Prosthodontics & Occlusion · single question

A patient with bruxism needs a posterior crown. Which material is the best choice for fracture resistance?

  1. Feldspathic all-ceramic
  2. Monolithic zirconia
  3. Lithium disilicate (e.max)
  4. PFM with porcelain occlusal
Show answer and explanation

Correct answer: B. Monolithic zirconia

  • A. Feldspathic/glass ceramics are weakest and prone to fracture under heavy parafunction.
  • B. Correct. Monolithic (full-contour) zirconia has the highest flexural strength and is the most fracture-resistant option for a bruxer.
  • C. Lithium disilicate is strong but lower in flexural strength than monolithic zirconia for heavy occlusal loads.
  • D. PFM can chip porcelain at the occlusal contacts under bruxing forces.

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