Adequate and Appropriate Restoration of Tooth Structure
As crowns are fabricated indirectly (outside of the mouth) free of the encumbrances of saliva, blood, and tight quarters, they can be made to fit more precisely than restorative materials placed directly (inside the mouth). In regards to marginal adaptations (the circumferential seal which keeps bacteria out), anatomically correct contacts (touching adjacent teeth properly so food will not be retained), and proper morphology, the indirect fabrication of the restorations are unprecedented. Indirectly fabricated crowns may be fabricated one of two ways. In the traditional sense, the tooth in question is prepared, a mold is taken, a temporary crown is placed and then the patient leaves. The mold is then sent to a dental laboratory whereby a model is constructed from the mold, and a crown is created on the model (usually out of porcelain, ceramic, gold, or porcelain/ceramic fused to metal) to replace the missing tooth structure. The patient returns to the dental office a week or two later and then the temporary is removed and the crown is fitted and cemented in place. Alternatively, a crown may be indirectly fabricated utilizing technology and techniques relating to CAD/CAM dentistry, whereby the tooth is prepared and computer software is used to create a virtual restoration which is milled on the spot and bonded permanently in place an hour or two later.
Read more about this topic: Crown (dentistry)
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—Henry David Thoreau (1817–1862)
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