Posts Tagged ‘PFM crown’

Please suggest an alternative treatment to PFM crowns

Tuesday, January 18th, 2011
Q.

I was involved in an accident where my four front teeth were broken.
My current dentist made porcelein fused to high noble metal crowns in conjuction with a local lab. The reason, he stated, for using PFMs was the ‘bite was too tight.’ I do not like the opaque monochromatic look, nor the metal in my mouth. Please advise if there is an alternative.


Dr Riten Patel The Mulberry 18 Ashley Road, Walton on Thames Surrey, KT12 1HS Web: www.mulberrydental.co.uk Tel: 01932 223 479 View My Profile Dr Patel

My PFM crown had to be filed down to fit, now you can see metal, does it have to be redone?

Monday, January 10th, 2011
Q.

I have just had a PFM crown fitted on a large molar and it sat very high. So much had to be filed away to correct the bite that metal was revealed through in one very small spot (0.5mm) in the front area of the grinding surface. I believe my dentist would redo the crown for me but the pain during prep was intense (even after 3 injections) and I would honestly rather have the tooth removed than have the crown redone. I am not worried by how it looks but am worrried I may have to have a crown redone very soon if it is not sound. Should I leave it and see how long it lasts as it is or would a composite resin patch maintain the integrity of the crown better? (I understand this involves a diamond burr taking more surface away?) so I’m worried even this could thin it further. Any advice greatly appreciated.


Dr Mark Hughes Harley Street Dental Studio 52 Harley Street, London W1G 9PY Web: www.harleystreetdentalstudio.com Tel: 020 7636 5981 View My Profile Dr Hughes

I don’t want my new crown to look too high, what should I do?

Tuesday, May 18th, 2010
Q.
Hello. I had an old PFM crown on my peg lateral removed because it had a dark line showing at the gum and has caused an amalgam tattoo. I currently have a temporary crown while waiting for my permanent. My dentist removed some of the gum (contouring?) because it sat much lower than the surrounding teeth. To me, it looks like she removed too much. She said she did that on purpose because the gum comes down after the procedure. It has been two weeks and it is still high. I believe she made a mistake. I asked another dentist on this site and he said it is true that the gum generally comes down. How can that be? I am nervous because my amalgam goes up so high under my gum that I don’t want my new crown to either look too high or show the amalgam. I went 20 years with a bad crown and was looking forward to a nice new one.,

Dr Riten Patel The Mulberry 18 Ashley Road, Walton on Thames Surrey, KT12 1HS Web: www.mulberrydental.co.uk Tel: 01932 223 479 View My Profile Dr Patel