic was introduced by Grossman and Adair called DICOR (tetrasilicic flouromica crystals in glass matrix) • 1985 – CAD/CAM technique were developed. • 1988- cerec1 system was introduced. • 1989 – Sadoun developed the first slip cast alumina ceramic called Inceram alumina. 21
  • 22. • 1989: Wohlwend and Scharer : Pressable ceramic systems. • 1991 : Celay copy milling system. • 1992: Ultralow fusing ceramic Duceram LFC • Early 1990s- IPS Empress was developed containing approx 34vol% leucite • 1994 -CEREC II • Late 1990s- IPS Empress 2 was developed containing approx 70vol% of Lithia disilicate crystals.
  • 23. Advantages • Resistant to corrosion • Chemical inertness • Remain stable over long time periods. • Biocompatible • High hardness • Resilient • Potential for matching appearance of natural teeth • Refractory nature • Thermal insulating properties(low thermal conductivity and diffusivity) • Freedom from galvanic effects(low electrical conductivity) 23
  • 24. Disadvantages • Susceptibility to tensile fracture • Brittleness • Low to moderate strength and fracture toughness • Poor ductility/elongation • Flexed easily when heated and cooled(Thermal shock) 24
  • 25. 25
  • 26. • Brittle fracture • Plastic deformation 26
  • 28. 28
  • 29. 29
  • 30. Feldspathic porcelain Glassy/Vitreous/Matrix phase • Acts as matrix • Feldspars are mixture of Anhydrated alumino-silicates of both • Potash feldspar = K2O. Al2O3. 6 SiO2 A • Soda feldspar = Na2O. Al2O3. 6 SiO2 • Increasing the amount of glassy phase lowers the resistance to crack propagation but increases translucency Crystalline/Mineral phase • Dispersed within matrix • Mineral phase including silica and other oxides • Improve strength and other properties • Eg.alumina,spinel,zirconia ceramic restorations have increased amounts of crystalline phase (between 35% and 90%) for better mechanical properties 30
  • 31. 31
  • 32. COMPOSITION Feldspar 60 to 80% basic glass former Kaolin 3 to 5 % binder Quartz 15 to 25% filler Alumina 8 to 20 % glass former and flux Oxides of sodium,potassium and calcium 9 to 15% fluxes Metal pigments <1% colour matching
  • 33. 33
  • 35. Feldspar(Basic glass former) • Naturally occurring mineral • Also known as Albite • Most of the components needed to make dental porcelain are present in it • When fused at high temperature it forms feldspathic glass containing potash feldspar/soda feldspar • Quite colorless and transparent 35
  • 36. Kaolin(Binder) • White clay like material (hydrated aluminum silicate). • Acts as a binder • Gives opacity to the mass. • Some manufacturers use sugar or starch instead of kaolin. 36
  • 38. Quartz(Filler) • Form of silica. • Ground quartz acts as a refractory skeleton • Provides strength and hardness to porcelain during firing. • It remains relatively unchanged during and after firing 38
  • 39. Alumina • Replaces some of the silica in the glass network. • Strength and opacity • It alters the softening point and increases the viscosity of porcelain during firing. 39
  • 40. Glass modifiers/Fluxes Too high modifier concentration glass may crystallize (devitrify) during porcelain firing operations reduces the chemical durability .Three-dimensional silica network contains many linear chains of silica tetrahedra that are able to move easily at lower temperatures than the atoms that are locked into the three-dimensional structure of silica tetrahedra. Increases thermal expansionLower softening /fusion temperature increased fluidity (decreased viscosity) Bonds between the silica tetrahedra can be broken by the addition of alkali metal ions such as sodium, potassium, and calcium These ions are associated with the oxygen atoms at the corners of the tetrahedra Interruption of oxygen silicon bonds Sintering temperature of crystalline silica is too high to use as a veneer on dental cast alloys Alloys would melt Coefficient of thermal contraction of crystalline silica is too low for alloys 40
