Cosmetic Dentistry Guide » crows

Is the tooth crowing treatment irreversible?

admin — Mon, 21 Dec 2009 05:16:27 +0000

Q. Hello. I am a 31 years old male pharmacist who needs 4 upper front dental crowns. I consulted with three reputable dentists, and they all say I do not qualify for veneers because I have large fillings, and not enough bone structure for veneers. I did a research on the internet, and it seems to be that multiple dental crowns are rare in people of my age, 31 years old. I feel somewhat embarrassed, and it makes me feel old and falling apart. It is a psychological issue and my dentist does not completely understand it, I think. Is it rare for a patient of my age, 31, to require 4 front crowns? Throughout my life, my teeth were always more vulnerable to decay. As a result, dentists did a lot of drilling. Unfortunately, I have large front fillings some with recurrent decay around the them. I understand that I need this procedure to save my teeth in the long run. But I feel so much uneasy about having this procedure done. Because almost all of the bone will be filed away during preparation, it seems to me that this procedure is really a tooth loss. The tooth that is receiving a crown will not longer be functional. Technically there is no tooth loss because the root is saved, but the crowned tooth canâ€™t exist without the cap anymore. What scares me is that this procedure is irreversible. I am seeing a reputable cosmetic dentist and I do not question his quality of work. But still, just like others, he will have to take away most of the bone during crown preparation. Thank you for your answer

A. He will not take your bone away – to prepare a crown enamel and dentine are removed and if you have large fillings already in place this is probably the only option for you. If done well they should last for many years.

Dr Julian Caplan – Director on the board of the BACD
Aviva Cosmetic Dentistry
101 St Peters Street, St Albans, Hertfordshire, AL1 3EN
Web: www.avivacosmeticdentistry.co.uk Tel: 01727 854429

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What is the recommended tooth paste for tooth with temp cap?

admin — Thu, 05 Nov 2009 04:01:03 +0000

Q. Hello there, i have just come back from a visit to the dentist i have not gone for a number of years due to being so scared of what they would say and do!! I have come back with an apptionment in December for 2 fillings and to have a chipped toothe capped, he has put a temp cap on it, my main question is that i have slilt Gingivtis, thius has scares the living days out of me as i am only in my 20’s, he tld me to change my mouth wash, and get a soft Toothe Brush and it should get better, what toothe Paste would be the best for this??? And how long should this temp cap last for??? Many thanks

A. The temp cap should last till your next visit but be careful with it. If you have bleeding gums you could try corsodyl mouthwash for a week or so but it can stain the teeth. Ask the dentist if you can see his Hygieinist to give them a good scale before your next visit.

Dr Andrew Moore
Advance Dental Clinic
104 Moulsham Street, Chelmsford, Essex, CM2 0JG
Web: www.advancedentalclinic.com Tel: 01245 268 494

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Can the crown be placed always over the tooth?

admin — Fri, 23 Oct 2009 12:14:22 +0000

Q. Hi, I have just found out that my top right rear molar, is dying as a result of a deep filling, which is now beging to rest on the nerve of the tooth. The dentist has shown me the x-ray and said that as the root is so bent and not easily identifiable, he does not believe a root canal would be sucsessful. I have also had a bad expererience of root canal’s, where within months I had absess, and lost the tooth anyway. My dentist has said that my only option really is therefore too losse the tooth. My concern with this is that due to braces and overcrowding I had already had all my wisdom teeth removed and to loose this back tooth, I run the risk of my jaw bone disolving, there is already evidence of this on the x-ray following the wisdom extraction 3 years ago. I asked if there was any other options and he told me I would need splints and a crown which would cost about £2000. I am only 31 and worry that if I don’t make the right choice now it will be too late, I can’t afford £2000 for a tooth, but as it stands a booked for an extraction the week before xmas??!! Reading some of your other responses to questions indicate the crown can be placed over the tooth, can this not always be done? Any advise would be great. Thanks

A. Hi many thanks for your enquiry, my advice would be to ask to be referred to an endodontist for a second opinion. THere are many teeth which general dentists just do not have the skill to treat. however an endodontist is highly experianced at root canal treatment and can give you an idea of whether they feel it can be treated and level of sucess. once the root canal treatment is done it is then best to crown the tooth.

hope this is helpful.

Dr Kailesh Solanki
Kissdental – UK Practice of the Year 2007
157 Woodsend Road, Flixton, Manchester, M41 8GN.
2 New Street, Altrincham, Cheshire, WA14 2QS 13
Stanley Street, Manchester, M8 8SH
Web: www.kissdental.co.uk Tel: 0161 748 5250

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Is it normal to get pain and aching or strange sensations after crown fitted

admin — Tue, 06 Oct 2009 05:46:57 +0000

Q. I had a crown fitted a couple of years ago on a bottom molar. I suffered a lot of pain shortly after it was fitted and at an emergency appointment with a dentist it was necesary for a hole to be put in crown to relieve pressure caused by bleeding.The hole was of course filled afterwards. The crown is still sensitive from time to time – I get pain or aching or strange sensations which lasts for a few days and then it settles. Is this normal and if not what is the likely cause?

