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Re: crown - captek

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Re: crown - captek

Amatus Cremona26 Feb 2007 17:37
You have to always plan for a weak link.  You have to know where the
eventual failure will occur.  If you engineer the failure point into right
part of the restoration, you get the privilege of redoing the restoration
over the next 40 years, rather than eventually extracting the tooth.  With a
metal crown coping, I would want the porcelain to wear down.  If the
porcelain is too strong, parafunctional forces force the failure down to the
CEJ.

Signature

/

Amatus

/

>> What is wrong with porcelain wear under heavy occlusal forces?  Would you
>> prefer catastrophic fracture at the gingival crest?
[quoted text clipped - 5 lines]
>
> Steve

Mark & Steven Bornfeld26 Feb 2007 17:19
> What is wrong with porcelain wear under heavy occlusal forces?  Would you
> prefer catastrophic fracture at the gingival crest?

    I'd prefer neither of these, SIR!!  I don't know the newer low-index
porcelains, and while I'd heard they were less destructive to natural
dentition I hadn't heard that they actually were softer than natural
enamel.  Certainly I'd rather wear the restoration than the tooth.

Steve

Signature

Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001


Amatus Cremona26 Feb 2007 14:30
What is wrong with porcelain wear under heavy occlusal forces?  Would you
prefer catastrophic fracture at the gingival crest?

Signature

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Amatus

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>>
>> Porcelain wear under occlusal forces.
[quoted text clipped - 13 lines]
>>>
>>> Steve

Steven Bornfeld24 Feb 2007 04:10
> Porcelain wear under occlusal forces.
>
> They fit well and looked good.  They just didn't hold up
> over time.
>
> Steve

    Wow--not fractured?

Steve

>>     Sorry to hear of your bad experience.  I haven't used them, and
>> the marketing seems to imply superior fit and strength when compared
>> to all-ceramics.  Otherwise, why use them?  How did they fail?
>>
>> Steve

Steven Fawks24 Feb 2007 00:52
Porcelain wear under occlusal forces.

They fit well and looked good.  They just didn't hold up
over time.

Steve

>     Sorry to hear of your bad experience.  I haven't used them, and the
> marketing seems to imply superior fit and strength when compared to
> all-ceramics.  Otherwise, why use them?  How did they fail?
>
> Steve

Steven Bornfeld23 Feb 2007 20:30
> Maybe I did something wrong, but I doubt it.
>
[quoted text clipped - 5 lines]
>
> D

    Sorry to hear of your bad experience.  I haven't used them, and the
marketing seems to imply superior fit and strength when compared to
all-ceramics.  Otherwise, why use them?  How did they fail?

Steve

>> My dentist recommended that I get a captek crown + bridge. It will
>> cost me $2,000 after insurance. The alternative is to have a silver/
>> metal cown/bridge for $1,200. Is captek worth the extra $800? The
>> bridge is for a molar that is hardly seen when i smile.

Steven Fawks23 Feb 2007 04:26
Maybe I did something wrong, but I doubt it.

The Captek crowns and bridges that I have done have *not* given
the durability and longevity of conventional porcelain fused
to noble metal.

Looking good for 'a while' doesn't cut it for me.

D

> My dentist recommended that I get a captek crown + bridge. It will
> cost me $2,000 after insurance. The alternative is to have a silver/
> metal cown/bridge for $1,200. Is captek worth the extra $800? The
> bridge is for a molar that is hardly seen when i smile.

3t23 Feb 2007 03:45
My dentist recommended that I get a captek crown + bridge. It will
cost me $2,000 after insurance. The alternative is to have a silver/
metal cown/bridge for $1,200. Is captek worth the extra $800? The
bridge is for a molar that is hardly seen when i smile.

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