Metal-Ceramic Dental Crowns (2025)

Metal-ceramic crowns

One of the dental treatment methods that has been used for many years due to its aesthetic appearance and durability is metal-ceramic crowns. These restorations are made by layering ceramic material over a metal base. This combination creates a structure that is both strong and provides a more natural look. For this reason, ceramic dental treatments are widely applied, especially for the back teeth.

What are the advantages of metal-ceramic crowns?

Metal-ceramic dental crowns are still preferred by many patients for the following reasons:

High durability – The metal base reinforces the tooth, making it especially suitable for molars.
Natural appearance – Thanks to the ceramic layer, the color and shine resemble natural teeth.
Effective chewing function – Metal-ceramic crowns adapt well to other teeth, allowing for comfortable chewing.
Long-lasting – With proper care and oral hygiene, they can be used for many years.
More affordable – Compared to traditional zirconia crowns, metal-ceramic crowns are generally more budget-friendly.

Who are metal-ceramic crowns most suitable for?

Who are metal-ceramic crowns suitable for?

Metal-ceramic crowns are considered more appropriate in the following cases:

Individuals with aesthetic concerns about the shape or color of their teeth
Patients with insufficient bone structure for dental implants
Those who cannot or do not want to undergo implant surgery
When a dental bridge needs to be placed
People looking for a durable and budget-friendly crown solution
Patients who need strong and long-lasting crowns for their back teeth
Those with extensive tooth decay or structural loss of the natural tooth

What is the difference between zirconia and ceramic?

Many patients find it difficult to decide: are zirconia crowns better, or metal-ceramic ones? In reality, both have their own advantages and areas of application. When choosing between them, factors such as aesthetic and functional needs, budget, and gum compatibility should be considered.

1. Aesthetic Appearance
Zirconia crowns are more translucent and light-reflective, which makes them appear closer to natural teeth.
Metal-ceramic crowns are less translucent, and in front teeth, the metal base may become visible as the gum recedes over time.

2. Biocompatibility and Gum Interaction
Since zirconia crowns contain no metal, they tend to integrate better with the gums and pose a lower risk of allergic reactions or irritation.
In metal-ceramic crowns, inflammation and redness may occur in areas where the crown touches the gum.

3. Strength and Durability
Both crown types are strong, but metal-ceramic crowns are more resistant to chewing pressure and are commonly used on back teeth.
Zirconia crowns are also durable but are generally preferred in aesthetic zones, such as the front teeth.

4. Price
Metal-ceramic crowns are generally more affordable.
Zirconia crowns are more expensive due to material and technology differences.

5. Longevity
Zirconia crowns provide long-term aesthetic results and do not change color over time.
Metal-ceramic crowns, on the other hand, may cause gum discoloration and aesthetic issues after a certain period.

Comparison of Metal-Ceramic Crowns with Other Types of Dental

Although metal-ceramic crowns have been used for a long time, there are now many different types of dental restorations available. Below is a comparison between metal-ceramic crowns and other commonly used ceramic crown types:

Composite Crowns: These are more affordable and quick to fabricate. However, they are less aesthetic and wear down quickly. They are more suitable as a temporary solution.

E.max (Lithium Disilicate) Ceramic: Known for its high translucency and excellent aesthetics, it is especially used for front teeth. It contains no metal, but can be more fragile under pressure.

Zirconia Crowns: These combine strength with translucency. They stand out for their natural appearance and durability but tend to be more expensive.

Metal-Ceramic Crowns: A more cost-effective and durable option, especially ideal for molars. However, they are less translucent and natural-looking compared to zirconia and E.max crowns.

Each crown type has its own advantages. When choosing, both the patient’s budget and aesthetic expectations should be taken into account.

How are metal-ceramic crowns installed?

The preparation of metal-ceramic crowns begins with the dentist taking precise impressions of the patient's oral cavity. Then, in the laboratory, a metal framework is fabricated to match the patient’s jaw structure. A layer of ceramic is applied over this metal base to provide an aesthetic appearance. The finished crown is then placed in the mouth, and its fit is carefully checked. If necessary, final adjustments are made before the crown is permanently cemented. Performing this process with accuracy ensures both functional effectiveness and a successful aesthetic result.

Prices of Metal-Ceramic Crowns

The cost of metal-ceramic dental crowns can vary depending on several factors. These include the quality of the materials used, the level of craftsmanship in the dental laboratory, the dentist’s experience, and the technological capabilities of the clinic. In some cases, the position of the tooth — whether it is a front or back tooth — can also influence the price.

Additionally, the type of metal used for the base (such as standard metal, gold alloy, or biocompatible materials) and the detailing of the ceramic layer are also part of the overall cost calculation. Since each patient receives an individual treatment plan, the exact price can only be determined after a thorough consultation and assessment.

Metal-ceramic crowns offer a well-balanced combination of aesthetics and functionality, making them a suitable option for patients with mid-range budgets.

Do metal-ceramic crowns show at the gumline? How do they affect the gums?

Metal-ceramic crowns are aesthetic dental restorations consisting of a metal substructure covered with a ceramic layer. These crowns are especially preferred for back teeth due to their durability and reasonable cost. However, over time, if gum recession occurs, the metal edge of the crown may become visible at the gumline. This is more noticeable on front teeth and can lead to aesthetic concerns.

Impact on the gums
Metal-ceramic crowns may not always fit perfectly with the gum tissue. Small gaps can form between the crown and the gum, where food particles can accumulate, leading to:

Gum inflammation
Redness, swelling, and bleeding
Bad breath
Infection around the tooth root

Such issues increase the risk of developing gum disease.

Risk of decay and pain
The natural tooth under the metal-ceramic crown may decay over time, especially if the crown does not fit properly. In cases of decay, patients may experience persistent toothache, bad odor, and signs of infection. If left untreated, this can result in the loss of the tooth.

Aesthetic concerns and discomfort
As the metal edge becomes more visible, it can create a dark line around the base of the crown, which is aesthetically unappealing. This effect is particularly noticeable in the smile zone and may cause visual discomfort for both the patient and others.