Posts for tag: crown
Inauguration night is usually a lavish, Washington, D.C., affair with hundreds attending inaugural balls throughout the city. And when you're an A-List celebrity whose husband is a headliner at one of the events, it's sure to be a memorable night. As it was for super model Chrissy Teigen—but for a slightly different reason. During the festivities in January, Teigen lost a tooth.
Actually, it was a crown, but once she told a Twitter follower that she loved it “like he was a real tooth.” The incident happened while she was snacking on a Fruit Roll-Up (those sticky devils!), and for a while there, husband and performer John Legend had to yield center stage to the forlorn cap.
But here's something to consider: If not for the roll-up (and Teigen's tweets on the accident) all of us except Teigen, her dentist and her inner circle, would never have known she had a capped tooth. That's because today's porcelain crowns are altogether life-like. You don't have to sacrifice appearance to protect a tooth, especially one that's visible when you smile (in the “Smile Zone”).
It wasn't always like that. Although there have been tooth-colored materials for decades, they weren't as durable as the crown of choice for most of the 20th Century, one made of metal. But while gold or silver crowns held up well against the daily grind of biting forces, their metallic appearance was anything but tooth-like.
Later, dentists developed a hybrid of sorts—a metal crown fused within a tooth-colored porcelain shell. These PFM (porcelain-fused-to-metal) crowns offered both strength and a life-like appearance. They were so effective on both counts that PFMs were the most widely used crowns by dentists until the early 2000s.
But PFMs today make up only 40% of currently placed crowns, down from a high of 83% in 2005. What dethroned them? The all-ceramic porcelain crown—but composed of different materials from years past. Today's all-ceramic crowns are made of more durable materials like lithium disilicate or zirconium oxide (the strongest known porcelain) that make them nearly as strong as metal or PFM crowns.
What's more, coupled with advanced techniques to produce them, all-ceramic crowns are incredibly life-like. You may still need a traditional crown on a back tooth where biting forces are much higher and visibility isn't an issue. But for a tooth in the “Smile Zone”, an all-ceramic crown is more than suitable.
If you need a new crown (hopefully not by way of a sticky snack) or you want to upgrade your existing dental work, see us for a complete exam. A modern all-ceramic crown can protect your tooth and enhance your smile.
If you would like more information about crowns or other kinds of dental work, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine article “Porcelain Crowns & Veneers.”
Modern restorations for severely damaged or missing teeth are truly remarkable. Although the type of restoration may differ — dental implant, bridge, or veneer — the end result is a life-like facsimile that matches the shape and color of your natural teeth.
To achieve this result, though, the new crown or veneer requires fabrication in a dental laboratory, a meticulous process that may take a few weeks. In the interim, we often install temporary crowns. These help in a number of ways: because we’ve prepared the teeth for final restoration by removing some of the tooth structure, the temporary crown protects and stabilizes the teeth, reduces sensitivity and helps maintain gum health. Temporary crowns also enable the patient to present a more natural smile while waiting for the permanent restoration.
Temporary crowns are typically manufactured to fit a wide range of patients, similar to an “off-the-rack” suit from a clothing store. In recent years, though, customized “tailored” temporary crowns designed specifically for an individual patient have grown in popularity among dental professionals as well as patients.
In creating a customized temporary crown, we first perform a smile analysis similar to one used for a permanent restoration. After a careful assessment of your mouth, we would then make recommendations about the elements to include in the temporary crown, including shape and color. We would also factor in your desires and concerns into the final design. Working together with the dental laboratory, we would then have the temporary crowns produced and ready to apply as soon as we complete the preparatory work.
Customized temporary crowns also serve another important purpose as a kind of “dress rehearsal” for the permanent restoration. This gives you an opportunity to “try out” the smile you’ll have with the permanent restoration in your daily life. We can then use your experience to make adjustments to the permanent crowns before final production.
While customized temporary crowns involve more effort and expense than the traditional, the benefits are worth the added cost, especially if you’re involved with an extensive “smile makeover” procedure. Not only will you look better while your permanent restoration is under construction, your temporary look will give you added confidence that your future smile is right for you.
