A member asked:

Which bridge material type best for molar back teeth. porcelain or porcelain fused over high noble metal and why. which is more expensive.?

11 doctors weighed in across 9 answers
Dr. Marguerite Myers answered

Specializes in Dentistry

Depends: Every patients' needs are different. The design of your bridge including materials depends on the span of your bridge, your abutment teeth, and your occlusion. The price can also vary on the materials if certain noble metals are used. Please ask your dentist about your particular needs. The treating dentist will go over all the pros & cons as to how best to treat you.. Take care..

Answered 3/28/2013

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Both: It depends on several factors. The occlusion, how much tooth is left, dr skills, and esthetics. Both materials are good.

Answered 2/2/2013

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Dr. Jeffrey Goldstein answered

Specializes in Cosmetic Dentistry

P fused to M: Porcelain is not strong enough for most bridges and so it will break. A metal substructure is needed. Zirconia, a white metal, can be used instead of high noble metal for greater esthetics. Porcelain can be used alone for a single crown and not break if designed correctly.

Answered 2/2/2013

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Dr. Joseph Greenberg answered

Specializes in Prosthodontics

Gold alloys best: Porcelain over gold with strong gold support is best long term based on info we have to date.

Answered 3/26/2013

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Both: Saying which is "best" depends on what you mean by best. Excluding any cosmetic concerns, an all gold crown will likely last the longest but is least cosmetic. I only use precious metals with high gold content for all types of crowns with or without porcelain as those metals are proven and have a very low incidence of allergy concerns.

Answered 8/4/2013

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Depends on bite: It depends on your occlusion; your bite. All ceramic materials have improved substantially but certain types fracture more easily in an individual who grinds or clenches their teeth. In severe bruxers an all metal crown may be the best. With normal bites, either restoration should be sucessful. There should be very little cost difference between all ceramic crowns and porcelain fused to hi nob.

Answered 11/26/2013

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Dr. Yatin Khanna answered

Specializes in Prosthodontics

Porcelain: Depends on what type of porcelain. Metal can be more expensive it is gold.

Answered 4/2/2013

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Dr. Andres Carbunaru answered

Specializes in Dentistry - Prosthodontics

Metal: Regarding the stregth: just plain metal ( gold ) is the best ( last the longest), secount best is the porcelain fused to metal and last is zirconia ( porcelain) the cost is almost the same ( 10-15% difference).

Answered 4/14/2013

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Dr. Bolivar Luperon answered

Specializes in Prosthodontics

Crown Materials: Hi, when talking about materials for molar teeth there are a few things to keep in mind. Strength and clearance (the space between the prepared tooth and the opposing one). If there is not enough clearance because the tooth preparation is getting short, pfm (metal on the chewing side) or full gold will be better. Otherwise, you could get a zirconia reinforced porcelain crown. They are very strong.

Answered 7/14/2013

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