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Dental Crowns Do Not Bleach

December 1, 2017

Filed under: All Porcelain Crowns,Tooth Whitening or Tooth Bleaching — Tags: , — Dr Gillis @ 7:00 am

Before you bleach your teeth, you should find out if you have any dental crowns or restorations (fillings) in your mouth that may look odd or unmatched after your tooth bleaching is complete.  The reason for this is (insert sparkly boom here!)

Dental crowns do not bleach!

If you want to bleach your teeth and you have crowns on your front teeth, you may need to replace those crowns if you want them to match your newly bleached teeth.  In our office we will tell you what to expect from tooth bleaching and let you know the likelihood that you will also want to replace fillings or crowns for the ideal final result.  We think it is very important that you are aware of this before you start the bleaching process!

Dental crowns do not bleach!

In some cases you may find that the crowns seem to get whiter.  How could this happen?  If, for example, your  crowns are somewhat translucent so that your natural tooth color can show through, they may seem to get brighter as your teeth get brighter.  If you have all-porcelain and slightly translucent veneers the tooth may bleach and the brighter color will show through and make your veneers seem brighter as well.  If your crown or crowns have any metal below the porcelain  or if they are made from an opaque porcelain, they will not bleach.  This is not a problem if you know in advance what to expect with bleaching.

Very successful bleaching result in our office! Our patient is excited to replace the crown that got darker and darker looking as the teeth brightened.

KoR can be very successful for bleaching hard to bleach teeth. But, your crowns do not bleach!

Our patient had tried several types of bleaching systems and none seemed to work for her until she tried KoR bleaching in our office.  Our office has had some amazing success with this bleaching system on our patients that do not whiten with other systems.  We let her know that as her teeth became whiter, her crown would look darker and she would probably want to replace it.  She had already wanted to replace this crown due to the visible margins and the fact that it had never looked “real”.  Please look again in the future to see our final results after replacing the crown!

Which color would you rather have? Maybe someday dental crowns will bleach!

Yours for better dental health

. . . . . and maybe for dental beauty as well!

Julie Gillis DDS

Restoring Smiles/Restoring Health

The Magic of All Porcelain Dental Restorations

November 16, 2017

Before photo: Our patient did not like the gaps present between her teeth or the missing lower tooth. Porcelain partial crowns, veneers and a bridge were the answer.

After photo with all-porcelain magic. Porcelain partial crowns are very esthetic and natural looking.

The Magic of All Porcelain Dental Restorations: Veneers, Crowns, and Bridges.

 

When all porcelain dental restorations are done well the result can be truly magical!  This blog explores combining all porcelain veneers, all porcelain crowns and all porcelain bridges to restore a smile to be more beautiful yet very natural in appearance.  Porcelain fused to metal crowns were selected for the molars for added strength.

We had seen our patient for many years before she let us know that she wanted to do something to improve her smile.  She didn’t want ridiculous and somewhat unnatural white teeth –  just a full natural-looking smile.  To achieve a result like this requires a talented dentist and dental team and a talented laboratory technician.  Janet has been loving her smile for over six years and the restorations continue looking great.

Janet’s main concerns with her smile were the following:

  • Gap between the front teeth
  • Gaps on the lower right and left especially the large gap on the left that showed when she smiled.
  • Gold crowns showing up at the corners of her smile
  • Dark and uneven color of existing teeth.
  • Desire for long lasting, beautiful teeth with a brighter but natural looking color
  • Desire to show more upper teeth when she smiled

All porcelain dental restorations would help us address all of these concerns.  To assist the lab with providing restorations that would meet all of Janet’s goals we did a series of photographs with different shade tabs.  A video was used to show the lab the play of the patient’s lips over her teeth during speech and wen smiling, laughing, and enunciating several different sounds.  Preliminary study models were taken and a wax up was completed to show the patient what could be achieved and to make custom temporaries. X-rays, and a comprehensive examination verified the health of the teeth and supporting structures.

Before photo – gurm do not show in a full smile and therefore are not a big concern. Porcelain partial crowns, veneers and a bridge were the answer.

The restored smile is much more pleasing and natural looking with the use of all porcelain veneers, crowns, and bridges.