If you would like more information on temporary and permanent dental restorations, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Concepts of Temporary Restorations.”
Getting a new crown for a front tooth is a standard procedure performed in thousands of dental offices around the country. But dental patients are sometimes surprised to find that the price of this routine treatment can vary by a substantial amount. What accounts for the difference? The answer tells us a lot about how crowns are made, and the value of aesthetics in dentistry.
Crowns may be made of several different materials. Gold, the most traditional restoration material, makes for a time-tested, functional and durable crown, lasting as long as 50 years. Gold is a precious (and expensive) metal, but considered over the lifetime of the restoration, it's an economical choice. Yet, even for back teeth, it's losing out in popularity to more aesthetically pleasing alternatives.
Porcelain-fused-to-metal (PFM) crowns and all-porcelain crowns replicate the look of natural teeth more accurately. The kind of porcelain used in restorations must have special strengtheners added, which enable it to stand up to wear and tear in the mouth. There are different porcelain materials used in dental restoration, each with a different look, quality and longevity. There are also new, high-tech ceramic materials. Each one has advantages and drawbacks, and each one's cost is different.
Besides the material, another large part of a crown's cost is the custom-fabrication of every piece. Since it must match the other teeth in form and function — and often in looks as well — every crown must be made to an individual's exact requirements. This includes the tooth's exact size and shape, its spacing, and (often) its particular color.
Making this happen is a multi-step process. First, a dentist carefully prepares a model of the affected tooth and its neighbors. Then, the fabrication work is normally performed by a highly skilled laboratory technician, at the dentist's direction. Finally, the dentist prepares the tooth for the restoration, performs final adjustments, and attaches the finished crown. When it's done, the restored tooth can be difficult to tell apart from any other.
The level of craftsmanship involved at the dental laboratory can vary — and along with it, the price. Dentists may even choose different technicians based on the quality level they're striving for. All of these factors affect the final cost of the crown, and its value to the patient.
It has been said that beauty is in the eye of the beholder, and this is certainly true in the case of dental restorations. The choice of a “best” crown is different for every person — more than one alternative may be available, and each comes with its own price. If you have more questions about your options for a crown restoration, don't hesitate to ask us!
If you would like more information about crowns, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine articles “Value of Quality Care,” “Porcelain Crowns & Veneers,” and “Gold or Porcelain Crowns.”
As a Pro Football Hall of Famer and first runner up on the hit television show Dancing with the Stars, Jerry Rice has a face and smile that truly has star quality. However, that was not always the case. During an interview with Dear Doctor magazine, the retired NFL pro discussed his good fortune to have had just a few minor dental injuries throughout his football career. He went on to say that his cosmetic dentist repaired several of his chipped teeth with full crowns. Rice now maintains his beautiful smile with routine cleanings and occasional tooth bleaching.
If you have chipped, broken or missing teeth, or are considering a smile makeover, we want to know exactly what you want to change about your smile, as the old adage is true: Beauty is in the eyes of the beholder. This is one reason why we feel that listening is one of the most important skills we can use during your private, smile-makeover consultation. We want to use this time to ensure we see what you see as attractive and vice versa so that together we can design a realistic, achievable blueprint for your dream smile.
For this reason, we have put together some questions you should ask yourself prior to your appointment:
- What do you like and dislike about the color, size, shape and spacing of your teeth?
- Do you like how much of your teeth show when you smile and when your lips are relaxed?
- Are you happy with the amount of gum tissue that shows when you smile?
- Do you prefer a “Hollywood smile” with perfectly aligned, bright white teeth, or do you prefer a more natural looking smile with slight color, shape and shade variations?
To learn more about obtaining the smile you want, continue reading the Dear Doctor magazine article “Great Expectations — Perceptions In Smile Design.” Or you can contact us today to schedule an appointment so that we can conduct a thorough examination and discuss your cosmetic and restorative dentistry treatment goals. And if you want to read the entire feature article on Jerry Rice, continue reading “Jerry Rice — An Unbelievable Rise To NFL Stardom.”