  • 41. Color Modifiers Metallic oxide colour Titanium oxide yellowish brown Nickel oxide Brown Copper oxide Green Cobalt oxide Blue Manganese oxide Lavender Zirconia, alumina, silica White 41
  • 43. Requirements of the metal 1. Melting temperature higher than the porcelain firing temperature 2. Able to form an oxide layer that provides the chemical bond to porcelain 3. Coefficient of thermal expansion a little bit higher than that of porcelain 4. No greening effect on the porcelain color 5. High elastic modulus 43
  • 44. CLASSIFICATION 1.Based on use/indications Anterior crowns Posterior crowns Inlays Onlays Veneers Post and cores FPDs Stain ceramic Glaze ceramic. 44
  • 45. 2.Composition 3.Principal crystal phase and /or matrix phase • Pure alumina • Pure zirconia • Silica glass • Leucite based glass • Lithia based glass • Silica glass • Leucite based feldspathic porcelain • Leucite based glass ceramic • Aluminous porcelain • Alumina • Glass infused alumina • Glass infused spinel • Glass infused alumina/zirconia 45
  • 46. 4) Processing method: • Sintering • Partial sintering • Glass infiltration • CAD-CAM • Copy milling • Condensation • Heat pressing • Casting • Slip-casting 46
  • 47. VENEERED AND STAINED • Traditional metal- ceramic restorations, some aluminous porcelains (Vitadur-N, Vitadur Alpha, Hi- Ceram), and pure alumina ceramic (Procera AllCeram) are condensed by vibration and sintered at high temperatures. 47
  • 48. HOT PRESSED CERAMICS • (IPS Empress, IPS Empress 2, Finesse All- Ceramic, and OPC-3G) are heated, injected under pressure into a mold, and then veneered. 48
  • 49. CAST AND CERAMMED CROWNS • Glass-ceramic • Made using the lost- wax technique. • The glass was cast into a mold, heat-treated to form a glassceramic, and colored with shading porcelain and surface stains. 49
  • 50. SLIP CAST CERAMICS • In-Ceram • In-Ceram Spinell • In-Ceram Zirconia • A slurry of liquid and particles of alumina, magnesia-alumina silicate (spinel), or zirconia and alumina are placed on a dry refractory die that draws out the water from the slurry. • The slip-cast deposit is sintered on this die • coated with a slurry of a glass- phase layer. • During firing, the glass melts and infiltrates the porous ceramic core. • Translucent porcelain veneers are then fired onto the core to provide final contour and color 50
  • 51. CAD-CAM • The ceramic block materials (Dicor MGC, VITA Cerec Mk I, and VITA Cerec Mk II) are shaped into inlays, onlays, or crowns using a CAD/CAM system (Cerec). • These blocks can also be used in copy-milling devices (Celay) that mill or machine blocks into core shapes 51
  • 52. 52
  • 54. 6.Microstructure • Glass • Crystalline • Crystal-containing glass 8.Fracture resistance 1. Low 2. Medium 3. High 7.Translucency • Opaque • Translucent • Transparent 9.Abrasiveness • (comparison relative to restorstion against tooth enamel). 54
  • 55. 10.It’s function within ceramics • Core ceramics-supports and reinforces the restoration • Opaquer ceramics-masks or hides the metal • Veneering ceramics 1. Body/dentin- dentin portion of natural teeth 2. Incisal - enamel portion of natural teeth 3. Gingival –gingival portion of teeth • Translucent-translucent incisal enamel • Stains • Glazes 55
  • 56. Applications of ceramics in dentistry 56
  • 57.
