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This type of prosthesis is conceptually similar to the metal-ceramic prosthesis, except the substructure is made from ceramic (zirconia) instead of metal. Veneering ceramic is then applied to the zirconia. Patients who request a metal-free prosthesis and/or demand an excellent esthetic outcome may be better managed with an all-ceramic prosthesis in which the gray color of metal-ceramic does not need to be masked. Here too, ceramic chipping or fracture may be difficult to repair, and occlusal considerations, particularly parafunctional ones, need to be very carefully considered.