Metal-ceramic bridges from commercial dental laboratories: alloy composition, cost and quality of fit

Br Dent J. 1992 Mar 7;172(5):198-204. doi: 10.1038/sj.bdj.4807820.

Abstract

The quality of construction of fixed bridge prostheses directly affects their long-term survival. The cost, alloy composition and marginal fit of bridges made by 30 commercial dental laboratories is assessed. Duplicate models of a three unit bridge preparation were sent to 30 different laboratories, as if required for a patient receiving treatment under the General Dental Service. Material was sent via general dental practitioners, requesting metal-ceramic bridges made from 45% Au alloy, precious metal or non-precious metal. Proximal contacts were overbuilt at 65% of sites and pontic tissue contacts were excessive in all but one bridge. Eight laboratories did not use alloys corresponding to the request made. The mean marginal gaps of non-precious metal bridges (145 microns) were significantly greater than those for 45% gold alloy (106 microns). Marginal fit was poor and a number of factors have been observed, with other postulated, which may have contributed to this problem.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Ceramics
  • Dental Alloys / chemistry
  • Dental Alloys / economics
  • Dental Alloys / standards*
  • Dental Casting Technique / standards
  • Denture, Partial, Fixed / economics
  • Denture, Partial, Fixed / standards*
  • Gold Alloys / standards
  • Humans
  • Laboratories, Dental / standards*
  • Models, Dental / standards
  • Palladium
  • Quality of Health Care
  • United Kingdom

Substances

  • Dental Alloys
  • Gold Alloys
  • Palladium