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Porcelain Crown

Can I get a pediatric dentist to do porcelain crowns for my 10 yr old’s front teeth?

By Pediatric Dentist, Porcelain Crown

My 10 year old had an ice skating accident 3 weeks ago and chipped her front teeth almost in half. The pediatric dentist put crowns on her teeth but they don’t look good. My daughter is self-conscious about her appearance. There is enough stress for kids in school without her worrying about her teeth. She is hesitant to smile because she thinks people are looking at her teeth. I guess our dentist did the best she could but I am really thinking about getting another dentist to do porcelain crowns for my daughter. Do pediatric dentists do porcelain crowns for front teeth? Thanks Elaynna

Elaynna – Our first concern is the health of your daughter’s teeth. When a tooth is broken in half, there might be nerve damage to it. If so, a root canal treatment is needed. Has the pediatric dentist determined if there is any internal damage to your daughter’s teeth? If not, you should request a thorough examination.

Most pediatric dentists are not trained in cosmetic dentistry. But you can visit a cosmetic dentist to receive ceramic crowns for your daughter’s teeth. Before you request certain cosmetic treatment, schedule an appointment for an examination.

Before you make a final decision, there are several things to consider:

  • As your daughter grows, her teeth and jawbone will also get larger. Porcelain crowns will need to be periodically replaced.
  • Your daughter’s natural teeth will need to be tapered so the crowns will fit over them.
  • Depending on the extent of damage, an alternative is to use direct dental bonding to restore the broken teeth. A talented cosmetic dentist can use bonding to seamlessly fill in the missing portion of each tooth.
  • When your daughter’s physical growth is complete, porcelain crowns can be used to restore her teeth—if that’s necessary at all.

We suggest that you schedule appointments with two or three cosmetic dentists or prosthodontists. Compare the options provided by each dentist to determine the best way to restore your daughter’s teeth based on her age.

This post is sponsored by Naperville dentist Dr. Anthony LaVacca.

My crown doesn’t match my teeth

By Cosmetic Procedures, General Dentistry, Porcelain Crown, Prosthodontist

My crown broke about 3 weeks ago and I had to get it fixed quickly before I went on vacation. I knew it was loose, but I didn’t expect it to break. My choice was a dentist who did CEREC in his office but also who was an emergency dentist. It worked and off I went! I was so busy that I really haven’t time to really look closely at the crown until this week. It is an incisor on the right side of my mouth and it doesn’t match my other teeth. If it was a molar I would let this pass but I really want the crown color changed. This isn’t my regular dentist and he really did me a huge favor. Should I go back to that dentist to get the color corrected? Thank you. COlton

Colton – Your selection of an emergency dentist who could also make a one-visit crown is understandable.

In-office crowns require the dentist to receive training in crown creation and placement, but it doesn’t require the dentist to be an artist. An artistic prosthodontist has training cosmetic dentistry. He or she has a keenly interested in providing crowns that function well and look completely natural—blending with your natural teeth.

Crowns are colorfast. They cannot be made darker or lighter. Unfortunately, the only way to receive a lighter crown is for a new one to be made. Contact the office of the dentist you saw and explain your concern. Request an appointment for an examination. Express your appreciation for the dentist’s help during your emergency and explain your concerns.

Along with any insurance you may have, you paid for a dental crown. It is reasonable for you to request and receive a crown that matches your natural teeth. A well-made crown lasts ten to twenty years. If your crown was made well, consider whether or not you can adjust to it lasting for many years that doesn’t match your natural teeth.

You can decide if you want to give the emergency dentist another chance, or if you prefer to visit an artistic prosthodontist dentist to receive a new crown. Before you proceed, be certain to speak with your dental insurance company about the issue and ask if your plan will provide any benefits toward a replacement crown if you choose a new dentist to replace it.

This post is sponsored by Naperville dentist Dr. Anthony LaVacca.


My bite is off and my prosthodontist says I need all new crowns

By Porcelain Crown, Prosthodontist

My top front teeth have porcelain crowns over them. It has been about 5 years since I got them and now my bite is off. My prosthodontist says I need new crowns. All of them need to be replaced. Is this really the solution? I called my insurance company, and they will provide some coverage for the new crowns, but is this really necessary? Thanks. Jakki

Jakki – Your jaw, bite, and crowns need to be examined to answer your question as to whether replacing your crowns is the answer to your bite problem. We recommend that you get a second and third opinion before you agree to any dental treatment that addresses the bite issue.

Are you grinding your teeth? Are you experiencing headaches or neck pain? These issues often go along with a misaligned bite, but they don’t always occur.

In addition to consulting with additional prosthodontists, you may consider visiting an orthodontist. The combination of dental professionals will help determine the cause of your bite issue and the best treatment for it—if it needs to be treated at all. The additional opinions will help you make an informed decision about your oral health.

This post is sponsored by Naperville board-certified prosthodontist Dr. Anthony LaVacca.

How much does it cost to replace a run down cap on my tooth if I don’t have dental insurance?

