Porcelain-Fused-to-Metal

Porcelain-fused-to-metal restorations have been a mainstay of prosthetic dentistry for more than half a century. The flexibility in design from no exposed metal to metal occlusals allow the PFM to be utilized in many clinical situations including parafunction and limited space. PFMs work well as single units and bridges designed by your preferences for each case.

Products

PFM

The PFM (Porcelain-Fused-to-Metal) crown is a tried-and-true restoration that provides strength and durability. The PFM could be the only option for those difficult and complex situations that require precision attachments, or require high strength in situations with minimal room.

Benefits

  • Tried and true.
  • Strength and durability.
  • Good for large-span bridges.
  • Precision attachments.

Indications

  • Ideal restoration for anterior and posterior crowns and bridges. Cases requiring precision attachments or when minimal inner occlusal space is available.

Contraindications

  • Highly aesthetic cases with minimal prep reduction.

Cementation

  • Any resin modified glass ionomer luting agent.

Preparation

  • Any margin style, ideally 1.5 mm of inner occlusal space for optimum aesthetics.

Types of alloys

The metal substructure of a PFM can be made out of any one of a number of dental alloys.
  • High noble – Precious. These alloys have over 60% gold, platinum and/or palladium content. High noble metal is one of the easiest alloys to adjust. Yellow gold high noble metal offers the best aesthetics over any other PFM restoration. We offer PFM crowns in both yellow and white gold high noble restorations.
  • Noble alloys – Semiprecious. These alloys have over 25% noble metal (gold, platinum, palladium) content. Noble metal crowns offer a more hypoallergenic restoration over base metal crowns at a more affordable cost over high noble crowns.
  • Base – Nonprecious. Contains less than 25% noble metal. Base metal alloys are considered to be the most economical PFM restoration. Many base metal alloys contain nickel, chrome, and/or beryllium alloys.

Dental Insurance Codes

  • D2750 - Crown - porcelain fused to high noble metal
  • D2751 - Crown - porcelain fused to predominately base metal
  • D2752 - Crown - porcelain fused to noble metal

Captek™

Indications

  • Crowns
  • 3 unit bridges

Contraindications

  • Cantilever pontics

Advantages

  • Excellent aesthetics
  • Positive gingival response
  • Eliminates black or gray margins
  • Fast turnaround time

Health

  • The advanced gold coping material is proven to reduce the accumulation of harmful bacteria at the gum line by 90% compared to natural tooth structure.

Strength

  • The infusion of platinum and palladium into gold produces an extremely dense and strong coping.
  • Extreme bond strength between the porcelain and Captek gold reduces fractures.

Aesthetics

  • Captek gold does not oxidize, eliminating the black or gray margins of traditional PFMs.
  • The warm gold color of Captek’s understructure used to produce the gold copings provides natural light dispersion.

What to Send

  • Upper and lower models or impressions
  • Shade
  • Bite registration

Medical Insurance Codes

  • D2750 - Single Crown PFG