Tag Archives: Gilbert CEREC crown

CEREC crowns

My crown keeps falling off

I had a CEREC crown placed. However, it has come out several times within the last year. Finally, after the fourth time, I consulted a different dentist, who replaced the crown with a zirconia porcelain crown, but it, too, has come out several times. The dentist suggested a full porcelain crown, stating that the cement is adhering to my tooth, but not the crown. He indicated that the all-porcelain crown is rough of the underneath and would, therefore, bond to the cement more effectively. I’m unsure of what my next step should be, but I am tired of the trouble these crowns have caused. What do you suggest I do?

Thank you,
Kodi

Kodi,

The CEREC crown, or same-day crown, is created by a computer in the dental office, the day of your appointment. When prepared and adhesed correctly, the crown will remain permanently affixed to the tooth. The material of which your crown is made is not indicative of how permanent the bond will be. Whether your crown is porcelain, gold, CEREC, or zirconia, all are made to stay permanently.

However, there are two factors that can determine if a crown will stay on permanently or not. They are the bonding strength of the cement, and the shape of the prepared tooth. The most important of these is the shape. If the tooth is prepared with little taper, a crown can be adhered with a weak cement, and it will stay permanently affixed. However, if there is a lot of taper, even some of the strongest cements will have difficulty staying on.

This is not implying that getting a solid bond between the crown and tooth would not solve your problem. The cement’s strength is important. But, when a tooth is prepared with good retention form, the crown will not fall off multiple times in one year. This indicates that your tooth may have been prepared with retention form that is insufficient.

To move forward, it would be a good idea to consult a dentist experienced in placing crowns that will stay on.

This article was brought to you by Gilbert CEREC Crown provider, Dr. Matthew Roper.

Affordable Dentistry

Affordable dentist practiced on me

I was in need of significant dental work, but my very tight budget prevented me from landing the procedures I desperately needed. I researched and stumbled upon an online ad from an affordable dentist. His promotion was that he was offering crowns at a lesser rate, as he practiced using a new in-office machine that makes crowns. I immediately reached out because I could afford his services and he was offering what I needed. This ended up being a terrible decision.

I was in his office for five hours. His machine kept giving him issues. In addition, the crowns were not fitting correctly. He made some changes to the tooth, then returned to the machine and was able to get them to fit. Now, in addition to my tooth being sore, my entire mouth is in pain. Is it possible that the dentist caused permanent damage? If so, am I responsible since he did, in fact, claim up front that he was offering the service and price because he was learning?

Sincerely,

Erica


Dear Erica,

I am sorry you went through this. It is a good idea for you to return to the dentist and let him know that you’re in pain. When teeth are bothered a lot, as yours were, they can become irritated. It sounds like you had repeated try-ons, and your teeth probably became very sensitive to this. For basic irritation, an over-the-counter medication like ibuprofen, that is an anti-inflammatory, will help ease the pain and it should clear up in just a few days. However, the pain might not improve on its own. You mentioned earlier that you needed a crown, but held off getting one. It could be that decay has formed and your tooth is now in need of a root canal, but this may be difficult to prove.

Regardless, the dentist is responsible for the work he did, whether he promoted himself as an affordable dentist or said that he was offering the low cost because he was practicing. An ethical dentist will want to know that you’re in pain and experiencing problems, and he will want to fix them. But, if he gives you an problems or does not fix the issue, you will need to consult another dentist.

For future dental needs, it is important to focus your search on a dental provider who has quality services and experience, then consult with him or her about ways to work within your budget. Many providers offer affordable dentistry plans which allow patients to spread out the dental costs, or take advantage of insurance benefits. Financing your treatment or choosing from different treatment options at various price points may also be an option.

This blog is provided by Dr. Matthew Roper, an affordable dentist in Gilbert, AZ.

 

CEREC crowns, Uncategorized

CEREC Crowns help with dental anxiety

If you are a person who suffers from dental anxiety, and haven’t visited a dentist in quite some time, you may not be aware of CEREC crowns, and how these restorations are are changing dentistry and lives.

