Fabrication of a maxillary posterior fixed partial denture with a type 4 gold alloy and a dual-polymerizing indirect...

The aim of the present study was to design and fabricate a maxillary posterior fixed partial denture (FPD) made of a type 4 gold alloy and an indirect composite. Unlike the conventional framework design of a resin veneered restoration, cut-back was extended approximately 1/4 to 1/3 width in the occlusal table of the buccal cusp. Multiple retentive beads 150-200 mum in diameter were placed on the metal surface to be veneered. The gold alloy was cast in a cristobalite mold using a centrifugal casting machine. The cut surface with the retentive beads was air-abraded with alumina, and a priming agent (Alloy Primer) that contained triazine dithione monomer (VTD) was applied. A tooth-colored veneer was then fabricated with a highly loaded light- and heat-cured composite material (Estenia). This design and procedure can be applied as a standardized laboratory technique for fabrication of maxillary posterior restorations and FPDs.