Full Cast

The most highly biocompatible restorative option available, full-cast crowns are also forgiving on opposing dentition, making them an option for bruxing patients.

Indications

Full-cast restorations are indicated for single crowns as well as bridges anywhere in the mouth.

Inlays and onlays can also be fabricated as a full-cast restoration.

Preparation

Inlays and onlays can also be fabricated as a full-cast restoration.

Feather-edge margin preparations are indicated for full-cast restorations, but any margin preparation may be used.

Cementation

  • Panavia 21 (Must be tinplated if precious metal is used)
  • Glass ionomer cement (GC Fuji, GC America)
  • Zinc Phosphate Polycarboxylate Resin Ionomer cement (RelyX, 3M ESPE)

Tech Notes

All castings are made with a metal alloy, be it non-precious, semi-precious or precious metals. Alloys are classified by their content.

  • Base – contents include non-precious, Chrome Cobalt or Titanium
  • Noble – consists of 25 percent precious alloy
  • High Noble – consists of 60 percent precious metal with at least 40 percent being gold

Alloy type refers to the hardness and/or softness of the material.

  • Type I – Extra soft
  • Type II – Soft
  • Type III– Hard
  • Type IV – Extra Hard (Rigid)

Non-Precious, Noble 20, White High Noble – Type IV – Very hard and rigid. These crowns are more difficult to adjust and re-polish than alloys with a high gold content.

Full Cast 40 – Type III – Yellow high noble alloy. Brand name currently used is Argenco 40 HN.

Full Cast 52 HN – Type III – Yellow high noble alloy. Brand name currently used is Argenco 52.

Full Cast 75- Type III – Yellow high noble and is an upgrade from full cast 52. The gold is slightly more yellow in color. Brand name currently used Argenco 75.

Codes

  • D2790 Crown Full-Cast Hi-Noble Metal
  • D2791 Crown Full-Cast Predominantly Base Metal
  • D2792 Crown Full-Cast Noble Metal