Couronne métallo-céramique（CMC） - Guide de tourisme médical et soins en Chine

Porcelain-fused-to-metal (PFM) crowns restore damaged or decayed teeth while balancing strength and aesthetics. Treatment decisions depend on tooth structure remaining, occlusion, gum health, and patient preference — not age alone. Conservative options are prioritized when enamel integrity allows; intervention becomes necessary if >50% crown structure is lost or fracture risk is high.

Option 1: Non-surgical management No PFM crown is placed without clinical indication. Temporary measures — like composite fillings for minor defects or occlusal adjustment for bruxism-related wear — may delay crown placement. These cost USD 40–120 per tooth in partner hospitals (e.g., Peking University School of Stomatology, Department of Prosthodontics). Fluoride varnish or desensitizing agents (e.g., GC Tooth Mousse) run USD 15–35 per application. These do not replace crowns but support interim care. Exact need is assessed during consultation.

Option 2: PFM crown placement This involves tooth preparation, impression (digital or conventional), lab fabrication (using imported Ni-Cr or Co-Cr alloy + feldspathic porcelain), and cementation. Partner hospitals like Shanghai Ninth People’s Hospital use 3Shape TRIOS scanners and local certified dental labs. Cost per crown: USD 280–490. Pre-op exams — including X-rays (periapical or CBCT), periodontal probing, and bite analysis — add USD 60–110 total. Most patients receive one to three crowns. Full treatment typically takes 7–14 days across 2–3 visits. No hospital stay required.

Option 3: Complex cases Severe attrition, root canal-treated teeth with posts, or compromised abutments may require core build-up (USD 90–160), custom cast post-and-core (USD 180–320), or modified PFM designs (e.g., metal collar for gingival seal). These are case-specific and priced separately. Some hospitals offer zirconia-reinforced PFM variants — slightly higher cost (USD 350–560) — if marginal integrity is critical.

Quick Selection Guide Younger adults (<35) with minimal decay often start conservatively. Patients over 50 with multiple restorations frequently opt for PFM due to durability. Budget-conscious travelers choose standard PFM over all-ceramic — saving ~USD 180–300 per unit versus US/UK quotes. Those with nickel allergy undergo alloy testing first (USD 45–75). Comorbidities like uncontrolled diabetes require medical clearance — delaying crown placement until stable. Our platform can help you compare quotes from verified partners, schedule remote consultations, and coordinate travel logistics. Exact cost depends on the hospital quote — we’ve assisted patients securing appointments within 3–6 weeks of inquiry.