A. Maybe your bite need to be adjusted or maybe there is another underlying problem.
I recommend you book an appointment with your dentist for a bite adjustment and to have an x-ray taken.
Kind regards
Dr Justin Glasiter

Dr Justin Glaister
Umbrella
11 Harley Street, London, W1G 9PF
Web: www.umbrellasmiles.com Tel: 020 7612 9810

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How long does it take for root canal treatment to settle down?

admin — Tue, 06 Oct 2009 05:19:53 +0000

Q. Hi i would really value your thoughts. day 1 i had a root canal day 2 and 3 no pain, fine. day 4 pain begins. day 7 i ring my dentist and i get an emergency appointment as tooth hurting. i get prescribed amoxcillin as i have a mild infection. my dentist sill want me to come back for my perm crown the next day. day 8 crown fitted. its now day 12 i am still on anti biotics and ibuprofen. my tooth has settled but if i acidentally over bite it hurts and eating on it is a def no no. MY QUESTION TO YOU SIR IS HOW LONG SHOULD I GIVE IT TO SETTLE BEFORE I SHOULD BE WORRIED? many thanks this is a great service kind regd

A. The truth of the matter is you cannot be sure it will settle as not all root canal treatments are a success. i can only guess that it was a difficult procedure as it took so many appointments to do it.
root canals can give symptoms for a yr post treatment and it is their severity that determines whether you give it time or take further action

Dr Safeer Butt
S3 Dental – Synergistic Smile Studios
Clinics in Kent, Surrey & Sussex
Web: www.s3dental.co.uk Tel: 020 8398 6322

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After an operation gaps have developed btw teeth plz advice?

admin — Tue, 08 Sep 2009 04:35:12 +0000

Q. Hiya, i had an operation on my gum a few years back which left me with a gap at the front of my mouth, this happened due to a mistake made during the operation? since this happened i have been very subconscious about my teeth as they are in quite a bad state. Who should i contact about this? im looking for a solution, possibly veneers. Thanks. Hope to hear from you soon.

A. Gaps around the gum level can be disguised using crowns or veneers. Obviously the underlying health of your gums is important to be correct prior to providing these types of restorations. At Aviva Cosmetic Dentistry we have a wealth of experience in dealing with smile porblems such as these. Please contact my practice for a free cosmetic consultation.

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I have bulimia for 15yrs will i have to crown my teeth?

admin — Tue, 08 Sep 2009 04:27:36 +0000

Q. Dear Dr Caplan i have been suffering from Bulimia for over 15 years and hence my teeth will need to be crowned (upper row). the bulimia is inactive but occasionally i regress to the same crutch, ie purging. my teeth are so sensitive that i have no choice but to crown them, do you think its advisable or are there any other options? thank you so much for your input.

A. Usually my treatment for such a situation is to crown the damaged teeth due to the backs of the teeth being severely damaged by acid and the fronts of teeth looking short due to acid damage to their tips. Sometimes composite filing material can restore the damaged surfaces followed by veneers to improve the look of the smile. Pleae contact my surgery if you wish for a free cosmetic consultation where I can discuss your options in more detail.

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Can u give me some information about porcelain composite crowns?

admin — Wed, 02 Sep 2009 09:36:39 +0000

Q. Hi I have a composite crown bonded to a metal post that was fitted 20 years ago when I broke my upper front incisor that I would like to replace for cosmetic reasons. Due to my gums receeding a few mm you can now see a line of grey natural tooth around the gum line. I have asked my dentist about the most natural looking replacement and she is very keen to fit another metal/porceline composite crown. I have never been happy with the one I have, it has always been a different size, shape and colour to my other main incisor so I asked about an all porceline crown and she said that her practice fits procera crowns but that because I have a metal post and not a ground down tooth to use as an anchor that an all porceline crown would be too thick and would break. I made it clear that cost was not a consideration but she insisted that a composite crown was my best bet. Apart from the crown my teeth are completely average, they are average size, shape, colour etc. Your opinion would be valued. Thanks

A. There are number of different options for porcelain crowns that can be used for different situations to produce a great result. Composite crown sould not appear to be the obvious solution unless the prognosis for the tooth was poor – to keep costs down. They are sometimes used to reduce the bite forces on implants. For a dark post a procera or zirconium or a well made porcelian bonded to metal crown would be my choices.

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Is there any way to mold my gum line back into its position?

admin — Wed, 02 Sep 2009 04:59:05 +0000

Q. I got procelin crowns and I notice by my Gumline the Skin still didn’t mold into Place which is causing a slight space, the skin is still in the Back. Is there anything I can do to get the Skin in place? thanks

A. No, the gum line will settle into the position it needs to be in. You could consider corrective gum surgery if it wories you.

Dr Andrew Moore
Advance Dental Clinic
104 Moulsham Street, Chelmsford, Essex, CM2 0JG
Web: www.advancedentalclinic.com Tel: 01245 268 494

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Can u gimme some information about porcelain crowns?

admin — Wed, 02 Sep 2009 04:48:47 +0000

Q. I need a crown for one of my upper central front teeth, my dentist has suggested that I have the crown which is totally made of porcelain – it is the most expensive option but my main concern is will it be as strong as the porcelain crown with the metal interior?

There are different types of all porcelain crowns with flexural strengths ranging from 56MPa to 900Mpa. If your teeth are not especially worn all porcelian crowns do very well – even in bruxers the zirconium crowns900
pa seem to be doing well if properly made. Porcelain bonded to metal substructure can also fail as the prcelain can chip if the bite gets in the way

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