Ceramic Crowns Made with CAD/CAM – How Are They Created?

Scanning instead of impression trays, design on screen, milling from a ceramic block: this is how a crown is made digitally.

Ceramic Crowns Made with CAD/CAM – How Are They Created?

In the past, a crown meant an impression tray with impression paste, a plaster model and handwork in the laboratory. With CAD/CAM technology, much of this is done digitally – from the scan in the mouth to the milled ceramic. This makes the path to a crown more comfortable and the result very precise.

In short

For a CAD/CAM crown, the prepared tooth is scanned digitally, the crown is designed on the computer and milled from an industrially manufactured ceramic block. Until it is ready, a temporary crown protects the tooth; the crown is fitted at the follow-up appointment. Advantages: no impression tray, a very precise fit and stored data.

Procedure

Procedure
  1. Preparationunder anaesthesia: removing decay and old fillings, shaping the tooth.
  2. Scandigital impression of the tooth, the neighbouring teeth and the opposing jaw.
  3. Temporary crownprotects the tooth until the crown is ready.
  4. DesignThe crown is designed on screen and adapted to your bite.
  5. Milling and firingThe crown is made from a ceramic block; glaze and colour are adjusted individually.
  6. Fittingat the follow-up appointment: checking the fit, bonding it adhesively, checking the bite.
Ceramic block in the milling machine, next to it the finished milled crown
The crown is precisely milled from the ceramic block.

Advantages of the digital route

  • no impression tray – comfortable, especially if you have a gag reflex
  • a very precise fit, because scanning and design involve no material distortion
  • homogeneous, industrially manufactured ceramic
  • stored data – a replacement can be made without a new impression

When a master dental laboratory is needed

  • larger bridges and very complex cases
  • particularly high aesthetic demands for individual front teeth (layered ceramic)
  • situations in which the gums first need to heal

In these cases we work with a master dental laboratory – the digital impression is simply transferred.

Book your appointment at the Zahnarztpraxis St. Peter – via online booking or by phone on 0911 554181. You will find us at Hainstraße 25, 90461 Nürnberg (tram 6/10 to Scharrerstraße, patient parking via Scharrerstraße).

Frequently asked questions

How many appointments will I need?

Usually two: preparation and scan at the first appointment, fitting of the finished crown at the second.

Is the crown as strong as a laboratory crown?

Industrially manufactured ceramic blocks are very homogeneous and resilient. When used for the right indication, CAD/CAM crowns are long-lasting.

This article is a translation of our German guide and does not replace a personal examination and consultation. If you have symptoms, please see a dentist – for example at the Zahnarztpraxis St. Peter in Nuremberg.

Appointments at the Zahnarztpraxis St. Peter

Hainstraße 25 · 90461 Nuremberg · tram 6/10 Scharrerstraße