A pragmatic perspective on reconstructive dentistry and the utilization of posterior all-ceramic crowns

The placement of well over 500 units of all-ceramic crowns with internally supported aluminous porcelain cores, on anterior (37 percent) and posterior (63 percent) teeth, has demonstrated no greater fracture rate than what might be expected from ceramometal crowns. This esthetic option further expands reconstructive vistas. However, this option must be accompanied by inclusive patient management and education, proper examination and integrated comprehensive treatment planning based upon a sound knowledge of the biology and biomechanics of the stomatognathic system.