A crown is a dental restoration that covers the entire tooth above the gumline. They are used when too much of the original tooth structure is lost or damaged to allow for repair with a filling. Crowns are often used to replace large old fillings that have failed, to repair a broken tooth, or restore a tooth with a substantial amount of decay. Although dental crowns used to be made entirely of metal, or metal covered by a white porcelain, many can now be made completely of high-quality, tooth-colored porcelain or other ceramic to obtain a natural, lifelike appearance.
At Hastings on Hudson Dental Arts works together with work hard to create ceramic crowns that are virtually indistinguishable from natural teeth.
There are some cases where an individual’s tooth may be weak from prior dental work that they received for past dental ailments that they had. Some instances may come up where a person’s tooth must be restored to the size that it was as well as its shape, or the tooth may require other physical adjustments. There are some instances where the affected tooth, may need to be made over in some way. For procedures like these, patients should look into obtaining a crown to fix this problem.
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Inlays and onlays are used to cover an individual’s chewing surface of their teeth, fillings will help correct any empty spaces found on an individual’s smile, while crowns are used to completely encase an individual’s tooth. Since crowns cover the entire surface an individual’s tooth, they are generally known as caps. With these crowns, there will be a portion of your tooth that is still evident, while the rest of your tooth is rebuilt in order to give the exterior portion of your tooth a better appearance.
Porcelain crowns are used in order to improve the appearance of one’s tooth or teeth. But, these types of crowns are generally used after other tooth repairs have been conducted; these procedures are generally performed for cosmetic reasons. A patients tooth will need to be shaved down in order to properly fit the desired crown onto an individual’s tooth.
The shaving is normally performed in cases where an individual’s tooth is either weak or broken; however by shaving down healthy teeth this can damage an individual’s teeth. Crowns are generally the optimum option for less evasive replacement treatments, and this will also help protect an individual’s teeth.
Porcelain crowns are ideal for front teeth, which are more visible than back teeth yet do not need to withstand the same amount of strong chewing pressure. Newer, high-quality ceramics are strong enough to be used for all-porcelain crowns and, in the hands of a skilled cosmetic dentist like Dr. Shay Markovitch, can be crafted and shaped to look completely natural.
There are many different types of ceramics that can now be used to create these crowns. These include: E Max, Empress, Cerec, Feldspathic, Procera and Zirconium. Each type has certain characteristics that make it preferable for certain situations, but also more complicated to apply. The best ceramic for one patient’s dental crown is not necessarily the best for another. When choosing a dentist for a dental crown restoration, it’s important to choose one who is experienced and comfortable with a number of different ceramics so that he or she can customize a crown that will fit that particular case. Dr. Shay Markovitch has extensive experience with all of these types of ceramics, as well as others.
Porcelain-Fused-to-Metal (PFM) Crowns
Some dental restorations are not suited to repair with an all-ceramic crown. Some anterior (back) teeth will still need the strength of a metal crown. And, patients with severe night-grinding or bruxism issues may need to have a metal crown, as well. In these situations, patients can have the metal crown covered by porcelain that is baked onto the crown’s surface. These crowns, known as porcelain-fused-to-metal (PFM) crowns, are common throughout the dental community. However, not all PFM crowns are the same.
PFM crowns placed by general dentists are often made of a lower-grade metal alloy with a lower quality, white porcelain baked onto the surface. These crowns are inexpensive and easy to produce, but they are not very attractive. Most have a very opaque, solid appearance and will show a dark metal line at the gumline.
Dr. Shay Markovitch uses only 14-carat gold in his PFM crowns. Gold crowns are stronger than other metal crowns. And, they have a warmer, natural appearance when covered with a carefully crafted ceramic. Dr. Shay Markovitch crowns are also carefully constructed to prevent showing a dark line at the edges, even if a patient’s gums recede over time.