  • 58. Metal ceramic/PFM(porcelain fused to metal All ceramic 58
  • 59. METAL CARAMICS Advantages • High overall survival percentage • Low fracture rate • Less removal of tooth structure • Less wear of antagonist enamel • Better marginal fit Disadvantages • Potential for metal allergy • Poor esthetics(Can not be used when when a relatively high degree of translucency is desired.) • metal framework and lack of translucency sometimes shows through gingiva resulting in dark margins 59
  • 60. Mandibular teeth abraded by opposing porcelain surfaces 60
  • 62. Types of Metal Ceramic Systems 1. Cast metal ceramic restorations Cast noble metal alloys (feldspathic porcelain) Cast base metal alloys (feldspathic porcelain) Cast titanium (ultra low fusing porcelain) 2. Swaged metal ceramic restorations Gold alloy foil coping (Renaissance, Captek) Bonded platinum foil coping. 62
  • 63. COMPOSITION OF METAL CERAMIC • Higher alkali content • The opaquer powder - high content of opacifiers. • Glazes - Higher concentration of glass modifiers like soda, potash and boric oxide. DENTIN PORCELAIN ENAMEL PORCELAIN Silica (SiO2) 59.2 63.5 Soda (Na2O) 4.8 5 Alumina (Al2O3) 18.5 18.9 Potash (K2O) 11.8 2.3 Boric oxide (B2O3) 4.6 0.12 Zinc oxide (ZnO) 0.58 0.11 Zirconium oxide (ZrO2) 0.39 0.13 A sample percentage composition of porcelain powder for metal ceramics 63
  • 64. Supplied as 1. Enamel porcelain powders in various shades (in bottles) 2. Dentin porcelain powders in various shades (in bottles) 3. Liquid for mixing enamel, dentin, gingival and transparent 4. Opaquer powders in various shades/ together with a liquid for mixing 5. Gingival porcelain powder in various shades 6. Transparent porcelain powder 7. A variety of stain (color) powders 8. Glaze powder 9. Special liquid for mixing stains and glaze. 64
  • 65. Manipulation and technical considerations Condensation/packing Pre-heating/drying Sintering /firing Surface treatments Porcelain cooling • Conventional powder/slurry technique 65
  • 66. Condensation/packing • Process of packing the powder particles together and removing excess water Benefits 1. Lower firing shrinkage 2. Less porosity (Improves substructure of the porcelain & dispense trapped air ) 3. Improved strength and density 4. Remove excess water 5. Enhanced surface texture 66
  • 67. Techniques 1. Vibration-tapping/running serrated instrument on the forceps holding the metal frame 2. Ultrasonic vibrators 3. Spatulation-a small spatula to apply and smoothen wet porcelain 4. Dry powder-placed on the opposite side of wet increment.water moves towards the dry powder pulling wet particles together 67
  • 68. •Advantages of ultrasonic condensation • Reduces the fluid content of layered ceramics; resulting in denser and more vibrant porcelain mass. • Enhances translucency and the shade qualities of the fired ceramic. • Shrinkage can be reduced to below 5%! • Time-saving as it reduces the number of compensatory firing cycles 68
  • 69. CONDENSATION STEPS 1.Build up of cervical porcelain 2.Build up of body porcelain 3.Cut back 4.Build up of enamel porcelain 69
  • 70. Dentin • Pink powder+distilled water/supplied liquid • Glass spatula should be used • The main bulk of tooth • A portion of the dentin in the incisal area is cut back for enamel porcelain. Enamel • White powder • build the restoration • Transparent porcelains used near incisal edges Gingival porcelain • More darker cervical portion • (gingival/neck dentin) 70
  • 71. • Return to furnace for sintering • Additions in deficient areas • Each additional firing is done at lower temperature 71
  • 72. Pre-heating • Placing the porcelain object on a tray in front of/below the muffle of a preheated furnace • at 650C for 5min for low fusing porcelain • at 480C for 8min for high fusing porcelains till reaching the green or leathery state. Significance of pre-heating stage: • Removal of excess water allowing the porcelain object to gain its green strength. • Preventing sudden production of steam that could result in voids or fractures. • Ceramic particles held together in the “green state” after all liquid has been dried off 72
  • 74. Sintering procedure/firing • The purpose of firing is to sinter the particles of powder together properly for a specific time and temperature combination to form the prosthesis • The thermochemical reactions between the porcelain powder components are virtually completed during the original manufacturing process. Thus. Some chemical reactions occur during prolonged firing times or multiple firings 74
