The dental crown procedure is among the most common restorative treatments and it’s one our Naperville cosmetic dentists perform frequently. Unfortunately, crowns get a bad rap because the process has a reputation for being time consuming and, in some cases, it can require multiple visits to different practices. At Naperville Dental Specialists, we have a team of general dentists and specialists under one roof, so you don’t need a referral to another office and all of your treatments, including getting your dental crown, can be done in the same place. We also have an in-house laboratory, so same-day crowns are an option, meaning we can restore your tooth in a single visit. Whichever route you choose to go, here’s what you need to know about getting a dental crown:
Will I need a shot in my gums? I’m sweating trying to find a gentle dentist or one who does sedation and can fit me in their schedule. There is a bump on my gums at one of my bottom left molar teeth. Yesterday, I sterilized a needle and stuck the bump with it. A bunch of yellow pus came out. It hurts pretty bad and the bump is seeming just to fill up with pus again. It’s been 4 years since I’ve been to a dentist. I have tried to avoid the dentist for this bump on my gums, but I might not have a choice. Will a dentist have to give me a shot in my gum? If I can find a gentle dentist will they be able to make it absolutely pain free?? Thanks. Jon
Jon – The bump on your gums that you described is an abscess that is caused by an infection. The infection will not go away on its own. It needs to be treated by a dentist. Sedation dentistry will help you get the treatment you need
After you are sedated, the dentist will clean the area around your tooth and numb your gum. There is no need to worry, though. A gentle dentist will use topical anesthetic or a hand-held pulsating device to numb your gum and give you a pain-free injection. The injection will relieve your pain and prevent you from feeling pain that may otherwise result from the dental procedure.
If there is an infection in your tooth, a root canal treatment will remove it. After that, the tooth will be protected with a dental crown. It is important that you get help right away to treat the infection and avoid further pain and discomfort.
Find a Gentle Dentist Who Offers Sedation Dentistry
You should speak to a gentle dentist about your anxiety. Sedation dentistry can help you relax during dental visits so you can get the treatment you need.
Nitrous oxide – This is also called laughing gas. During your appointment, you can breathe it in to relax.
Oral conscious sedation – A dentist can give you anti-anxiety medication to take before your appointment. You will be drowsy and relaxed.
Learn more about these options on our sedation dentistry page.
Don’t delay in getting the bump on your gums treated. A gentle dentist can use his or techniques and sedation dentistry make your experience pain free.
This post is sponsored by Naperville Dental Specialists, the office of Dr. Anthony LaVacca.
I recently applied a bleach-based tooth whitener to my teeth for the first time. The next day, one tooth turned gray and my cheek inside my mouth has a small bump on it. Neither the tooth nor the bump hurt. I just think it’s strange. I don’t want to believe that it’s related to the tooth whitener, but I didn’t have any problems before that. What could have caused my tooth to turn gray? Is there anything I can do to reverse what the teeth whitener did and get my tooth back to its original color? – Brie
Brie – It is strange that your tooth would turn gray after using teeth whitener. Make an appointment with your dentist to examine your tooth, and bring the whitening agent with you to the appointment. Your dentist can examine it, the contents, and if necessary have it tested to determine what’s really in it.
Why Did Your Tooth Turn Gray After Whitening It?
There are several things to consider:
- It may be that your tooth was damaged before you applied the whitening gel to it, and it became irritated afterward.
- The problem might stem from the whitening gel. Depending on its source, the gel could be old, contain harmful ingredients, or not be bleaching gel at all.
- Only a dentist can make the determination after examining your tooth and the bleaching gel.
Although many people prefer to whiten their teeth on their own, there are still many advantages to getting your teeth whitened by a dentist. In advance of providing you with the whitening gel, your dentist will examine your teeth, determine if whitening gel will work for you, anticipate any problems that will occur, and monitor your progress. The results will be predictable and exactly what you hoped to achieve.
The bump on the inside of your mouth will need to be examined to determine why your oral tissue is irritated. Whenever you have oral health issues, it’s best to receive an examination from a dentist and not to determine the cause and treatment. Prompt treatment can save you time and money, and prevent further damage to your tooth.
This post is sponsored by Naperville dentist Dr. Anthony LaVacca.
