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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

 

 

 

What Does a Tooth Crown Cost??

May 12, 2016

Filed under: Crowns — Tags: — Dr Gillis @ 3:18 pm

How Much is a Crown? and/or What Does a Tooth Crown Cost??

This information provided for you by Julie Cross, treatment assistant for Dr. Julie Gillis

Crowns come in all shapes, colors, and sizes!

A Tooth Crown can come in all shapes, colors, and sizes. These crowns are for upper central incisors.

People often call up dental offices and ask, “How much is a tooth crown?” or, “How much does it cost for a tooth or dental crown?”  What patients need to ask is “Will I get a quality crown is your office?”

Dr. Julie Gillis and her team, are very concerned with technical excellence, quality materials, good customer service, and patient comfort.  By providing these services, Dr. Gillis will only use a lab to make our crowns/caps that have the same values as our office.

Dr. Gillis is an accredited member of the American Academy of Cosmetic Denistry (AACD), and the lab that she uses for your crown is also an accredited laboratory technician with the AACD.

We would be happy to tell you the average range of the cost of a tooth crown in our office.  Crowns range in cost depending on any additional services that are needed for an ideal result. Additional services may include an x-ray, a build up restoration to provide support for your crown if the tooth is broken down, gingival plastic surgery to allow access to remove and restore decay below the level of the gums, etc.  In our office we also follow the tooth crown over time as our patients return for regular cleanings and examinations and we guarantee the crown for five years.  If a crown is done well, and the patient is taking good care of their teeth, a crown will last much longer than this.

So remember when calling office to office to get the cost of a crown, don’t go with the cheapest price, that probably won’t last, go to Dr. Julie Gillis, where you will get the best dentistry.  Isn’t that what you deserve?

Our office sees patients from across the grand valley including the Colorado communities of Grand Junction, Clifton, Fruita, Montrose, Delta, and Moab, Utah.  Our phone number is (970) 242-3635.  We would love to see you!

 

 

Can Tooth Decay Cause Bad Breath? Absolutely!

April 22, 2016

Filed under: Crowns,Decay,Dental Hygiene,Oral Hygiene — Tags: , , — Dr Gillis @ 11:28 pm

Can Tooth Decay Cause Bad Breath?

Tooth decay can and does cause bad breath!  So the answer is one of the following:

  • Yes
  • Absolutely
  • Are you kidding? Sure!
  • Heck yes!
  • Bad breath and more!

The reason for this is easy to understand if you think of tooth decay as an infectious process that causes tooth destruction and creates openings (holes, cavities) in the teeth where bacteria can and do live.  Think ‘decay’ = rotten! Bacteria take up residence in an area where there has been tooth decay and depending on where the decay is in your mouth, you may not be able to clean this area well so the grossness gets worse!

Tooth Decay below crown evident as dark areas below the white metal crown. Root canals have been completed on both molars. First molar has a more normal radiographic appearance.

Tooth Decay below crown evident as dark areas below the white metal crown. Root canals have been completed on both molars. First molar has a more normal radiographic appearance.

Tooth Decay below crown evident as dark areas below the white metal crown. Root canals have been completed on both molars. First molar has a more normal radiographic appearance.

Tooth Decay below crown evident as dark areas below the white metal crown. Root canals have been completed on both molars. First molar has a more normal radiographic appearance.

One place tooth decay occurs that is difficult for a patient (you!) to clean is below an existing crown.  Bacteria hang out at the edge of all crowns where the crown meets the tooth.  As decay begins, pores open up in the tooth structure and the decay may penetrate up under the crown and really spread there.  You can only brush, floss, or toothpick at the edges of your crowns to eliminate – at least for awhile – bacteria that are present there.  You cannot get to the areas of tooth decay up under a crown but bacteria and food can.  This is a recipe for bad breath!

The patient shown here had been experiencing an occasional bad odor from the lower right side of her mouth for a couple months.  She increased her efforts of brushing, flossing, and using antibacterial mouth rinses.  The odor did not improve so she came to our office.

When the crown was removed you could see a large void containing tails of the previous endodontic (root canal) filling material, severe decay, and the most awful odor!

