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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

 

 

 

Porcelain Veneer Treatment for Bulimia and/or Severe Wear

February 28, 2017

Filed under: Porcelain Veneers — Tags: , — Dr Gillis @ 7:22 am

Porcelain Veneer Treatment for Bulimia and/or Severe Wear

Severe wear and erosion of anterior teeth makes these teeth look very small.

Severe wear and erosion of anterior teeth makes these teeth look very small.

Can porcelain veneers be used as treatment for bulimia and severe wear?

Absolutely!  The tooth destruction due to the acid from bulimia or anorexia nervosa or severe wear from any other cause should be addressed before any permanent treatment is comopleted.  You want the treatment to last!  If tooth wear is due to acid in any form or due to bad habits such as clenching and grinding your teeth and this underlying cause of the wear is not addressed the problem will continue.  Beautiful porcelain restorations are not any harder than natural enamel and the same problems could occur all over again.

Beauty and length is returned to the teeth with porcelain veneers.

Beauty and length is returned to the teeth with porcelain veneers treatment.

This blog does not address correcting the destructive habits of bulemia or excessive wear of the teeth.  If this is one of your concerns ask your dentist or medical doctor for help.  They will probably have recommendations to end these destructive habits!  The goal here is just to show what can be achieved with porcelain veneer treatment.  Maybe this very positive result will help someone suffering from the disfiguration in a smile that can result from these habits.

Porcelain veneer treatment has returned this beautiful smile!

Porcelain veneer treatment has returned this beautiful smile!

Note the short teeth in the before photos shown here and the improvement in the overall smile.  You can sense the personal confidence of the patient receiving treatment porcelain veneer treatment!  Our office would be happy to offer treatment options for improving your smile!  Treatment plans should be flexible to meet your needs.  Dr. Julie Gillis and her talented team have been restoring smiles and restoring health for many years.  We look forward to hearing from you and seeing you in our Grand Junction, Colorado office.  Please call our office at (970) 242-3635 for more information!

 

Caring For and Enhancing Your Smile

Julie M Gillis DDS, PC

 

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!

SharpR-7SharpR-9 SharpR-12

Can Porcelain Match the Complexities of Natural Teeth?

April 23, 2015

Can Porcelain Match the Complexities of Natural Teeth?

The answer is YES!

 

See the beautiful smile makeover with porcelain veneers below.  You do not really see the porcelain veneers because the color and blend with the natural dentition looks so natural.  What you see is a beautiful smile!

A natural looking, beautiful smile achieved with porcelain veneers!

A natural looking, beautiful smile achieved with porcelain veneers!

Color is good but not the alignment!

Color is good but not the alignment!

 

 

 

 

 

 

 

How about natural teeth with restorations?  A crown was needed on the tooth front tooth shown in the x-ray below.  There is evidence of a vertical fracture within the crown of the tooth, root canal treatment, extensive restorations, and re current decal.  we selected an all-porcelain crown for a natural looking, strong and beautiful restoration.

Extensive restorations present as well as periodontal disease can lead to difficult color match!

Extensive restorations present as well as periodontal disease can lead to difficult color match!

 

Our office tries to make your smile as beautiful, healthy and natural looking as we can based on your goals and the anatomical variables present that we must work with.  We want you to know as much as possible about maintaining a healthy beautiful smile!  Please call our Grand Junction, Colorado office at (970) 242-3635 if you have questions about porcelain veneers, smile makeovers or any dental questions.  We would be happy to help.

New porcelain crown on front tooth blends with multiple shade variations present for a natural looking, healthy smile!

New porcelain crown on front tooth blends with multiple shade variations present for a natural looking, healthy smile! (porcelain crown left side of picture, natural front tooth with gumline filling on right side of picture)

Yours for better dental health, Julie Gillis DDS

Restoring Smiles/Restoring Health

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