Prosthodontics & Occlusion · single question

An epileptic patient needs a posterior crown on #19 and dislikes the metal collar on his current restoration. What is the best option?

  1. Porcelain-fused-to-metal
  2. Monolithic zirconia
  3. Cast gold crown
  4. Feldspathic porcelain jacket crown
Show answer and explanation

Correct answer: B. Monolithic zirconia

  • A. PFM would reproduce the exact metal display the patient objects to.
  • B. Correct. Monolithic zirconia is metal-free, esthetic, and offers the highest fracture resistance — an important consideration for a patient at risk of trauma or bruxism during seizure activity.
  • C. Gold is durable but has the greatest metallic display.
  • D. Feldspathic porcelain is the weakest option and unsuitable for a posterior molar under load.

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