CEREC crowns are made in the office

It used to be that a crown could only be done by going into the office for multiple visits. The doctor would removed the decay and/or damage, take impressions, and fit you for a temporary crown in the first visit. Your impressions would then be sent to a dental lab, where your restoration would be created, over a two-week timeframe. While some crowns remain this way, CEREC crowns are different.

Years ago, the only option when you needed to have a crown done was to go into the office for two visits. On the first visit, the doctor would remove the decay or damage on the tooth, build it up if need be, take impressions, and fit you with a temporary. Then, your impressions would get shipped off to a dental lab which would then craft your restoration over a period of two weeks. Some crowns are still this way, but CEREC crowns are different. These crowns are made in the office using CAD/CAM technology and a milling machine, allowing your crown to be created and placed all in one visit, easing the anxiety of a dental patient who may be troubled by the idea of multiple visits to the dental office.

Impressions are taken digitally

Often, people with dental anxiety have strong gag reflexes, or aversions to the impression process. The use of the CAD/CAM technology, allows the impressions to be taken digitally, similar to having a photo taken.

Can be combined with sedation dentistry

Nitrous oxide is a helpful way for patients with mild dental anxiety to feel more relaxed and comfortable. It takes effect quickly, and wears off almost immediately after treatment. For those patients with a more intense dental anxiety, conscious sedation will place you in a deeply relaxed state.

This blog is sponsored by Gilbert CEREC crowns dentist, Dr. Matthew Roper.

 

 

CEREC crowns

What should I do if my CEREC crown broke?

Two weeks ago, I had a CEREC crown done. I was recently eating, when I felt something come loose in my mouth. I came to find out this crown had broken in half. The dentist offered to fix the crown free of charge. While I was thankful for this, I wanted to know why this happened. I want to be sure this was just a fluke circumstance and not an error made by the dentist.

Sincerely,
Randi

Dear Randi,

While this is quite rare, there are some things that may have hinted that something was “off”, like tooth pain, jaw pain, or if the tooth was connecting first when you bit down.

Another possibility is the way the material handled stress, though it is unlikely that this is the case. However, if this were the case, it is possible there was some sort of defect in the material before use, though this, too, is unlikely.

Another thought is if you grind or clench your teeth, this may be the cause. Each tooth has a different threshold in terms of the amount of force it can withstand. This is why some restorations my break, while others do not. If this occurs during the day, practicing relaxation exercises can help. If it’s taking place at night, a night guard will prevent the grinding.

The majority of crowns can handle this to an extent, so you can’t rule out the material used or a mistake made by the dentist. It’s worth having him redo the procedure. It would be good to see what he thinks is the cause. Dentists have restorations fail from time to time. So long as this is not the norm, and he wants to fix the issue, it sounds like you’re in good hands.

This post is brought to you by Gilbert CEREC provider Dr. Matt Roper.

CEREC crowns

CEREC Crown Disaster

Everything I’ve read about CEREC crowns and their procedure leads me to think my dentist was way off on how she handled my particular case. What’s done is done, but I just need to make sure the sensitivity I’m feeling is normal and will go away after some healing or if I have a problem. When the dentist did my crown, she said my tooth was in too bad a shape to get a good image so she was just going to pull one from a CEREC database. I wasn’t too worried because the advertisements all talk about how perfectly these crowns fit. Well, it didn’t. It was too big all around. She spent well over an hour grinding down all the sides of it. Not only was that remarkably uncomfortable, but it doesn’t even look like a real tooth anymore. It looks more like a box. Plus, every time I eat or drink something cold it zings me. Will that end after a period of time or do I have a problem on my hands?

Dirk B.

Dear Dirk,

Gilbert CEREC Crowns
A CEREC Machine

You have a problem. You’re also right that this seems to be a disaster. CEREC crowns should be able to be placed in minutes. I have no idea what your dentist meant by your tooth was in too bad a shape to get a good image. It’s only teeth which are in bad shape that need a dental crown to begin with. I have no idea why she couldn’t get a clear image.

The only thing I can think of with an image database is when she input into the CEREC machine which tooth she was going to crown. It will give her a basic image to work from, then she’ll put images of the surrounding and opposing teeth so the computer can design a crown with a perfect fit. It sounds like your dentist had absolutely no idea what she was doing.