When the crown was removed you could see tails of the previous endodontic (root canal) filling material coated in slime, severe decay, and the most awful odor!

Close up of the reason for the foul odor.

Close up of the reason for the foul odor.

The odor from this tooth was bad enough that you could smell bad breath as the patient described her symptoms.  Although her oral hygiene was excellent, there was no way she could eliminate the odor emanating from this tooth.  The decay was so extensive that the tooth could not be saved and an extraction was required.  When the crown was removed you could tails of the previous endodontic (root canal) filling material coated with debris, severe tooth decay, and the most awful odor!

We removed the bulk of the decay and the loose strands of root canal filling material and after copious rinsing the odor became much more bearable.  This will clear up once the tooth is removed. If we had seen this patient when she first noticed symptoms, we may have been able to save her tooth!

Close up after much of the decay and loose root canal felling material removed.

Close up after much of the decay and loose root canal felling material removed. Because the tooth is smoother, it is much easier to maintain!

 

Our office cares about you and your teeth and we try to never make you feel uncomfortable about the condition of your teeth or your mouth. There are two important messages here:

  1. Tooth decay is one of the many causes of bad breath.

  2. If you notice this, have your dentist evaluate your concerns ASAP!

Please call our Grand Junction, Colorado office at (970) 242-3635 if you have any questions or concerns.  Or visit our office’s Facebook page at https://www.facebook.com/juliegillisddspc

Julie Gillis DDS

Restoring Smiles/Restoring Health

Tell Me About Dental Crowns and Bridges!

December 27, 2015

Filed under: All-Porcelain Bridge,Crowns — Tags: , , — Dr Gillis @ 7:32 am

Another name for a dental crown is a tooth ‘cap’.  Made out of a variety of materials including porcelain and gold, a dental crown covers and protects and/or changes the shape of the tooth or implant below it.  A dental bridge is composed of at least two dental crowns affixed to teeth or implants, and additional crown(s) and used to replace missing teeth.

Anterior crowns

Anterior crowns

Various posterior crowns made with and without metal.

Various posterior crowns made with and without metal.

Dental Crowns and/or dental bridges can be used:

  • to repair broken teeth.
  • to replace missing teeth.
  • to provide strength to an existing tooth.
  • as a replacement for very large fillings.
  • to support dental bridges.
  • to add stability and function to your bite.
  • cosmetically, to conceal permanent stains.

(more…)

Restoring Smiles, Restoring Health in Western Colorado

September 15, 2015

Canted midline and opaque porcelain make this smile less attractive than it could be.

Canted midline and opaque porcelain crowns make this smile less attractive than it could be.

 There are many reasons to replace crowns – poor aesthetics is one of them!

Restoring Smiles, Restoring Health with Cosmetic and Restorative Dentistry

This is our office‘s byline, so it is fun to show one of many beautiful results!  All-porcelain crowns replace the existing porcelain fused to metal crowns that had metal below the porcelain.  Metal is often used to strengthen and support porcelain in dental crowns, however we currently have better, stronger, more aesthetic all-porcelain crowns available for our patients!

White and straight is 'beautiful' in almost all cultures!

Same smile improved with all-porcelain crowns!  White and straight is ‘beautiful’ in almost all cultures!

 

Up close you can see defective crown margins and the bone loss that has occured

Up close you can see defective porcelain fused to metal crown margins and the bone loss that has occurred.

 

Gorgeous smile highlights a beautiful face!

Gorgeous smile highlights a beautiful face!

 

 

 

 

 

 

The porcelain crowns done previously for this lovely lady were opaque due to the underlying metal.  The existing porcelain crowns were too large for the patient’s mouth, her smile line was canted, the margins of several of the crowns were defective meaning that bacteria could get below the crown edges and cause decay, and the midline was not vertical as it should be!

Note the much improved smile with cosmetic dentistry in the Grand Junction, Colorado office of Dr. Julie Gillis with cosmetic dentistry and all porcelain crowns!  Our office sees patients from all over the Western slope including Grand Junction, Aspen, Palisade, Clifton, Fruita, and many surrounding communities.  Please call our office at (970) 242-3635 for information on all porcelain crowns, cosmetic dentistry, or just ways to make your mouth healthier or your smile brighter!

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