Metal-free ceramics for dental prosthetics

Metal-free ceramic crowns

The most common reasons for placing a crown are to maintain the integrity of the tooth structure, although crowns can also be used for cosmetic improvement.

You may need a crown if your tooth is:

  • broken or cracked from a blow
  • decayed or severely discolored from poor oral hygiene
  • weak from wear and tear from damage or excavation from root canal treatment
  • misshapen or unattractive from severe discoloration
  • large portions are missing or missing from extraction
  • worn at the points and no longer sharp
  • changed by a large filling or dental implant

The best way to know if you need a crown is to have your teeth examined by a dentist. Only a professional can assess their condition and determine the right treatment.  

Types of metal-free ceramics

When it comes to dental crowns, you basically have three categories: metal, non-metal, and alloy. The main difference between metal-free crowns and metal crowns is the material they contain, whether it is a natural metal, a metal alloy, or another substance. What are metal-free crowns made of? They are most often made of porcelain, quartz, glass, or resin-based ceramics, with zirconium disilicate and lithium disilicate becoming increasingly popular.

All-resin crowns:

This common, inexpensive type of crown is made of composite resin. It is easy to shape, but it is also easily damaged, so it is sometimes used as a temporary crown. Average cost is $300-$1,000.

Ceramic crowns:

These metal-free crowns use porcelain or ceramic. They have a natural appearance that blends perfectly with the rest of the teeth, so they are often used to make crowns for front teeth. The average cost is $800-$2,500.

Metal-ceramic crowns:

PFM crowns look like porcelain but contain metal for strength. This also makes them cheaper. The average cost is $500-$2,000.

Lithium disilicate crowns:

This highly durable glass ceramic is made from components such as quartz and is resistant to thermal shock. It is strong enough to be bonded to front or back teeth, and has become increasingly popular over the past decade. Average cost is $1,000-$3,000

Zirconium crowns:

An innovative type of crown made from zirconium oxide, which is stronger and more natural looking than regular porcelain. This means that zirconium crowns are metal-free, non-toxic, and have been shown to withstand the most pressure of any non-metal crown. Average cost: $1,000-$3,000 The cost of a non-metal crown varies depending on its materials, availability, and how much time and effort is required to prepare and place it. Most non-metal crowns are more expensive than metal crowns, although some metal crowns are more expensive than plastic crowns.

The main advantages of metal-free ceramics

What are the advantages of metal-free crowns? They are better because:

  • They are less susceptible to cold and heat, so they are less likely to cause sensitivity
  • There are no allergic reactions to metals.
  • They are installed faster and easier than metal crowns.
  • Easily shape your mouth perfectly
  • Look more natural, imitating the pearlescent color and shine of real teeth

Advantages of Zirconia Crowns

Zirconia dental material is incredibly durable due to its crystalline structure, is a ceramic construction, and will not have unsightly metal lines like porcelain crowns pressed against metal. The many benefits of choosing zirconia crowns can be divided into several categories:

  • Appearance. Zirconia has a translucent crystal appearance. This makes it naturally unnoticeable to the teeth in the back of the mouth. Combined with its durability, zirconia is ideal for molars and chewing teeth. The natural appearance of zirconia will not stand out if it is covered with porcelain, like metal crowns. Zirconia can also be easily reshaped or colored to match your teeth, and is a preferred option for camouflaging stains or damage to teeth.
  • Strength. Zirconia can be made from a single monolithic piece. This greatly increases its longevity. Zirconia has the highest fracture strength of almost any dental implant on the market. Anything stronger can cause more potential complications for your mouth. Zirconia at 1mm is stronger than a 1.5mm thick porcelain fused to metal (PFM). The correct thickness, care, and fit will last your zirconia crown for an average of 10-20 years. Zirconia also has good strength and resistance to temperature changes, which should prevent tooth pain or discomfort.
  • Durability. On average, your zirconia crown should last 10-20 years without any issues. This doesn’t mean it can’t last 20+ years without any issues. Given the durability, lack of chipping or cracking, and ease of cleaning of the material, you shouldn’t have any issues for many years; if you have any at all.
  • Safety. Zirconium is highly biocompatible. There is nothing in the material that could react with your body. This will significantly reduce the likelihood of infections, allergies, or the penetration of harmful metals or chemicals into your body.

Disadvantages of the method

Zirconia dental crowns have many potential drawbacks. Even with new dental enhancements, the appearance of zirconia may not match the shade of the tooth. If a patient is getting a crown on a front tooth, they may want a lithium disilicate or porcelain crown instead. Zirconia crowns are generally one of the most expensive types of crowns.

Manufacturing of crowns using CAD/CAM technology

Until now, the zirconia CAD/CAM system has the highest fracture strength among all-ceramic materials and has consistently provided the most esthetic and realistic reproduction of natural teeth. They have been widely accepted by both dentists and patients. The zirconia CAD/CAM system is designed for crowns and bridges in natural teeth or implants and telescopes, the zirconia CAD/CAM system can be placed anywhere in the oral cavity and can replace porcelain crowns and bridges with single crowns and bridges of less than 6 units.

Features of installation of zirconium crowns

The crown is installed under local anesthesia (if necessary) and the tooth is isolated with a cofferdam. But not in all cases. After this, it is thoroughly cleaned and degreased, and the crown is disinfected. Depending on the situation, the doctor selects cement for fixing the crown, and if necessary, illuminates it for hardening. On average, installing zirconium crowns takes about 10-30 minutes. The undeniable advantage of such prostheses is that they can be fixed at once in a group of 2-3-4 crowns, which significantly saves time, and in the case of zirconium, it is also less traumatic. Important! If you need a long bridge prosthesis (5-6 teeth long), then it is better to prefer metal-ceramic crowns made of titanium or chromium-cobalt alloy. A bridge made of zirconium dioxide may not withstand the load without additional support. Therefore, long bridges are best made with support on a titanium beam. At the same time, a zirconium crown fits very well on a single implant and lasts for many years.