Prosthodontics & Occlusion · single question

A patient complains that their PFM crown appears opaque near the gum line. What is the cause — EXCEPT:

  1. Thick metal substructure
  2. Thin porcelain layer
  3. Under-preparation of the gingival margin
  4. Wrong shade of opaque
Show answer and explanation

Correct answer: D. Wrong shade of opaque

✓ D) Wrong shade of opaque is the EXCEPTION.
The opaque appearance near the cervical margin is most commonly caused by: insufficient tooth reduction leaving a thin porcelain layer that cannot mask the metal/opaque; the metal showing through; or insufficient gingival margin reduction. The shade of opaque affects color but 'wrong shade' is not a primary cause of visible opacity — the underlying issue is insufficient ceramic thickness to mask the opaque and metal.

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