By Dental Crowns, Porcelain Crown

I have 3 caps on my teeth that are all over 15 yrs old and need to be replaced, but I don’t have dental insurance. I am not sure if I will ever have dental insurance. My job gives us medical only and I am considering early retirement due to some health issues. So I am only going to fix 1 cap at a time. How much does it cost to replace 1 run down cap if I don’t have dental insurance? Thanks. Faye

Faye – The cost to replace a dental crown (commonly referred to as a “cap”) involves several factors. A dentist needs to examine and x-ray your teeth to provide you with an estimate of the cost for your case. Costs vary depending on your dentist and where you live in the U.S. Approximate costs, based on several factors, are listed below.

  • The condition of your natural tooth – A dental crown completely covers your natural tooth. It is bonded in place. After your tooth is examined and x-rayed, your dentist will determine if the tooth requires any treatment before the crown is placed.
  • The type of crown you receive – Crown types include all-porcelain, porcelain fused to high noble metal, porcelain fused to noble metal, and porcelain fused to base metal.
    • All porcelain – Both the outside of the crown and its base are porcelain. This is the most natural-looking, but also the most expensive crown. Without dental insurance, the average price range is $1200 to $1500.
    • Porcelain fused to high noble metal – A porcelain crown can have a metal foundation, instead of a porcelain foundation. A high noble metal has a high content of precious metal, usually gold. Without dental insurance, the average price range is $900 to $1300.
    • Porcelain fused to noble metal – The foundation for this crown has a lower amount of precious metal than a crown with a high noble foundation. Without dental insurance, the average price range is $900 to $1200.
    • Porcelain fused to predominantly base metal – A non-precious metal foundation is used for this least expensive option for a dental crown. Without dental insurance, the average price range is $800 to $1200.

Again, the above costs will vary based on the dentist you chose, where you live in the U.S., and your particular case.

We recommend that you have a consultation with a dentist who has training and experience in cosmetic dentistry. Although you want an affordable crown, you will be very disappointed in the results of your investment if the crown does not look natural. A skilled cosmetic dentist has an artistic approach to give you the most natural-looking results, regardless of which option you choose.

Contact a few dental offices to schedule consultations with dentists. The consultations will give you the opportunity to ask questions about treatment recommendations (prepare your questions in advance and take notes), as well as payment options and financing. Remember to ask if consultations are complimentary, or if there is a fee associated with them.

This post is sponsored by Naperville Dental Specialists.

Does stomach acid damage porcelain crowns?

By Bulimia, Implant Dentistry, Porcelain Crown

I’m bulimic and I know that the acid from vomiting damages tooth enamel. Does continued vomiting damage porcelain crowns? A.

A. – Porcelain crowns are much more durable than your natural teeth and can withstand repeated exposure to stomach acid. In addition to damaging your natural teeth, repeated vomiting can damage your throat, esophagus, and lower jaw. Stomach acid from gastrointestinal reflux disease can cause similar damage.

Thoroughly rinse your mouth to neutralize the acid. If possible, professional assistance should be sought to help decrease the episodes of vomiting or to stop them completely. Your dentist will be very understanding in helping you minimize the damage to your teeth.

This post is sponsored by Naperville implant dentist Dr. Anthony LaVacca.

My dentist recommends a flipper but the prosthodontist prefers a temporary crown

By Dental Implants, Porcelain Crown, Prosthodontist

My dentist sent me to a prosthodontist to get an implant in place of a rotten tooth that had to be pulled. My dentist wants me to get a dental flipper from him, but the prosthodontist said that I can get a temporary crown. Is it normal to get a temporary crown? What is a dental flipper like anyway?

Ken – It is common for a temporary crown to be used while waiting for a permanent crown to be placed.

A dental flipper is a removable partial denture that has a gum-colored acrylic base with an acrylic tooth attached to it. Metal clasps can be attached to wrap around your teeth and keep the flipper in place. Depending on the location of the missing tooth, the metal clasps can be seen. Care must be taken to ensure the flipper does not disturb the dental implant.

You will find a temporary crown to be more comfortable than a dental flipper. Speak with your prosthodontist about your concerns. He or she will be able to fully explain your options and the pros and cons of both.

This blog post is sponsored by board-certified Naperville prosthodontist Dr. Anthony LaVacca.

Why do the crowns make my implants hurt?

By Dental Implant Mistakes, Dental Implants, Porcelain Crown

I received four dental implants, but the crowns seem to make them hurt. Whenever the crowns are placed on the implants I feel pain. Is something wrong with the crowns or is it the implants. I talked to the surgeon about it, but I got nowhere with him. The thought of what could have gone wrong is starting to make me nervous. What can I do? Thanks for your help – Danielle from Minnesota

Danielle – Without an examination, it is not possible to say precisely what is causing your problem, but we can tell you what is potentially causing your pain.

The dental implants may be affecting a nerve, they may be too small, they may be incorrectly placed, there might be an infection around them, or there may be too much stress on them—in which case, the crowns can increase the stress and cause pain.

The normal pain after implants are placed usually lasts only one or two weeks. If crowns are being placed on your implants, then you have passed the recommended healing period of three to four months, and the crowns are not likely to be the cause of the pain.

Your surgeon has no input on what may be causing the problem, so we recommend that you get a second opinion from a different implant dentist. Check his or her credentials to ensure that he or she is skilled in implant placement.

This blog post is sponsored by Naperville implant dentist Dr. Anthony LaVacca.

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