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What will u select for posterior crowns if money is not a constrain-Porcelain Fused Metal/Monolith Zirconia/Porcelain layered Zirconia-Lava/Emax?

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Question added by Nadeem Ahmed , Consultant Dental Surgeon , City Dental Clinic
Date Posted: 2016/09/16
Bhuvanesh Tandon
by Bhuvanesh Tandon , Endodontist/Associate Professor , Baba Jaswant Singh Dental College Hospital and Research Institute

PORCELAIN LAYERED ZIRCONIA-LAVA

srinivas kalluri
by srinivas kalluri , Professor , Gitam dental Hospital and college

In my view monolith is always better compared to layered zirconia as chances of chip off of layered ceramic is absent.

arshalan khan
by arshalan khan , resident dentist , lifeline hospital and research center

porcelain layered zirconia lava

Dr P Mol
by Dr P Mol , Senior Dentist , Self-Employed

Very good question. Both answers by my colleagues are valid and the safest option in terms of longevity of the crown without an examination. However, if there is no diagnosis of bruxism (grinding teeth), the absolute best choice cosmetically would be to opt for an Emax crown. Latest studies show that longevity of Emax crowns are not far behind Zirconia types.

Best Regards

Hesham Othman
by Hesham Othman , Professor, and Head of Department of Crown and Bridge , Faculty of Dental Medicine, Al-Azhar University

treatment plan determined after discussion with the patient, and patient desire is important, if the esthetic requirement of the patient is the main goal, the treatment option will be monolithic zirconia, while if the patient requirement is only function or the restoration is not appear in esthetic zone the first of choice will be full metal restoration to preserve both biologic and mechanical considerations of the tooth and restoration 

Albert Pozo
by Albert Pozo , Consultant Maxillofacial Surgeon , VITALDENT

Monolyth zirconia to avoid problems with chipping of layered options.

tariq ahmad
by tariq ahmad , dental therapist and technologist , abaseen dental clinic

discuss with patien if esthetis is importan then zarconia  and if funcaion is requried then metal porceline

Dr zouha boughattas
by Dr zouha boughattas , Cabinet Dentaire , Cabinet Dentaire

I would choose monolithic zirconia if the patient doesn't suffer from posterior problems in TMJ area. 

EMax crown if money is not a constraint.

fouad nassar
by fouad nassar , DDS,MSc Endodontic , art dental poly clinic

for posterior crown porcelain fused metal

Depends of The malfunction  of patient mouth. When appear  bruxism  web should avoid layering ceramica crown și and we should user monolithic zirconiu if aesthetic îs primordial  or  full  metal  crown to preserv  more  dental  substances.

Monolith Zirconia as chipping off is not a problem.

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