  • 75. Sintering procedure/firing The initial firing temperature • The voids are occupied by the atmosphere of the furnace. • As the sintering of the particles begins, the porcelain particles bond at their points of contact. As temperature is raised • The sintered glass gradually flows to fill up the air spaces. • The particles fuse together by sintering forming a continuous mass, this results in a decrease in volume referred to as firing shrinkage 75
  • 76. With progression of firing • The gaps between particles become porosities. The viscosity of the glass is low enough for it to flow due to its own surface tension. The result is that the porosity voids will gradually become rounded as firing proceeds The final firing stage • The voids slowly rise to free surfaces and disappear 76
  • 77. 77
  • 78. Stages of porcelain maturity •porcelain surface is quite porous porcelain grains begin to soften and ‘tense’ at their contact points •minimal Shrinkage •the fired porcelain body is extremely weak or friable Low bisque •Pores still exist on the surface of porcelain The flow of glass grains is increased. As a result, any entrapped furnace atmosphere that could not escape via the grain boundaries becomes trapped and sphere shaped •A definite shrinkage is evident Medium bisque •shrinkage smooth porcelain surface The flow of glass grains is further increased, thereby completely sealing the surface and presenting smoothness to the porcelain. •The fired porcelain body is strong and any corrections by grinding can be made High bisque 78
  • 80. Over firing 1.Firing at above the correct firing temperature 2.longer firing time 1.reduce the strength due to formation of undesirable crystal phases at higher temperature [de- vitrification] 2.increases the chances of slumping [eliminate the shape we made and leave a globule of ceramic]. Under firing The porcelain object will have a chalky white color overlaying its shade ,Because light is reflected and scattered at boundaries between particles and at the surfaces of porosity 80
  • 81. Vacuum(negative pressure) firing • Porcelain in furnace- packed powderparticles+air channels around • Air pressure reduced to 1/10th by vacuum pump • Air around particles reduced,as temperature rises the particles sinter together • Closed pores with in porcelain mass. • This helps to reduce porosity • Air inside these pores are isolated from the furnace atmosphere 81
  • 82. Porcelain surface treatment Natural/auto glaze Applied/add-on glaze Polishing Custom staining 82
  • 83. Cooling • Should be well controlled • slowly • Uniformly • Usually computer controlled • Rapid cooling can cause cracks • Induce stresses and weakens ceramic 83
  • 84. If it cools too slowly • Crystals form within the glass body which will degrade its optical properties, turning if from a clear glass into a cloudy one. Devitrification. [annealing] if it is cooled too quickly • Stress build up in the glass. • To reduce the stresses ,it is kept near the glass transition temperature (its solidus) for a long time so that the atoms in the glass can rearrange just enough to relieve the stress. • When most of the stress has been eliminated, the finished glass is finally allowed to cool to room temperature 84
  • 85. 1.Construction of the cast metal copings and framework • Can be produced by 1. Casting of molten metal 2. CAD-CAM Machining 3. Electrolytic deposition techniques 4. Swaged metal processes Most common method is melting and casting. • A wax pattern of restoration constructed • Cast in metal • High melting temperature of alloys-phosphate bonded investment 85
  • 86. 2.Metal preparation • Clean metal surface- essential for good bonding • Oil from fingers and other sources such as airlines – possible contaminant • Cleanse surface • Finish with clean ceramic bonded stones/sintered diamonds • Final sandblasting with high purity alumina 3.Degassing and oxidizing • Heat in porcelain furnace to burn off any impurities to the form thin oxide layer. • Degas the interior structure of alloy • Eg.Olympia (Heraeus Kulzer), a gold-palladium, silver-free alloy, is heated in the porcelain furnace to a temperature of 1038 °C 86
  • 87. 4.Opaqer • Dense yellowish white powder+special liquid • Mask/cover the metal frame and prevent it from being visible • Bond the veneering porcelains to the underlying frame 87
  • 88. • Condensed on the oxidized surface at a thickness of approximately 0.3 mm • Fired to its sintering temperature. • Translucent porcelain is applied • Tooth form is created. • Porcelain powder is applied by the condensation methods • The unit is again fired. • Several cycles of porcelain application and firing may be necessary to complete the restoration. • A final glaze is then produced either by self-glazing or firing an overglaze layer. 88
