REVIEW PAPER
Methods of repair of prosthetic crowns – based on literature
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Katedra Protetyki Stomatologicznej, Warszawski Uniwersytet Medyczny
These authors had equal contribution to this work
Submission date: 2024-07-31
Final revision date: 2024-09-08
Acceptance date: 2024-12-09
Publication date: 2024-12-10
Prosthodontics 2024;74(4):367-376
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ABSTRACT
Among fixed dental prostheses prosthetic
crowns are those that are fabricated the
most frequently. The choice of materials and
manufacturing technology depends on many
factors: occlusion type, presence of parafunctions,
position in the dental arch and aesthetic
expectations of the patient. Yet, regardless of the
type of the crown used, this restoration may be
subject to failure while in use. Most frequently
the defects involve the veneering porcelain in
varying stages of failure: from small porcelain
chippings (1st stage) to significant damage to
the veneering material with framework exposure
(3rd stage). Failure of the framework itself or the
decementation of the crown are less common. To
perform intra-oral repairs of dental crowns one
may choose between direct and indirect methods.
The method and performed procedures depend on
the material of the restoration and the extent of
failure. Currently, dentists have a wide variety of
materials at their disposal that aid in restoring
both the function and the aesthetics of dental
crowns. In many clinical cases, an intra-oral
repair is an alternative method to replacement
with a new prosthesis that is worth considering.
An analysis of articles published between years
2000-2024 was performed using five medical
databases (PubMed, Medline, Cochrane Library, Web of Science and Scopus). Articles relating to
causes and types of prosthetic crown failures,
repair methods and survival rates were taken into
consideration. From the available literature, 51
publications were chosen initially, of which 39
were further analysed.