I’m wondering if a prosthodontist would be willing to do porcelain veneers for me. I’ve been to 2 dentists about veneers and neither of them will do them for me because I grind my teeth a lot. They say the veneers would break under the pressure from grinding. I know that different dentists have different techniques and some can accomplish things that others won’t touch. The issue with my teeth is that they are too small. My smile is short and looks like it belongs to an adolescent. I’m 37 years old and would very much like a change. Is a new smile with porcelain veneers something a prosthodontist would be willing to do? Thanks. Jess
Jess – Many dentists would not recommend porcelain veneers if you’re a heavy teeth grinder. Bruxism (teeth grinding) can cause damage to natural teeth, porcelain veneers, and even porcelain crowns.
Before addressing the cosmetic issues with your teeth, a prosthodontist would try to determine the cause of your teeth grinding habit. Treatment, which can include relaxation techniques, minimizing stress, and wearing a custom night guard can help protect your teeth and dental restorations.
A prosthodontist wouldn’t give you porcelain veneers right away. Several things have to be done first. Some of them include:
- Examine the health of your natural teeth and gums to determine if you’re a candidate for porcelain veneers.
- Collaborate with you to determine the cause of your teeth grinding.
- Determine if you need TMJ (temporomandibular joint) treatment.
- Recommend therapy or jaw exercises to alleviate discomfort from teeth grinding
- Provide a customized night guard to minimize grinding and protect your teeth
A prosthodontist is a specialist in the replacement and restoration of teeth. After general dentistry training, a prosthodontist receives up to four years of specialized training. They understand dental aesthetics and what is required to improve your smile.
Porcelain veneers aren’t the only option for lengthening the appearance of your teeth. A prosthodontist will let you know your options, based on your case and the condition of your teeth and gums.
We suggest that you find a specialist who can address your bruxism and your desire to lengthen the appearance of your teeth. A prosthodontist can do both. You can get a second opinion from a prosthodontist to discuss your options.
This post is sponsored by American Board certified prosthodontist and Naperville implant dentist Dr. Anthony LaVacca.
When I was a child I never had the privilege of seeing a dentist. Now that I’m 26 years old I’ve moved out and am on my own. I have a job and dental insurance. I also have horrible teeth. 4 of my teeth are missing and I have a few other teeth that are worn and chipped. I’m in treatment for periodontal disease that is really advanced. My current dentist recommends full mouth reconstruction. It should like a good idea, but I don’t know if it is really necessary. Even if it is a good idea, I don’t know how I could afford it. Do I really need full mouth reconstructions or are there other ways to give me a decent smile? – Bennett
Bennett – Full-mouth reconstruction is a huge project for the most skilled dentists. It requires skill, technical knowledge, and training that’s much more advanced that what is taught in dental school.
A dentist has to be trained in aesthetics and restorative dentistry to ensure your teeth are functional—individually and as a unit. Most dentists aren’t trained or qualified to provide it, but experienced prosthodontists and some cosmetic dentists have the training and experience required.
If you need full-mouth reconstruction and if you are considering it, cost should not be the primary consideration. This treatment requires meticulous planning, technique, and care. It is an expensive process.
Full-Mouth Reconstruction – Learn About Your Options
- Find two to three board-certified prosthodontists or accredited cosmetic dentists and schedule consultations with me.
- Check each dentist’s credentials in advance of your visit, and check patient reviews.
- Take notes from each consultation you have and record the options and estimates you are given.
- After each dentist explains your options, ask about the results you can expect with dental crowns, dental bridges, or dental implants. Carefully record the details you are given.
- Ask each dentist what can be done to make treatment affordable for you. A dentist might offer payment plans or financing so you can pay for care over time.
Compare your options, as well as each dentist’s experience with cases like yours. It will help you make an informed decision.
This post is sponsored by Naperville dentist Dr. Anthony LaVacca.