  • 89. Creep/sag • When an alloy is heated close to its solidus temperature, it may become susceptible to flow under its own mass • The degree of creep can be enhanced by the size of the prosthesis and the number of firings that are required for porcelain veneering. • All metal-ceramic alloys should have a solidus temperature that is significantly higher than the sintering temperature of the porcelain so as to minimize creep deformation 89
  • 90. Bonding of porcelain to metal 1.Chemical/atomic bonding • Primary bonding mechanism • An adherent oxide layer is essential 1. Base metal alloys-chromic oxide 2. Noble metal alloys-iridium oxide • Inadequate oxide formation/excessive oxide build up Delamination of overlying porcelain 2.Mechanical interlocking • Principal bond in some systems • Infiltration (flow) of the fused ceramic into the surface irregularities of the metal coping • Sandblasting prepares metal surface 90
  • 92. 92
  • 93. Chemical bonding • Ionic bond between the metal oxide layer and the opaque porcelain. • Metal degassing is important for oxide formation, removing the surface contaminants and greases. • Thin oxide layer (in case of noble alloys) provides stronger bond than the thick one (in case of base metal alloys) 93
  • 94. 3.Coeff. of thermal expansion mismatch: • As a result of higher metal contraction on cooling , - The fused porcelain will be sucked (attracted) more strongly into the metal surface irregularities. - Residual compressive stresses will developed in and strengthen the porcelain. 4. Application of a special bonding agent: • Certain metal system (electro-forming) requires the application of specific bonding paste before building-up the porcelain. Bonding of porcelain to the metal Coping 94
  • 95. Durability of metal ceramic bonding Inter atomic bonding across the oxide-porcelain interface Type and magnitude of residual stress in the veneering ceramic Mechanical inter locking/inter atomic bonding at the inteface between porcelain and metal oxide 95
  • 96. Glazing Objectives • Life like appearance/Esthetics • Improves Strength and life • Color match to adjacent teeth or restorations • Seal surface flaws • Reduce stress concentrations • Inhibits crack propagation • Enhances Hygiene • Reduces wear of opposing teeth Steps • Restoration is tried in mouth • Occlusion checked • Adjusted by grinding • Smoothen with a fine stone • Restoration is ready for glazing! 96 Auto glazed veneer ceramic
  • 97. Smooth and glossy surface to the restoration Over glaze • Glaze powder+special liquid • Applied on to restoration • Firing temperature<that of body porcelain • Firing cycles does not include vacuum • Disadvantage-Chemical durability less compared to self glaze(because of the high flux content) Self glaze • No separate glaze layer • Restoration subjected to controlled heating at fusion temperature • Only surface layer melts and flows to form a vitreous layer resembling glaze • Disadvantage-porcelain must be stripped completely if it is unacceptable 97
  • 98. Glazing • Have adequate durability when produced in thickness of 50micron or more • If dentist is adjusting the occlusion by grinding with diamond bur can weaken glaze Polishing • Using special abrasives • Sof- Lex(3M,Minneapolis,MN),Fi nishing disks (Shofu, Kyoto, Japan) porcelain laminate polishing kit, or other abrasive system. • Difficult to polish 98
  • 99. • Even after polish/glaze surface will breakdown in presence of solvants in our everyday diets • Further degradation during exposure of glass phase ceramics such as porcelain to acidulated phosphate fluoride 99
  • 100. Surface staining characterisation and effects • Stain powders + special liquid • Applied and blended with brush Porcelain stains and glazes Stains-tinted glazes Natural teeth- variety of hues and colors 1. Intrinsic( like white flourosis stains) 2. Acquired (like coffee,tobacco) By staining and characterisation more emphasis on recreating natural look Can include 1. Defects 2. Cracks 3. Other anomalies on enamel 100
  • 101. 101
  • 102. Glazes • Colorless porcelain • Do not contain opacifiers • Lower fusion temperature • Increased content of glass modifiers • Less chemically durable Stains • High concentration of color modifiers • Lower fusion temperature • Increased content of glass modifiers • To provide individual color variation 102
  • 103. 103
  • 104. Other metal ceramic systems Swaged gold alloy foil ceramic crowns Bonded platinum foil ceramic crowns/Aluminous core porcelain 104
