I am not pleased with my porcelain crown, what should I do?

Q.
I had a porcelain crown fitted last week to lower left 6. It required quite some filing to fit securley. This has caused a 1mm hole whereby the underlying metal filling is showing. Aesthetically this is not pleasing. I spoke to the dentist who is happy to replace with a precious metal as in thier view there is not enough tooth to sustain fitting a porcelain without having to re-file. I wonder if I am simply being fobbed off?
A.
A porcelain crown requires a greater tooth reduction to accomodate the increased restoration thickness. The residual tooth height affects the long term crown retention and in cases with shallow teeth and a tight bite, a cast gold crown may be the best functional solution. Does this scenario match your own?
Regards Rob
Dr Rob Tennet St Johns Dental Practice 18 Bennett’s Hill, Birmingham, B2 5QJ Web: www.e-dentalpractice.co.uk

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