Monday, November 16, 2009

Should I let my regular dentist do my 6 crownd in the front?

Ive seen all the things saying to have a dentist that specializes in cosmetic dentistry do it instead. Im wondering if my regular dentist can do a good job too? I got a model back from the lab of my teeth and he said I "gaurantee" they will look exactly like that. I asked him if he does this often he said "from time to time".





I also saw a crown he did on one of his assistants and it looked good, and he explained to me last week he had done veneers on a woman 25 yrs ago and she had 2 of them redone last week, so I guess they will last.





He gives them a warranty of 5 yrs where he will fix them for free in that time. Also when I asked how long I asked how long they would last he said " I will have to redo them in my lifetime" . He was not pushy about me getting them done and did not try to convince me to go ahead with it. If it matters at all he went to an IB league school.

Should I let my regular dentist do my 6 crownd in the front?
do not mess with your teeth unless u HAVE to. alot of people have had botched jobs done on their teeth and it's a hard thing to correct, if u can. life isn't perfect. looks aren't perfect. he gave u a "guarantee" that they will look a certain way? get that in writing. he shouldn't mind, since you probably had to "guarantee" to pay him. his assistants crown looked good? of course....





please rethink....
Reply:i had a crown done by regular dentist and it looks good.
Reply:I think you should let your dentist do it. For one, it would be cheaper then going to a cosmetic dentist. Cosmetics are very expensive. Also, your health insurance will not (most likely) cover the costs. But if you do it through the general dentist, it's possible it will be covered. Mostly depends on your insurance. Also, NOTHING lasts forever. No matter where you go, sometime in your lifetime, you have to have them restored again, thats just life. But crowns are very long term.
Reply:Who cares if he went to a Ivy league school...it will not make him a better dentist. No dentist can say he or she is a specialist in cosmetic dentistry...it would be false advertisment. Legally and ethically do dentist can claim to be specialist in cosmetic dentistry. Why do you want to have 6 crowns done? The natural teeth are the best...Once you get crowns, you will need to replace those every 6-8 years, espcially in the front. Over time, recession of the gum can happen which can make crowns unesthetic. Get a second opinion on this.
Reply:I have worked for 2 general dentists and both of them did great crowns. I have done alot of cosmetic cases with the first dentist and if the crowns did not look like he wanted them to then he would send them back to the lab and have them remade. You don't have to see a cosmetic dentist to have your crowns look good. I think that your dentist will make sure that they look like you want them to and if they don't he will have them remade.
Reply:I would go to a specialist. that is what they are there for.





he would have the education and knowledge of doing the work that is needed.





Don't play around with it. You only have 1 set of Natural teeth.





Take care of them
Reply:If you have healthy front teeth and are crowning them just for cosmetic reasons... shame on you!


There are so many other things you can do to preserve your natural tooth structure. Just remember, once you crown a tooth you can never go back to a natural tooth. And, while crowns do last, they do not last forever. The average for front teeth is about 10-15 years. That means, in your lifetime they will need replacing about three or four times!


Are your teeth discolored? Out of alignment?


Discolored? Have them bleached. Zoom whitening works very well and leaves the natural tooth structure.


Out of alignment? Have braces. Many of our adult patients are having braces now when they an afford them better than their parents could when they were young.


It sounds to me that your dentist, while probably competent to do a good job, is not too enthusiastic about it. Most good dentists would rather not grind down sound natural teeth just for "pretty".


Ask your dentist what your other options are to beautify your smile and preserve your teeth.
Reply:For starters, it's good that you are weary! Getting a second opinnion never hurt anyone. All dentists have to keep up with their knowledge on up and coming advancements, so him being a family dentist, he has every right to practice crowns and veneers! Personally I would stay with him on this one, you have built up a relationship with this dentist, and more than likely he wont let you down. Plus you have seen his work! Veneers are a bit more pricey than crowns, but I suggest them more so because you are not taking off as much enamel as crown preps, which take 2mm from all sides. Sometimes I have noticed that crowns over time become dull, or look bulky and not as realistic as veneers. Make sure you get " All porcealin if you choose crowns, not metal inlay!" The metal may show a slight gray tint or even appear visible at the borders of the gumline if not seated properly due to gum recession. If you have any more questions you can ask. Hope this helps a bit! =)
Reply:Most general dentists do crown and bridge as well as cosmetic work. YEARS ago I had composite applied to my upper front teeth-6. Mu husband was a dentist. They are still there. The only problem is they darken with age and whitening products do not bleach them. You can have new material applied over them if this happens. I am betting this is alot less expensive than crowns and preserves your teeth.
Reply:From your description it seems the dentist has gone to great lengths to help you feel comfortable. If your gaps are that large than most likely you would need crowns. I would definitely do all porcelain for anterior crowns. They have a more natural look to them. Veneers are very thin and therefore not able to stick very far off the surface of the tooth, that is most likely why crowns are recommended. I feel the majority of general dentists are capable of making nice crowns. Since he is giving you a 5 year warranty, he must feel confident they will hold up well and you will like them. If he only gave them a year, that would seem less confident, I think. If your gaps are as large as you describe it is true that the more teeth you crown, the better the final look will be. They can increase each tooth more evenly that way and you won't look like you have "Chiclets" for teeth. Get a second opinion just for comparison. It never hurts and it may help releave your mind.
Reply:I have had crowns in the back teeth. My son has had two front teeth capped. He did notice a bit of difference in biting, but he had to go with temps for 10 yrs due to and accident. I have not noticed any difference in my ability to chew. I did loose one Gold cap done about 40 years ago but all the others are fine. The porcelain type ones are fine, It is important to clean them as well as regular teeth or you may have trouble with them looking dull. if he has his assistant able to show you his work that speaks volumes check insurance plans tho if your ins is paying for it. My dentist did not accept the insurance figures for the work done for I ended up paying more that if I would have gone to a different dentist. I just did not want to go to a dentist I had never been too...also did not have the time.
Reply:If your Dentist says he can do it, then he probably can. I had a dentist one time that did regular dentistry, orthodontics, surgical dentistry etc... He was really good and loved to keep up on the latest techniques.


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