Porcelain Metal-Free Crowns
When too much tooth structure has been lost due to decay or fracture, the best treatment choice to restore the tooth to normal function and cosmetic appearance is often the fabrication of a crown [cap].
A crown is a type of dental restoration which completely caps or encircles a tooth or dental implant. Crowns are are often needed when a large cavity threatens the ongoing health of a tooth. They are typically bonded to the tooth using a dental cement.
Crowns are usually made of porcelain fused to metal or all-ceramic depending on the situation and judgment of the dentist. At Smile Again Dental we prefer metal-free restorations. The restoration of the damaged tooth becomes more of an esthetic concern if it is located near the front of one’s mouth. How we perceive our smile and appearance affects our self-esteem, our moods and how we function in social and business relationships.
The tooth is prepared to allow enough room for the crown to fit over the tooth without extending too far and interfering with the person’s occlusion [bite]. This procedure usually takes 2 visits, depending on the situation. A provisional acrylic crown is made and temporarily cemented over the tooth. In the second visit, the crown is “tried in” to see how accurately it fits and to check that the ceramic color chosen matches the surrounding teeth. If both the patient and dentist are satisfied, the crown is permanently cemented or bonded to the tooth.
Porcelain veneers are the foundation of the ultimate cosmetic smile makeover. Many cosmetic dental problems can be instantly resolved with porcelain veneers. If you have chipped, gapped, stained, or crooked teeth, porcelain veneers may be the perfect solution for you. Veneers are ultra-thin, specially made laminates that are bonded to the front surfaces of teeth. They are stronger and have a longer life than bonding.
A porcelain veneer is ideal for older teeth. Fabrication of a porcelain veneer uses an indirect technique and involves preparation of the tooth by removing a thin layer of tooth structure, making an impression and sending the impression to the laboratory for construction of the porcelain veneer. A temporary veneer is made and worn until the second visit. On the second visit, the temporary veneer is removed and the permanent veneer is placed and bonded to the tooth surface with composite.
If you have any questions, please don’t hesitate to call our office at 949-768-4949 and ask the dentist, Dr. D. Nicula DDS.