  • 105. Swaged gold alloy foil ceramic crowns Renaissance and Captek • Novel way of making a metal frame without having to cast it. • Developed by Shoher and Whiteman • Captek(capillary casting technique) Advantages • Thinner foil alloy • Greater thickness of ceramic • Improved esthetics! • Gold color of alloy 105
  • 106. CAPTEK P CAPTEK G • 97.5%-GOLD • 2.5%-SILVER • Provides characteristic gold color •Platinum/palladium/ gold •Porous structure •Serves as internal reinforcing skeleton. •On heating in a furnace captek P acts as metal sponge draws hot liquid gold completely into it Final coping is a composite structure 106
  • 108. Bonded platinum foil ceramic crowns • Platinum foil coping adapted on to the die • Electrodeposition technique-to improve bonding and esthetics • Thin layer of tin is electrodeposited on to the foil and then oxidized in a furnace Advantages • Gold color enhances vitality of porcelain thereby esthetics • Tin helps in chemical bonding • Improves wetting and reduce porosity. 108
  • 109. Electrodeposition Technique • Improve both esthetics and bonding • A layer of gold is electrodeposited on to the metal • Followed by a quick minimal deposition of tin • Can be used on metals such as stainless steel,cobalt chromium,titanium,and other non gold and low gold alloys 109
  • 110. Platinum matrix fabrication. A, A diamond-shaped foil is adapted to the facial surface (a cutting guide is provided with the foil). B, Two cuts are made, one to each incisal corner, and a triangle of foil is removed by cutting at 45 degrees toward the corners. C, The foil is folded onto the lingual surface and burnished. D and E, It is then gathered on the lingual surface with tweezers and adapted with finger pressure. F, The foil is trimmed to follow the lingual contour evenly. The two ends are separated, and one is trimmed to exactly half the width of the other. G and H, The long end is folded over the short end, and relieving cuts are made . Then the three-thickness joint is folded toward the short end. I, The foil is adapted with a wooden point, always starting from the incisal edge and working toward the margin. 110
  • 111. J. A beaver-tail burnisher is used to adapt the margin, working the foil toward the internal angle to prevent a perforation. Better adaptation can be achieved by swaging at this stage. The matrix is removed with sticky wax K. and annealed in a Bunsen flame L.to relieve work hardening. M. The completed platinum foil matrix. 111

Editor's Notes

  1. . One of the strongest and toughest ceramics, zirconium dioxide, has a flexural strength similar to that of steel, but its fracture toughness is much lower than that of steel.metas are tougher
  2. When flaws co exist with tensile stress in the same location chance of fracture is more
  3. Natural teeth come in a variety of shades. In addition, it acquires external stains from the environment. Thus color modifiers are required to adjust the shades of the dental ceramic. Various metallic oxides provide a variety of color They are fused together with regular feldspar and then reground and blended to produce a variety of colors
  4. (to avoid sagging at the time of porcelain firing (presence of indium or tin in high noble alloys is essential for that purpose. e.g gold alloys) 3)(to provide higher mechanical bond)5. to resist the bending and the cracking of porcelain under masticatory force.
  5. in a manner similar to that for cutting a key from a key blank—that is, by tracing over a master die of the shape to be produced out of the ceramic.
  6. One clinical study revealed that the fracture rate of metalceramic crowns as well as bridges made from a high noble alloy was as low as 2.3% over 7.5 years of service
  7. To raise the CTE, increased the tendency of the ceramic to devitrify and appear cloudyA special opaquer powder is needed to mask the underlying metal so that it does not show through the ceramic
  8. At temperature 55 degree celcious below the sintering temperature vacuum released pressure inside the furnace increases by a factor of 10, from 0.1 to 1 atm. Because the pressure is increased by a factor of 10, the pores are compressed to one tenth of their original size, and the total volume of porosity is accordingly reduced. Not all of the air can be evacuated from the furnace. Therefore, a few bubbles are present, but they are markedly smaller than those obtained with the usual air-firing method. At a condition of 95% to 99% theoretical density, the dental veneering ceramic is claimed to be mature or fully sintered.
  9. Fusing temp is reduced by addition of glass modifiers alkali oxided
  10. Supplied as 2 thin strips