Should I be billed for crown replacement and will it be noticeable to people?

Q.
I have had a crown since I was 19 (now 34). The one done at 19yrs chipped a few years back and recently I opted to have it replaced.

Question #1 – Should be billed as a new crown or as a crown replacement?

Question #2 – This is the most important question for me. Should the lay person…or any person…be able to look at my smile and determine which tooth is the crown? Thereis some discoloration at the gum line which I understand. Though with this new crown in certain light the crown looks like a perfect match for color and translucency. However, in other lights it stands out. It appears whiter and also reflects light differently, as if it is more solid than my natural teeth. I don’t recall my previous crown doing this and I am wondering if my dentist gave me the best the industry has to offer. Also, the tooth as a bit of mobility …very little and only when I press on it with my lower jaw (crown is front center tooth). They put in a post a recently as well. Any advice would be appreciated. This dentist has been working on this for 5 months and never quite got it right, so recently they brought in the lab tech to color it and perm afix, but I am not sure it is the best it can be and I am not sure I should keep trusting this dentist.

A.
Thank you for your question. I would bill it as a new crown. 1, because of the length of time since the original crown was put on and 2, crown replacement usually means the re-fitting of a crown that has come out.

The colour match would depend on the dentist/technicians judgement and varies from dentist to dentist. It also would be dependent on whether the crown was made privately as the best materials can be used. This also depends on the crown chosen by yourself as to the type of material used.

I would advise you return to your dentist until you are satisfied with the look/colour of your crown.

I hope this helps.

Dr Hussein Shaffie The Sandford Dental Implant and Cosmetic Centre 306 Broadway, Bexleyheath, Kent, DA6 8AA Web: www.thesandford.com Tel: 02083037051 Email: [email protected] View My Profile Dr Shaffie

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