Preference of the Patient in Choosing Metal Ceramic Vs. all Ceramic Crowns after Undergoing Root Canal Treatment in the Upper Anterior Tooth
Author(s): Debarun David and Vigneshwar T*
Abstract
Introduction: The metal-ceramic crown system is still frequently preferred because of its strength and versatility. The ability to select metals for color or strength for single units gives great flexibility, but when esthetics of the anterior region are a prime concern, the all-ceramic crown is still an excellent choice. Choice of which all-ceramic system to use is dependent on the strength demands, esthetic needs, amount of tooth structure that can be preserved, and laboratory support available. Aim: The aim of this is to assess the preference of the patient in choosing metal ceramic vs. all ceramic crowns after undergoing root canal treatment in the upper anterior tooth. Materials and methods: A Retrospective analysis of all patients that underwent root canal treatment in the anterior teeth and required a single crown. The overall data of patients visiting Saveetha Dental College from June 2019-March 2020. The data for 31 patients who preferred metal ceramic and all ceramic crowns was entered in Excel Spreadsheets. And the collected data was analysed using SPSS software version 19. Chi square test was used to statistically evaluate the results. Results: Our results shows that majority of the patients wanted all ceramic crowns, 12.90% in the age group 19-25 wanted all ceramic crowns, 3.23% wanted metal ceramic crowns. 25.81% in the age group 26-40 wanted all ceramic crown, 6.45% wanted metal ceramic crowns. 35.48% in the age group 41-60 wanted all ceramic crowns, 6.45% wanted metal ceramic. 3.23% in the age group 61-83 wanted all ceramic crowns, 6.45% wanted metal ceramic crowns. Conclusion: It was seen that most patients preferred all ceramic crowns. All-ceramic single crowns exhibit similar survival rates as metal-ceramic single crowns and is recommended in anterior regions as it needs low functional load. The main reason to use of the all-ceramics instead of metal-ceramics is based on more favorable esthetic.