PubMed · 1814955
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N A Sorenson. 1991. Technique modifications to optimize ceramic bracket performance.. https://pubmed.ncbi.nlm.nih.gov/1814955/
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The quality of construction of fixed bridge prostheses directly affects their long-term survival. The cost, alloy composition and marginal fit of bridges made by 30 commercial dental laboratories is assessed. Duplicate models of a three unit bridge preparation were sent to 30 different laboratories, as if required for a patient receiving treatment under the General Dental Service. Material was sent via general dental practitioners, requesting metal-ceramic bridges made from 45% Au alloy, precious metal or non-precious metal. Proximal contacts were overbuilt at 65% of sites and pontic tissue contacts were excessive in all but one bridge. Eight laboratories did not use alloys corresponding to the request made. The mean marginal gaps of non-precious metal bridges (145 microns) were significantly greater than those for 45% gold alloy (106 microns). Marginal fit was poor and a number of factors have been observed, with other postulated, which may have contributed to this problem.
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Opaque procelain was fused over metal posts and cores. This procedure permitted the definitive all-ceramic restorations to possess a more uniform shade between teeth restored with metal posts and cores and adjacent vital teeth.