Questions about Dental crowns

Toothsmith

Porcelain is not a good material for very back teeth - it's too brittle, and Im surprised it's being offered. It might be that the dentist is just 'keeping things simple' with his explaination and it's really a ceramic crown, which IS different from a 'porcelain' crown, and is much stronger.

My personal favourite back tooth crown material is yellow gold. Very strong, very bio-compatible and doesn't need very much tooth removing to make it. It does look like a gold tooth though, and I can't always persuade everybdy to have them.

I think you need to check just what these 'porcelain' crowns are.

If the NHS 'metal' one is non -precious, I wouldn't touch it with a bargepole. They are strong, but I don't like them at all. If it's yellow gold (60% alloy) then get that, but I don't think it will be. If a gold tooth doesn't bother you, ask how much a yellow gold crown would be.

It's what I'd have on my tooth!

McKneff

Just my own opinion but wouldnt it simplify everything if it was just extracted (being a back tooth, at least it wouldnt show.

Toothsmith

Only simple in the short term.

larmy16

Toothsmith you now have me wondering if she said ceramic and not porcelein but I am pretty sure it was the Porce word.

She said the dental technician was doing an offer that you could have an all cermic/or porcelein crown for the same price as a metal and porce/ceramic.

I have no idea what the metal one would be though. May I ask why you would not touch it with a barge pole?

I am so skint at the moment I think I may have the metal one whether I want to or not. I shall find out about the gold crown, but I fear that would be even more expensive.

The reason I don't want the tooth extracted is that I lost the next one to it (the very back one) - it was extracted I mean.

Thanks for your answers - I do appreciate it very much.

jules2581

Hello

I wonder if somebody would be able to help me. Around seven years ago I had root canal on a lateral incisor and all was fine until a couple of months ago when it started throbbing. I went to see my dentist who took x-rays but couldn't see any infection. He gave me antibiotics and asked me to come back in a few weeks so he could look at it again. When I went back he looked at my root filling and said he had leaked and there was infection. He sorted that out and filled the tooth again. A few weeks ago I was eating a cherry and thought I had a stone, it was in fact the whole of my tooth that had come out! I was mortified and rushed back to dentist who managed to glue it back on to the tiny stump that was left but said I would need a crown. Anyway, yesterday I went to the first of my two appointments for my crown fitting. The dentist kept tutting and didn't seem very happy when he was asking me to bite down. Apparently this is because I have a very deep bite. He fitted the temporary crown (which looks very yellow and on the wonk) and said that because of my deep bite the permanant crown will feel very much like the temporary one at the back of the tooth and they would not be able to make it any thinner. This has really worried me because at the moment I am terrified to eat anything because everytime I do I can feel my bottom teeth hitting it and it makes me cringe.

I am also worried that because it's a front tooth that it will be made of a more brittle material than if it was a molar and if my teeth keep hitting it it might break.

Please could somebody give me advice as to what the crown is likely to be made of (I'm having NHS treatment) and if there are any other options? He has fitted a post for the crown.

Am I able to go back to the dentist afterwards if it's not right?

Thank you so for taking the time to read this.

brook2jack

When a tooth is root filled and breaks like this a post crown is the only option other than having the tooth out and an implant,bridge or denture.

This tooth is now very compromised because there is so little left to hold the crown on and you have a deep bite. Unfortunately post crowns in this sort of situation can be prone to failure because either they keep coming out or the root splits. The crown may last you 20 years or 20 days it's impossible to predict. However it's one case where if it fails it's unlikely to be a failure of materials or dentists technique but because you are using a last chance technique on a very broken down tooth in a vulnerable position.

If you have a problem yes the dentist should see you again but I would think it best to discuss with them your options if the crown fails.

krist92

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welshdent

I think I see some montypythonesque undertones with the above post!

loulou123

Hello i have a weird crown question here!

Ive had a crown on one of my back molars for about 6 years. The tooth itself is not root canal filled etc.

In 2006 - 2009 i had fixed braces on my tooth including the crowned tooth (which had a band around it rather than the brace fixed directly to the tooth.) The tooth was crowned with gold, but since i have had the braces off the colour is no longer gold - it looks more silver/metally now. My dentist has never seen this before and wants to replace the crown, as she believes there is something wrong with it. I do not want her to as the tooth is not hurting xrays were fine etc.

Has anyone ever had this happen, could it be something to do with the adhesive used to fix the braces thats caused this? Should i have it replaced?

welshdent

Your dentist who has seen your tooth is able to advise on a stronger position than us as we are unable to examine you or your crown. What I CAN say though is lack of pain does not mean there is nothing wrong. If I had a penny for every person with massive amounts of decay that had zero pain I would be living on my own island somwhere hot now