Cast Metal

Cast metal crowns are fabricated outside the mouth and are cemented with a luting agent. To minimize exposure of the luting agent to oral fluids, a long-lasting restoration must have good marginal adaptation. The highly refined techniques for overcoming the problem of marginal fit also permit the manufacture of cast metal crowns with precisely shaped axial and occlusal surfaces. This ensures continued periodontal health and good occlusal function. The internal dimensions of a casting must seat without binding against the walls while remaining stable and not becoming displaced during function. Preparation design for cast metal restorations is critical and is discussed in detail in Chapter 7.

Intracoronal Restorations (Fig. 3-3). An intra-coronal cast metal restoration or inlay relies on the strength of the remaining tooth structure for support and retention, just as a plastic restoration does. However, greater tooth bulk is needed to resist any wedging effect on the preparation walls. Therefore, this restoration is contraindicated in a significantly weakened tooth. When fabricated correctly, it is extremely durable because of the strength and corro-

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