I got dental bonding in September last year and it’s been an ongoing problem. My dentist filled a cavity on the inside of my tooth, but the tooth has never stopped hurting. For some reason it hurts worse than it did before it was filled. He did the filling over again but the tooth still hurts. I went back last week and my dentist prescribed steroids. He said if it doesn’t get better he’ll probably have to extract the tooth. Somehow I feel like everything hasn’t been done to try to save the tooth. It’s not that I know what steps to take, I just feel like more could be done. I don’t know how to stop tooth pain, but is the extraction the last possible option? Laney
Laney – Your description sounds as if the dental bonding is the source of your pain. It’s common for a tooth to be irritated after a filling, but the irritation gradually calms down within a few weeks. It’s possible that the bonding was placed too high and is interfering with your bite (the way your upper and lower teeth fit together).
Tooth pain can be a sign of an infection. Steroids will make it more difficult for your body to fight the infection, so that’s not the right option in this case. If there is an infection, it needs to be removed and the filling needs to be properly replaced. If your tooth pulp in affected, a root canal treatment and crown will be needed.
We recommend that you get a second opinion from a skilled prosthodontist. He or she is a specialist in tooth restoration. Your tooth will be examined, your bite will be checked, and if needed, x-rays will be taken to determine the best way to preserve your tooth. It’s likely that the bonding just needs to be correctly replaced. You can also get advice on preventing tooth decay.
Ask friends or family members for a recommendation of a prosthodontist, or search online for a board-certified prosthodontist. Be sure to check patient reviews.
This post is sponsored by Naperville dentist and board-certified prosthodontist Dr. Anthony LaVacca.
My teeth are too small. My smile is basically 75% gums and 25% teeth. When I was I school, kids called me Gumby. Now some cruel adults make jokes about it when we are kidding around. I don’t joke about anyone’s personal appearance so I am not sure why they go there. I am 36 years old so this is not an issue of growing into my smile. My teeth are just plain too small. I do not want anything artificial like porcelain veneers placed on my teeth. I am just wondering what other options are to help me smile freely and not hold back because people are looking at my gums. Thanks. Melina
Melina – When more gums than teeth show when you smile, it’s usually due to excess gum tissue, as opposed to your teeth being abnormally small. A prosthodontist who is skilled in cosmetic dentistry will examine your teeth and let you know your options.
If you don’t want porcelain veneers, there are other options.
- Gingivectomy – This procedure is performed after numbing your gum tissue. Either a laser or dental scalpel is used to remove the excess gum tissue and lengthen the appearance of your teeth. The procedure is completed in the dentist office and is usually completed in one visit. It is also referred to as gum contouring or a gum lift.
- Crown lengthening – This procedure involves the removal and reshaping of excess gum, as well as bone tissue. It exposes more of your teeth so that they appear longer.
- Composite bonding – Dental composite is mixed to match the color of your natural teeth. It is applied to your teeth, and then shaped and polished to lengthen your teeth.
Regardless of which treatment you receive, if you find an expert cosmetic dentist or prosthodontist to do the work, the results will be seamless. Other than noticing an improvement in your smile, people won’t be able to see the difference between the dental treatment and your natural teeth.
We suggest that you schedule one or two consultations with experienced dentists to discuss your options. Ask to see patient photos of cases similar to yours that were completed by each dentist. This will help you choose the right provider.
This post is sponsored by Naperville board-certified prosthodontist Dr. Anthony LaVacca
I need sedation dentistry but I don’t want to ask anyone to drive me to my dental appointment. I really don’t want anyone to know about the appointment and there really isn’t anyone I would feel comfortable asking anyway. If I get sedation, will I be able to stay at the office until it wears off? How long will it take to get out of my system? Thanks. Kyle.
After sedation dentistry, most people are drowsy for the rest of the day. You will be barred from driving for the rest on the same day that you receive sedation.
Exactly how long you will be drowsy depends on the medication used and how your body reacts to it. In advance of your dental procedure, a sedation dentist will discuss your dental procedure and the level of your anxiety. Those factors, along with the types of sedation that your dentist offers, will determine which medication is used.
A sedation dentist is responsible for your safety. Although you can briefly rest after your appointment, you won’t be allowed to rest or sleep in the office with the goal of driving yourself home. It’s simply not safe, and it’s definitely not worth the risk. Your dentist will recommend that you go home and rest. If there is no one that you want to ask to drive you to and from your appointment, consider getting private transportation.
