Tag Archives: family dentist

CEREC crowns

Should I Change Away from CEREC?

I needed a dental crown on a front tooth that I broke, but needed to leave town in two days. My dentist suggested a CEREC crown. I agreed. The crown was done and I left town. The very next day, my crown fell off. I was in another state and had to see an emergency dentist. He looked at it and told me that whoever did my crown did not bond it on properly. He fixed it and I was able to finish my trip. I did notice the color was off, but this was true from the beginning of the crown, not because it fell off. I talked to my dentist about this situation and he agreed to do the whole thing over. After some research, I am thinking that this dentist may be in over his head. Should I go to a traditional crown instead of CEREC?

Lindsey

Dear Lindsey,

block of porcelain for a cerec crown.

CEREC crowns are wonderful and convenient, but they’re not the best on front teeth. This is because they are milled from a single block of porcelain. That means they will not have those subtle variations in opacity and color that your natural teeth will. On teeth that are not directly exposed to light, such as our front teeth, that’s not a problem. They will still look natural and blend in. But, with front teeth, they will look flat. So, yes, I would go with the traditional dental crowns.

That being said, crowns on front teeth are difficult to match exactly even with traditional crowns, and your dentist does not inspire confidence in me. If he could not properly bond on a dental crown, which is one of the first things we learn in dental school, then I have my doubts that he has the skills to do this well.

However, if you want to give him a chance, I would tell him that you want him to try it on with a temporary try-in paste so that you can get a good look at it in a variety of lights and feel confident that it is what you want. Only then should he bond it on permanently. If you don’t like it, then he should go back and make the needed changes. He should be okay with this. Even skilled cosmetic dentists usually need two or three try-ins.

This blog is brought to you by Gilbert Family Dentist Dr. Matt Roper.
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General dentistry, Mercury Free

Will Dental Implants Trigger My Allergies?

Hello there,

I am interested in dental implants to restore my smile. The years have not been easy on my teeth. While a dental implant is a little outside my price range at the moment, I have a more pressing concern. I have a severe allergy to metal. I cannot even wear metallic accessories or fashion items. I know I am allergic to nickel and have sensitivities to others metals commonly used in dentistry.

Is it possible to restore my smile without using metal?

Hotaru, from Austin, TX

 

Hi Hotaru,

Your metal allergies sound serious, however, most dental implants contain titanium. Being allergic to one metal does not mean you will be allergic to all. Titanium is a highly biocompatible metal, but prior to getting any implants, you can opt for an allergy test to put your concerns to rest.

Another option you have is to find a dentist that creates metal-free all-porcelain implants using zirconia or another strong ceramic. It may be difficult to find someone to place an all-porcelain implant, but if a titanium one is out of the question, it can be done.

This blog post is brought to you by Gilbert dentist, Dr. Matthew Roper, of Vista Dorada Dental.