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Choosing crowns for the restoration of teeth


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In the ideal scenario, teeth would be able to fully resist damage of any sort. As our teeth, however, are not impervious to decay or injury, which is why restorative treatments have been developed to correct a number of issues. Acting most conservatively, Dr. Bernstein treats decay first with fillings. In instances where damage is more extensive, a dental crown may be needed to return the affected tooth to its strongest form. Dental crowns act to fully cover teeth, rebuilding the structure necessary to withstand the forces of chewing.

When dental crowns are called for, there are a number of materials to consider. In treating damaged teeth with crowns, metal-alloy used to be the only option. In our Michigan practice, metal-alloy crowns are just one option among many. Choosing which material is most suitable is an important task, playing a role in both the aesthetic and the longevity of this restorative treatment.

While metal alloy crowns have long been used to restore function to teeth, gold is a metal that deserves some consideration. Yes, gold crowns do require a larger up-front investment. The return on this investment, however, is substantial. Gold is ideal for dental restorations for a number of reasons. This material is biocompatible, which means that the tissues surrounding the crown will not be irritated by its presence. Perhaps even more important are the natural characteristics of gold to expand and contract similarly to existing tooth enamel. This tendency allows for the creation of a better fitting crown, leading to a restoration that can far outlast other materials.

A concern that many patients have over dental crowns in general is their impact on the aesthetic of the smile. Whether standard metal alloy or gold, a crown can be fabricated with a porcelain overlay that will create a seamless transition between teeth.

Porcelain is a material often used in cosmetic dentistry due to the fact that this material most closely resembles natural enamel. Used over a dental crown, porcelain does lose a bit of translucency, but as these crowns are typically placed on molars, restorations are aesthetically pleasing. When a crown is needed for a front tooth, all-porcelain or ceramic may be recommended for the most natural appearance.

Investigating the various options for materials will help you make a more confident decision regarding dental crowns. For more information or to schedule your dental visit with Dr. Bernstein, contact us today.


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