It’s best to have a consultation with a sedation dentist first to find out what is involved in your treatment and how many appointments are required. It will help you determine the best way to travel to and from your dental appointments. Your dentist will require that you have transportation before you receive sedation, so be prepared to make appropriate arrangements.
This post is sponsored by Naperville dentist Dr. Anthony LaVacca.
I’ve been saving for affordable dental implants because since 2002 I’ve been wearing a partial denture 2 missing top right teeth and it is very uncomfortable. My cousin is a dental hygienist and she suggested that I look into dental implants. That was 3 yrs ago. When I found out the cost of implants I knew I couldn’t do anything about the partial so I saved up for it. I found a dentist who supposedly offers affordable implants but now I’m beginning to wonder about him. I had consultations with 3 different dentists like my cousin advised me. I chose this dentist because he is personable and explained everything so clearly to me. Last week I went into the office to get digital x-rays. The dentist told me everything looks good and I am eligible to get implants. Then he started talking about my need to have porcelain veneers on the teeth on the left and right of the implants. He said that to get the teeth to match the implants I need veneers. I thought implants would be made to match my natural teeth. Now I’m getting nervous about the cost and I don’t want veneers anyway. Is it normal protocol to need veneers so the implants match my teeth? Thank you. Jovana
Unfortunately, we have to recommend that you see a different dentist for affordable dental implants. It is not normal for a dentist to recommend porcelain veneers to ensure your dental implants match the teeth on either side of them.
It sounds like your dentist might not have cosmetic dentistry training and is not confident that he can provide you with implants that match your natural teeth. Either he doesn’t have the skill to provide you with natural-looking results, or he is trying to increase his profit on your case.
Do any of the dentists with whom you had consultations also have training in cosmetic dentistry? If so, visit one of them again to get more information on their recommendations for your implants. If you were really dissatisfied with the other two dentists, we suggest that you find two more dentists who offer affordable dental implants.
Your priority should be quality implant placement and results that look good. It’s possible that to get affordable dental implants, financing or a payment plan might be your best option. It’s better to ensure you get quality dental care than for it to be the cheapest option available with a poor outcome.
This post is sponsored by Naperville implant dentist Dr. Anthony LaVacca.
Can you help me determine whether I should see a prosthodontist or a cosmetic dentist? In 2005, I went to the DR and got 6 new crowns. I didn’t like the way my teeth looked and I had visited several dentists in IL and couldn’t part with the money they were asking for. Since I got the crowns not a year has passed that I didn’t have problems with them. I am certain my bite is off. My neck hurts all of the time and I get toothaches almost constantly. I can’t floss between the crowns and I am beginning to wonder if there is an infection. I have been dentist hopping in nearby towns because I am always told that I need to replace the crowns. I didn’t think crown replacement was the problem but now I know it must be done. I recently saw a dentist who did digital x-rays and displayed them on a monitor in front of me while I was in the dental chair. I could see the mess my teeth are in. Now the dentist I saw has good technology in his office but I don’t trust him with the crowns. He does CEREC and I don’t want CEREC. I almost feel like he is being a little pushy, maybe to pay off the high price of the technology he probably went into debt for. I’m going to see a dentist who knows a lot about crowns. I’m not sure if a prosthodontist or a cosmetic dentist is the right way to go. Or does it matter? Thanks. Klaude
It’s good that you’re seeking options to restore your teeth. The longer your faulty crowns are left in place, the more you put your oral health at risk. Your experience is a reminder of how risky it is to get dental care outside of the U.S. When there is a problem with the dental work, return trips can become expensive and frustrating.
Your issue is related to function and appearance of your crowns. A prosthodontist is a specialist in tooth restoration and proper bite. A cosmetic dentist is an artist who will produce a beautiful smile.
The issue with your bite requires a dentist who can address the esthetics and the function of your crowns, and a prosthodontist is efficient at both. Here’s what we suggest:
- Look for a skilled prosthodontist with extensive training in cosmetic dentistry.
- Ask to see before-and-after photos of patient cases similar to yours.
- Check patient reviews and ask friends or family members if they are familiar with the prosthodontist you choose.
- Schedule a consultation with two or three prosthodontists, and compare your options, as well as the fees, before you move forward.
This post is sponsored by Naperville American board-certified prosthodontist Dr. Anthony LaVacca.