Key Points
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An update for practising dentists regarding the indications, applications and use of contemporary crown and bridge systems.
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Informs the reader about CAD/CAM production methods.
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Provides revision of 'ideal' tooth preparation guidelines for all-ceramic crown/bridge systems and new specifically formulated luting cements.
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Concludes that all-ceramic bridgework can be routinely used in all clinical settings.
Abstract
This paper reports the utility of an all-ceramic crown and bridge system, Lava™ from 3M/ESPE™. The background of the case is discussed and the clinical findings and treatment of a patient are outlined. This case illustrates that state of the art zirconium oxide CAD/CAM manufactured frameworks with the latest ceramic systems are a user friendly, highly aesthetic alternative to metal-ceramic restorations.
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References
GDS Treatment Items Year Ending March 2003. Dental Practice Board, Eastbourne, UK.
Brecker S C . Porcelain baked to gold: a new medium in prosthodontics. J Prosth Dent 1956; 6: 801–810.
Andersson M, Oden A . A new all-ceramic crown. A dense-sintered, high purity alumina coping with porcelain. Acta Odontol Scand 1993; 51: 59–64.
Wagner W C, Chu T M . Biaxial flexural strength and indentation fracture toughness of three new dental core ceramics. J Prosth Dent 1996; 76: 140–144.
Sorenson J A . The LAVA system for CAD/CAM production of high-strength precision fixed prosthodontics. Quint Dent Technology 2003; 26: 57–67.
Sorenson J A, Berge H X, Edelhoff D . Effect of storage media and fatigue loading on ceramic strength. J Dent Res 2000; 79: 271.
Hertlein G, Hoscheler S, Frank S et al. Marginal fit of CAD/CAM manufactured all-ceramic zirconia prosthesis. J Dent Res 2001; 80: 492.
Rafelt J . Personal communication. August 2006.
Hauptmann H, Suttor D, Frank H et al. Material properties of all ceramic zirconia prostheses. J Dent Res 2000; 79: 271.
Edelhoff D, Sorensen J . Light transmission through all ceramic framework and cement combinations. J Dent Res 2002; 81.
Robert Kelly J . Dental ceramics: current thinking and trends. Dent Clin N Am 2004; 513–530.
Raigrodski AJ . Clinical and laboratory considerations for the use of CAD/CAM Y-TZP-based restorations. Pract Proced Aest Dent 2003; 15: 469–476.
LAVA, 3M ESPE Clinical Preparation guidelines 2006: www.3MESPE.com.
Boudrias P . The yttrium tetragonal zirconia polycristals (Y-TZP) infrastructure: The new chapter in the search for a metal framework replacement. J Dent Quebec 2005; 42: 172–176.
Burke F J T, Palin W . Trends in indirect dentistry: CAD/CAM technology. Dental Update 2005; 32: 566–572.
Sorenson J A . The LAVA system for CAD/CAM production of high-strength precision fixed prosthodontics. pp 57–66. Chicago: Quintessence Publishing Co, 2003; 26.
Sorenson JA . Shear bond strength to zirconium oxide ceramic. J Dent Res 2002; 81: 413.
Raigrodski A J, Chiche G J, Potiket N et al. Clinical efficacy of Y-TZP based posterior fixed partial dentures. J Dent Res 2005; 226.
Pospiech P R, Rountree P R, Northdurft F P . Clinical evaluation of zirconia-based all ceramic posterior bridges: 2 year results. J Dent Res 2003; 817.
Pospiech P R, Northdurft F P . Long-term behaviour of zirconia-based bridges (Lava): Results after three years in service. Continuing Education in Dentistry 2004; 230.
Acknowledgements
The authors would like to thank Dr John Rafelt Senior Scientific Affairs Executive (3M ESPE Dental Products 3M Health Care Limited, UK) and Techceram (1 Acorn Park, Charlestown, Shipley, UK) who undertook all laboratory work.
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Barnfather, K., Brunton, P. Restoration of the upper dental arch using Lava™ all-ceramic crown and bridgework. Br Dent J 202, 731–735 (2007). https://doi.org/10.1038/BDJ.2007.534
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DOI: https://doi.org/10.1038/BDJ.2007.534
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