Get a New CEREC Crown

The sensitivity to cold concerns me. It sounds like your dentist left an open margin. That not only causes some pain when you drink something cold, but it also allows food and drinks to get trapped in there. You don’t want to leave any opening for decay. A mistake like this can cost you your tooth. Then, you won’t be trying to get a crown, but a complete tooth replacement.

You need to get a new CEREC crown made. But, you’ll want to go about this in a way that won’t cost you any more money. You’ll first need to get a second opinion from a dentist verifying everything I’ve said so you have ammunition. Do NOT tell the second opinion dentist the story you told me. Just tell them you want them to look at your crown. Also, do NOT tell them who your dentist is. You don’t want any friendship or misplaced sense of loyalty to cause them to waver in their true opinion. If they pressure you to know, tell them you’ll let them know AFTER they give their opinion. Tell them you just want their pure, untainted thoughts.

Once what I suspect is confirmed, don’t just ask for a refund. Your dentist should also pay for any expenses you incur to fix her botched job.

I hope this helps.
This blog is brought to you by Dr. Matt Roper.

CEREC crowns

Will CEREC Crowns Blend with My Natural Teeth

I’ve been hearing a lot about CEREC crowns and I really want to take the plunge and get my dental work done. I’m more drawn to the simplicity of it all- go in and get it done and then just be done with it all. There’s no waiting with a temporary forever. My thing is, I really don’t care for vanity treatments. I think movie star smiles look ridiculous. Their teeth are too perfect- too white, too straight. That’s not the kind of smile I want. I have some slightly crooked teeth and they’ve darkened over the years, but that doesn’t bother me at all. It looks natural and that is beautiful to me. So, if I go in and see someone who does CEREC crowns, can the dentist make it look like my teeth are now, so it blends with my natural teeth? If not, I’ll probably just go the traditional route, as the dentist I usually see works with a lab who does nice shading. I just hate to wait.

Thanks,

Melvin

Dear Melvin,

CEREC crowns come in all kinds of colors and can be shaded to match your teeth, so they blend perfectly and naturally into your smile.

With that said, not every doctor puts in the effort to make sure that the artistry is there. If you choose to go this route, be sure to ask to see photos of the doctor’s CEREC crowns, so you can gauge the results you can expect.

This may not be of huge importance for a tooth in the back, but front teeth are very hard to get right, especially if your teeth have multiple shades. Sometimes even labs have trouble pulling that off. Your best bet is to find out who performs the service in your area and review his smile gallery or before and after photos. If you see quality work, and you’re certain those are photos of CEREC crowns, you can probably go ahead with confidence. However, if you’re dealing with a front tooth and the dentist does not have photos of anterior in-office restorations, you may want to stick with the process you know will produce the results you want. It really comes down to how skilled of an artist the dentist is and how much time he invests in each restoration. Best of luck to you.

This blog is brought to you by Dr. Matt Roper.

CEREC crowns

Can I get a CEREC crown if I ground my teeth?

I had to go to an emergency dentist when my dentist was out of town. I learned two things at that appointment.  1. He said that I need a dental crown. 2. He said I grind my teeth. My regular dentist has never mentioned that before.   I was hoping to get a CEREC crown. Is that possible if I grind my teeth?

May H. – Maryland

May,

I’m glad your emergency dentist caught the grinding, because there can be pretty serious consequences if this isn’t dealt with.  When it comes to a CEREC crown, it is a wonderful restorative. You can get a beautiful, strong crown that looks completely natural.

A CEREC crown will be about as strong as your natural teeth. You will notice, however, that your natural teeth are suffering under the affects of teeth grinding.  You need to protect both your natural and restorative teeth.

It’s likely you don’t know when you’re grinding your teeth. In fact, you probably do it in your sleep, so it’s kind of hard to stop it in that case.

There is a simple solution.  Ask your dentist to fit you for a night guard appliance when you get your crown.  It’s a simple piece that you’ll wear when you sleep. Then you can grind away without hurting your teeth.

This blog is brought to you by Gilbert Dentist Dr. Matt Roper.