Crown Problem

[kikiriki79]

I recently had a crown done on my left front tooth after a bike accident, the nerve didnt die. The crown that was put on was porcelain fused to metal which at the time i thought was the only option i had, anyway i then started having extra pain in the same tooth so i had a route canal done through the new crown. Not happy with the look of the crown with the metal having an opaque effect through the porcelain i proceeded to ask the dentist for my money back, also still feeling pain in the tooth after the route canal. I decided to go and see a specialist and nothing was found so i then decided to go to another dentist to get everything redone. The route canal was redone with a post and i had a new ceramic crown put on. After several visits they failed to get the colour right. The main problem was that you could see the dead tooth through the crown which as slight as it was it was not matching the colour of my other front tooth. So no matter how good the match was before the crwon was put on, the colour was deadened by the dead tooth. Is there something else that can be done or is that the best you can do with a dead tooth underneath?

[Dr Pav Khaira]

It certainly doesn't sound like the fault of your dentist. Trauma caused by accidents can very often lead to these problems, its just the course of nature and biology. Without a full consultation it is very difficult to say what needs to be done. Colour matching a single tooth at the front of the mouth is one of the most difficult things to do, and gets even more complicated with a dead tooth underneath.

It may be possible to get a good colour match but possibly only with porcelain fused to metal (which can look completely natural). Failing this, an implant may be a good option

I can certainly understand your concerns but again just wish to reiterate I think the problmes you are experiencing are the natural course of problems for the trauma you have experienced, and the problem arises that you don't always have problems!

I hope this helps

Kindest regards

[kikiriki79]

Thanks for the reply, i noticed you said only possible with porcelain fused to metal. Why is it more possible with porcelain fused to metal than full ceramic?

[Dr Pav Khaira]

The metal will totally block out the underlying colour. An excellent colour match can be made with the overlying procelain. You can see an example of this on the gallery page on my wesite. If you look at single crowns, one of them is procelain fused to metal, the other is metal free. They both look completly natural

[kikiriki79]

Thanks again for your reply, the first crown i got was pf2m but that was the problem, you could see the metal underneath the porcelain giving it a greyish white look, yes blocking out the dead tooth but replacing it with underlying metal. Its sought of a lose lose situation.

[Dr Pav Khaira]

Not really. As I've mentioned, I've placed procelain fused to metal crown which look totally natural. Not a hint of metal showing. Its a difficult thing to do but it is possible