4 doctors weighed in:

Best pfhn bridge:with metal occlusals (biting surfaces) &porcelain facings or with porcelain covering metal except on tongue side of crown porc occlus?

4 doctors weighed in
Dr. Robert Tupac
Dentistry - Prosthodontics
1 doctor agrees

In brief: Depends

Usually metal has physical properties closer to the physical properties of tooth structure and porcelain is harder and can sear tooth enamel.
... Ask your dentist what is used in the office or if there are choices. Sometimes a prosthodontist has special training in this area and give you the service you desire.

In brief: Depends

Usually metal has physical properties closer to the physical properties of tooth structure and porcelain is harder and can sear tooth enamel.
... Ask your dentist what is used in the office or if there are choices. Sometimes a prosthodontist has special training in this area and give you the service you desire.
Dr. Robert Tupac
Dr. Robert Tupac
Thank
Dr. David Mcnay
Dentistry
1 doctor agrees

In brief: Best is relative

Best is always relative to the patient's bite dynamics, wouldn't you agree.
If the patient has other pfhn where the porcelain has been blown off by parafunction and bruxism, then go full cast. If you can achieve group function or disclusion go porcelain occlusal. Let the patient's history guide their future. Have a great time with the case. Bridges are always great!

In brief: Best is relative

Best is always relative to the patient's bite dynamics, wouldn't you agree.
If the patient has other pfhn where the porcelain has been blown off by parafunction and bruxism, then go full cast. If you can achieve group function or disclusion go porcelain occlusal. Let the patient's history guide their future. Have a great time with the case. Bridges are always great!
Dr. David Mcnay
Dr. David Mcnay
Thank
Dr. Gary Sandler
Dentistry
1 doctor agrees

In brief: Esthetics?

The best bridge would be one made by the most skilled and caring dentist and the finest lab technician.
It's the craftsmanship and not the materials. That being said, porcelain is used for esthetics. If you don't care about esthetics, an occlusal (biting) surface with metal cannot break, while porcelain can. In my mouth, i would go for implants, and the pfm bridge as the next best option.

In brief: Esthetics?

The best bridge would be one made by the most skilled and caring dentist and the finest lab technician.
It's the craftsmanship and not the materials. That being said, porcelain is used for esthetics. If you don't care about esthetics, an occlusal (biting) surface with metal cannot break, while porcelain can. In my mouth, i would go for implants, and the pfm bridge as the next best option.
Dr. Gary Sandler
Dr. Gary Sandler
Thank
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