Repairing Fractured Porcelain Crowns
Morley S. Rubinoff, D.D.S., Cert. Prostho.
- Evaluate the fractured
area. Bare metal must be opaqued and a broad area of porcelain must
be etched for retention of resin.
- Cut back porcelain
to receive resin by a minimum of 2 mm around the fracture.
- Micro etch the
cut back porcelain and exposed metal using 25-50 micron aluminum oxide
abrasive. Hint: Ask the patient to close eyes when spraying abrasive.
- Apply C & B Metabond
to bare metal according to manufacturer's instructions.
- Apply Porcelain
etch to fractured porcelain and metal. Isolate caustic chemical with
cotton rolls or rubber dam and etch for 2 minutes. Thoroughly rinse
area and adjacent soft tissues after etch application.
- Apply silane to
air-dried surface. Allow silane to air dry for 60 seconds.
- Apply unfilled
resin and light cure. Apply appropriate resin in dentin, enamel and
incisal shades. Light cure, trim and polish resin with discs, cups and
polishing pastes.
- Alter surface texture
of resin restoration similar to porcelain surface of fractured abutment.
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