Need steps for a porcelain repair with composite?

Porcelain repair with composite is possible but is more technique sensitive than most dentistry.

Porcelain repair step by step

1. Bevel and roughen with rough diamond (or sandblast)
2. Apply 9% HF 1 minute – 90 seconds
3. Regular phosphoric acid etch 20 seconds agitated to clean and remove salts
4. Rinse with water and dry
5. Apply silane 30-60 seconds (Bis-silane)
6. Apply bond (All-Bond-3) or Bisco Porcelain Bonding Resin=HEMA free
7. Air thin do not light cure at this point!!
8. Place composite and cure

Bisco Porcelain Repair Bonding Resin

Bis-GMA <40%
Urethane dimethacrylate <40%
Tri-EDMA <30%

What is the ADA dental code for a porcelain repair of a dental crown or bridge?

The dental code for the repair of a dental crown is D2980. The dental code to repair a dental bridge is D6980.

Looking for PFM porcelain repair steps?

PFM repair can be done successfully even if the porcelain has broken to the metal. The success rate is lower when you get to the metal and the more metal that you can see the worse that success rate will be.

PFM repair step by step

1. Bevel and roughen porcelain with rough diamond (or mircoetch)
2. Apply 9% HF 1 minute – 90 seconds
3. Agitate regular etch for 20 seconds to clean and remove salts
4. Apply silane 30-60 seconds (Bis-silane)
5. Apply 2 coats Z-Prime to metal and dry 3-5 seconds
6. Shake Bisco Opaquer Base and Catalyst well prior to mixing. Apply with brush and cure
7. Apply bond (All-Bond-3) or Bisco Porcelain Bonding Resin=HEMA free
8. Air thin do not light cure at this point!!
9. Composite and cure

Bisco Porcelain Repair Bonding Resin

Bis-GMA <40%, Urethane dimethacrylate <40%, and Tri-EDMA <30%

Important points in PFM repair steps.

Using a HEMA free bonding agent is important. Most have HEMA so check which bonding agent you are using. I prefer the two bottle versions of silane as they last longer on the shelf. Most salines degrade fairly quickly and unless you bond all your crowns you will definitely not use it up fast enough. If too much is broken and the porcelain is off of a pontic you can attempt an over crown. Basically prep the pontic like a tooth and take an impression.

Another way to repair is a slip crown.

We have a blog on slip crowns and below you can see how you prepare a tooth for such a crown.