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Posts for tag: crown

By JW Haltom DDS, Inc. Family Dentistry
April 14, 2015
Category: Dental Procedures
Tags: crown  
ConsideralltheCostFactorsWhenDecidingonaCrownRestoration

A crown restoration is a fabricated replica of a natural tooth. The mechanics and methods to prepare the tooth and attach the new crown are standard procedures in dentistry. But the crowns themselves — their individual shape, color and material from which they’re constructed — can differ greatly depending on each patient’s individual needs and desires. All these factors can have a bearing on cost — not to mention the process a dentist may employ to produce a custom crown.

Crowns are usually fashioned by a dental laboratory technician using castings of the patient’s mouth prepared by the dentist. These professionals should be considered artists as well as scientists. And, like artists with certain areas of strength and expertise, individual technicians may also develop high practical skill for a particular type of tooth replacement; it’s not uncommon for a dentist to use a different dental technician for a particular type and size of tooth to be restored. This could prove to be a factor in the final cost.

The efforts to create the best color in the crown can also affect cost. While we think of teeth as uniformly “pearly white,” there really are variations and gradations in normal tooth color (even within the same tooth). Again, a bit of artistry is important here, as the dentist communicates with the technician on not only the color but also the subtle hue gradations along the length of the crown. Your input as a patient is also valuable in determining color — you must be satisfied with the final product. Fortunately, it’s now possible to take a “test drive” of your potentially new look with a provisional crown that will allow you to see just how your permanent crown (which will be made of longer-lasting, higher quality materials) will appear.

These factors, as well as the limitations you may face by your insurance coverage, can greatly influence the final cost of treatment. As your dentist, we will consult and work with you to find the best crown restoration option that will fit both your dental needs and your financial ability.

If you would like more information on your options for crowns and other restorations, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Value of Quality Care.”

By JW Haltom DDS, Inc. Family Dentistry
February 13, 2014
Category: Dental Procedures
Tags: crown  
ACrowningAchievementNatural-LookingTeeth

You've taken good care of your teeth all your life, with brushing, flossing and regular visits to the dentist. But chances are that someday (or maybe even now) you may be told that you need a restoration on one or more of your teeth. Oftentimes, that means a crown.

But what exactly is a crown, and why is it used? We're glad you asked!

In the course of time, natural teeth may need to be restored for a variety of reasons. As we age, our teeth may eventually become chipped or discolored. They can become weak and prone to cracking, or actually break due to tooth decay or trauma. Treating tooth decay may require a filling so large that there isn't much tooth surface left. Or, getting a dental implant (which replaces the roots of the tooth) means that you will need a replacement for the visible part of the tooth as well.

A crown (sometimes called a cap) is a common type of dental restoration. It's a way of replacing the tooth structure, in part or in full. A crown can cover the whole visible portion of the tooth, right down to the gum line. Since it's custom-made just for you, it is designed to fit in and function just like the rest of your teeth. And because it's composed of an extremely hard substance (gold, porcelain, ceramic, or some combination of these materials) it's made to last for a long time.

If a dental examination shows that you need a crown, here's how the process works: First, any decay is removed from the affected tooth, and it is prepared for restoration. Then, a 3-D replica of the tooth (and adjacent teeth) is made. This model is used to create a crown that matches your natural teeth. If you're getting a tooth-colored crown, the exact shade of the adjacent teeth will be duplicated as closely as possible.

After the crown has been fabricated, the tooth is made ready to receive the restoration. The crown is adjusted to mesh perfectly with the prepared tooth, and to function with the whole bite. Then, it is cemented or bonded into place. When it's all done, it can be hard to tell that you had any dental work done at all.

If you're thinking that it's a challenge to make an “artificial” tooth fit in with your natural teeth, you're right — but we do it all the time! Creating a superb-looking restoration is a blend of science and art. It takes a careful eye to match tooth colors and to adjust biting surfaces and spacing for a perfect fit. But when experienced dental professionals and patients work together, the results can make us both proud of the achievement.

If you would like more information about crowns, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine articles “Porcelain Crowns & Veneers” and “Gold or Porcelain Crowns.”

By JW Haltom DDS, Inc. Family Dentistry
April 20, 2013
Category: Dental Procedures
Tags: crown  
WhatsaCrownWorthAestheticsandValueinToothRestoration

Getting a new crown for a front tooth is a standard procedure performed in thousands of dental offices around the country. But dental patients are sometimes surprised to find that the price of this routine treatment can vary by a substantial amount. What accounts for the difference? The answer tells us a lot about how crowns are made, and the value of aesthetics in dentistry.

Crowns may be made of several different materials. Gold, the most traditional restoration material, makes for a time-tested, functional and durable crown, lasting as long as 50 years. Gold is a precious (and expensive) metal, but considered over the lifetime of the restoration, it's an economical choice. Yet, even for back teeth, it's losing out in popularity to more aesthetically pleasing alternatives.

Porcelain-fused-to-metal (PFM) crowns and all-porcelain crowns replicate the look of natural teeth more accurately. The kind of porcelain used in restorations must have special strengtheners added, which enable it to stand up to wear and tear in the mouth. There are different porcelain materials used in dental restoration, each with a different look, quality and longevity. There are also new, high-tech ceramic materials. Each one has advantages and drawbacks, and each one's cost is different.

Besides the material, another large part of a crown's cost is the custom-fabrication of every piece. Since it must match the other teeth in form and function — and often in looks as well — every crown must be made to an individual's exact requirements. This includes the tooth's exact size and shape, its spacing, and (often) its particular color.

Making this happen is a multi-step process. First, a dentist carefully prepares a model of the affected tooth and its neighbors. Then, the fabrication work is normally performed by a highly skilled laboratory technician, at the dentist's direction. Finally, the dentist prepares the tooth for the restoration, performs final adjustments, and attaches the finished crown. When it's done, the restored tooth can be difficult to tell apart from any other.

The level of craftsmanship involved at the dental laboratory can vary — and along with it, the price. Dentists may even choose different technicians based on the quality level they're striving for. All of these factors affect the final cost of the crown, and its value to the patient.

It has been said that beauty is in the eye of the beholder, and this is certainly true in the case of dental restorations. The choice of a “best” crown is different for every person — more than one alternative may be available, and each comes with its own price. If you have more questions about your options for a crown restoration, don't hesitate to ask us!

If you would like more information about crowns, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine articles “Value of Quality Care,” “Porcelain Crowns & Veneers,” and “Gold or Porcelain Crowns.”