Nowadays, due to the increase in aesthetic expectations, it is desired that the crown - bridge prostheses made or requested to be made look much more natural.
For this reason, doctors have turned to materials with higher light transmittance.
Instead of the gray metal substructure of classic metal-supported porcelain bridges and prostheses, zirconium, a white alloy applied, is frequently preferred. In metal-supported ceramic porcelains, the opaque appearance created by the metal in the substructure not transmitting light, and the metal reflecting in the gum area in time in a black-gray manner, causes the coatings to look artificial. Zirconium-supported ceramic crowns are used to prevent such problems.
Zirconium material is biocompatible. Especially due to its color, it does not create a bruising appearance like metal-supported coatings in the areas where the teeth meet the gums. In addition, they do not create an extremely noticeable appearance in cases of gum recession, even for different reasons. They can be used comfortably, especially in patients who are allergic to metals such as nickel.
Zirconium coatings are a very successful treatment method for teeth that cannot be changed to the desired amount with whitening processes due to some systemic diseases or medication use, both because they compensate for the underlying color and because of their superior light transmittance.
Due to the structural properties of zirconium, it is recommended that it is used as a long bridge especially with the back teeth, and not used because it increases the risk of breakage.
Just as the name “selpak” has become universal for pocket tissue, “e-max” is the same for glass ceramic crowns.
If we need to define them in a single sentence, they can be expressed as “maximum aesthetics”. They are much more sensitive compared to zirconium or metal-supported ceramic crowns, and they are much more aesthetic. They are frequently used especially in cases where the teeth are desired to look completely close to natural. They are sensitive like every perfect thing. But today, with the benefits of technology, they can be easily used in many areas in the mouth.
Since they are made entirely of porcelain, they do not receive support from any alloy or metal. Therefore, they can be used easily in allergic bodies.
Since they have a completely light-transparent structure, their naturalness is indisputable. In particular, their compatibility with the teeth and surrounding tissues is at the highest level. There is a wide range of colors and the surface is quite smooth. Therefore, the formation of tartar on it is very, very low. In an e-max crown applied in accordance with the technical rules, no gum recession due to tartar is observed. However, its application is quite difficult both for the doctor and the technical staff. For this reason, it is recommended that it is done by highly experienced people.
The light transmittance in E-max crowns is very close to tooth enamel. They are made entirely of ceramic. Since they do not contain metal support, there is no metal reflection on the gum, and since they do not contain zirconium support, the opaque appearance encountered in zirconium-supported ceramic crowns in some cases is definitely not encountered in E-max crowns. They form a whole structure with the teeth after they are bonded. In this way, their durability is sufficient. However, they should not be used especially in the molar region.
This material in particular forms the basis of aesthetic dentistry and smile design. Although it is used in many aesthetic restorations, it is especially used in leaf porcelains, full ceramic crowns, inlays, onlays, overlays or endocrowns.
It is a bit more costly than metal coatings. However, this amount is not too much for those who prioritize visuality.
It is correct to define inlays and onlays as a solution between filling and crown (coating). It is an aesthetic treatment method applied to teeth that do not have enough tooth tissue to be filled or are not damaged enough to be coated.
The most important difference between inlays and onlays is that if the size of the procedure to be applied to the tooth is the same as the filling, it is called inlay, while if it is larger than the filling but smaller than the coating, it is called onlay.
They are preferred especially in cases where it is thought that the filling to be applied after cleaning the decay in teeth that have undergone root canal treatment or have advanced decay will not provide sufficient strength. Especially since these procedures are prepared in a laboratory environment, the desired anatomical form and contact between the teeth are easily provided. It is also much more durable than classical filling materials. Inlays/onlays prepared in accordance with the rules can be used comfortably for a very long time.
Especially teeth that have undergone root canal treatment become fragile over time due to changes in their structure or lack of sufficient healthy tooth tissue. Successful root canal treated teeth may sometimes have to be extracted due to fractures that occur.
Endocrowns are used as a very good alternative to traditionally applied post-core-crown restorations for treating root canal treated teeth with excessive material loss and making them available for use.
The basis of the restoration of endocrowns is the coatings that are made by taking support from the remaining tissues after the tooth is cleaned of decay, and produced from special materials and using special adhesives. It is a very simple, fast and protective method.
Today, scientific studies have revealed very successful results in endocrowns made of materials such as composite, feldspathic porcelains, lithium disilicate.
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He was born in Trabzon in 1983. After completing his primary, secondary and high school education in Trabzon, ...
Examine DoctorThe articles and posts on our website are for informational purposes only. They cannot be used for diagnosis or treatment purposes in any way. Relevant experts should definitely be consulted for treatment.