All ceramic restorations were expected to replace metal-ceramic restorations very fast since the obvious advantage of possessing improved esthetics was thought to be groundbreaking. Both theoretically and practically though, metal-ceramic has withstood the competitive challenge of all ceramic restorations and is still the choice of restoration in most of the posterior missing teeth. An important consideration for an all ceramic three unit fixed partial denture is the existing occlusion of the patient. This article in the form of a case report presents a case of a missing maxillary left central incisor that was successfully restored with an all ceramic three unit zirconia reinforced ceramic. The influence of anterior guidance in the design of such prosthesis is also discussed.
Key words: metal- ceramic, zirconia, alumina, resin cement, tooth preparation.