Gum surgery could have been completed to even the gingival height on the front teeth but these areas did not show when she smiled and were not a concern for Janet.  The overall result achieved with all porcelain dental restorations was aesthetically very pleasing and Janet’s care of her restorations and her teeth is excellent.  Because of this the restorations will last a long time.

Our patient did not like the gaps present between her teeth or the missing lower tooth.

See the magic! Porcelain partial crowns, Porcelain veneers and an all porcelain bridge were the answer for this beautiful and healthy smile!

In our dental office, we strive to meet or exceed your expectations.  We always offer a 5-year guarantee on porcelain dental restorations when our patients see our office for regular dental care including cleanings and examinations.  If you are interested in this type of dental care to restore your smile or achieve your goals, our office would be happy to help!  We enjoy offering the best dental care in a warm, caring and comfortable environment.  We appreciate the opportunity to serve you!

Yours for better dental health,

Julie Gillis DDS, AAACD

Restoring Teeth/Restoring Smiles

 

All Porcelain Crowns or Porcelain Fused to Metal?

September 25, 2017

Filed under: All Porcelain Crowns,Crowns — Tags: , — Dr Gillis @ 11:25 pm

All Porcelain Crowns or Porcelain Fused to Metal Crowns?

Porcelain fused to metal crowns may be strong, but they often look fake.

A crown is not a crown is not a crown!  If you are deciding what type of crown is best for you – an all porcelain crown or a porcelain fused to metal crown – this blog will help by describing and showing you these types of crowns and explaining their advantages.  Your dentist should also be able to tell you the advantages and disadvantages of different types of crowns and why one type may be best for certain situations.   In our office can show you many photos of crowns that we have completed and we would be happy to answer your questions to find the type of treatment that is right for you and for your teeth!

When they are done well, an all porcelain crown is strong and beautiful!

Porcelain fused to metal crowns may be strong, but they often look fake.

In the photos shown here, you will see both all porcelain crowns and porcelain fused to metal crowns to restore the front teeth.  Although the porcelain fused to metal crowns have functioned well for years, they are not aesthetic.  Our patient was unhappy with her smile.  Her main concerns were the following:

 

  • The crowns do not look real, they look like fake teeth
  • The crowns are too opaque and too dark
  • There are gaps between the teeth that often look like I have something stuck there
  • The crowns make the teeth look old

 

In a porcelain fused to metal crown, the tooth is covered in a thin layer of metal before the porcelain is added to make the crown ‘tooth colored’.  How can you tell if the crowns are porcelain fused to metal?

  1. You will often see a dark or black line at the edge of the crowns where the metal shows through
  2. The crowns are often opaque due to the opaque layers of porcelain that must be used to hide or masque the metal
  3. On a dental x-ray, you cannot see the tooth through the crown

Note the much improved smile with the use of all porcelain crowns on the front teeth!

Why would dentists use porcelain fused to metal?

  1. Porcelain fused to metal used to be the strongest type of crown that was still tooth colored.
  2. Porcelain, especially older porcelains, can be prone to fracture and the metal below the porcelain provides support.
  3. The crown could be metal on the inside or tongue side of the tooth and metal is kind to the teeth chewing against the crown.
  4. All porcelain crowns should ideally be bonded to the teeth and there may be conditions where it is not possible to bond the crowns in place and the crown must be cemented.
  5. Sometimes a dentist will only do the types of crowns that they have been doing for years and porcelain fused to metal crowns have been around for years.
  6. The dentist’s laboratory may not be skilled at doing all porcelain crowns.

Our office completed a thorough examination and noted that the gums were very healthy and the teeth looked great on an x-ray.  We replaced the unaesthetic porcelain fused to metal crowns with all porcelain crowns and achieved a much more natural looking result.  Our office and our patient were very pleased with the result!  We still place porcelain fused to metal crowns in some situations and we would be happy to let you know the best type of crown for your teeth and your specific situation!  You can find more information about types of crowns in our other blogs or by visiting our website at www.juliegillisdds.com,  We appreciate the opportunity to provide you with the best dental care! Weather you live in Grand Junction, Colorado, Fruita, Colorado, Palisade, Colorado, Delta, Colorado, Montrose, Colorado, or any neighboring city; we would love to see you!  We see many patients from Utah as well.

Yours for better dental health,

Julie Gillis DDS, AAACD

Restoring Teeth/Restoring Smiles