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Medical Forum / General / Dentistry / April 2005Crown Question!
Hello Folks: I have been browsing this newsgroup for the question I have about crowns, but I am still a little disoriented. I have not found a case that is similar to mine, so I thought may be I can get some help from the dentists and patients contributing to this newsgroup. My dentist recommended that I get 6 crowns for my front teeth--all porcelain. I am 28 years old now, and when I was 16 I had an accident because of which two teeth had to be root canalled. I understand that they would have to be eventually capped. But my dentist recommended that I get six crowns to also get rid of the gaps in my front teeth and get a pleasing smile. I also have to mention that I am quite eager to get a good smile as having my current smile has affected my personality--negatively! My question is: is it a good idea to crown teeth in healthy condition just for the sake of getting a good smile? In my case, ideally only two root canalled teeth need crowns, but my problem with having a good smile would still remain unsolved in case I choose to crown only two teeth. So do crowns on healthy teeth make me susceptible to more tooth problems? I would really appreciate any recommendations from your side. Thanks in advance! Warm regards, Sumedh > Hello Folks: > > I have been browsing this newsgroup for the question I have about > crowns, but I am still a little disoriented. R E P L Y from Joely: THIS IS da place! >I have not found a case > that is similar to mine, so I thought may be I can get some help from > the dentists and patients contributing to this newsgroup. R E P L Y from Joely: EXCELLENT! > My dentist recommended that I get 6 crowns for my front teeth--all > porcelain. I am 28 years old now, and when I was 16 I had an accident > because of which two teeth had to be root canalled. R E P L Y from Joely: Two front ones I presume .... > I understand that > they would have to be eventually capped. But my dentist recommended > that I get six crowns to also get rid of the gaps in my front teeth and > get a pleasing smile. I also have to mention that I am quite eager to > get a good smile as having my current smile has affected my > personality--negatively! R E P L Y from Joely: Send a picture! Let us have a look-see! > My question is: is it a good idea to crown teeth in healthy condition > just for the sake of getting a good smile? R E P L Y from Joely: Some times yes, sometimes no ........ let's talk about it! > In my case, ideally only two > root canalled teeth need crowns, but my problem with having a good > smile would still remain unsolved in case I choose to crown only two > teeth. So do crowns on healthy teeth make me susceptible to more tooth > problems? R E P L Y from Joely: I can do two crowns and no one can tell which ones they are. Other dentists might have to do six to match up the look. In fact, I can do one and it matches, but that's a tough job if its one central incisor. R E P L Y from Joely: Joel > I would really appreciate any recommendations from your side. > > Thanks in advance! > > Warm regards, > Sumedh > My question is: is it a good idea to crown teeth in healthy condition > just for the sake of getting a good smile? In my case, ideally only two [quoted text clipped - 9 lines] > Warm regards, > Sumedh You ask good questions. My reply to your question..."is it a good idea to crown teeth in healthy condition just for the sake of getting a good smile? " is only you can answer that question. Placing a crown on a tooth is always a compromise. You will be committing to a lifetime of restoration on these teeth, and every time the crowns need to be replaced, the probability of complications (such as a need for root canal treatment or even loss of the teeth) rises. The probability that you will have periodontal complications is heightened unless you maintain excellent hygiene. If, however, your desire to have a "good smile" outweighs these other concerns, then you should go ahead. Just be sure the office is going to give you the esthetic results you desire. T Thank you all for your prompt responses. There is no doubt I have to cap the two root canalled teeth--yes, the two front ones. I am not sure about how intact they are at the moment, but I am already beginning to see discoloration on the gum line and on tiny portions of the teeth close to the gum line. Although it is hardly noticeable to an outsider, I am sure crowning would be an esthetic necessity. I have been to three different dentists so far, and although they advised different kinds of treatments, they were unanimous as far as crowning the root canalled teeth is concerned. I am not against teeth restoration even if I have to do it 3 or 4 times. My concern at least for now is whether this treatment would have any immediate undesirable effects like speech impediments, swollen gums, toothaches, etc. If my dentist assures me of not having these problems, I am inclined to go for crowning the entire six teeth. Tony, your response was useful. Just a supplementary question: when you say that I need to make sure about the esthetic results, what exactly do you mean? Are there any pitfalls to be avoided or anything else one needs to confirm before the treatment starts? Thanks again! -S This is a patient talking, not a dentist. Your dentist cannot assure you of anything. If you think you have problems now, four extra crowns that are not needed are sheer superfluous. Be glad you have four healthy teeth that are not ready for crowns. Keep your smile to a minimum and if you are unhappy now with the appearance of your teeth, the possibility of having problems sooner than later with crowned teeth increases, and then unhappiness increases if there are no teeth. This is assuming, the teeth are in good condition. Natural teeth are preferable over crowned teeth every time, in my opinion, which probably no one else shares. And I state this, at the risk of being told to butt out. Gail I agree with you Gail. Joel > This is a patient talking, not a dentist. Your dentist cannot assure you > of anything. If you think you have problems now, four extra crowns that are [quoted text clipped - 7 lines] > this, at the risk of being told to butt out. > Gail > I agree with you Gail. > > Joel .... but put out your cigarette... SP  SignatureFinally: take out the TRASHH > > I agree with you Gail. > > > > Joel > > .... but put out your cigarette... > SP That's a small cigar. > -- > Finally: take out the TRASHH Speaking as a patient, I find a cheerful expression more important than a perfect tooth. Other folks are less likely to notice than you looking at youself. SignatureChristopher A. Young Learn more about Jesus www.lds.org www.mormons.com This is a patient talking, not a dentist. Your dentist cannot assure you of anything. If you think you have problems now, four extra crowns that are not needed are sheer superfluous. Be glad you have four healthy teeth that are not ready for crowns. Keep your smile to a minimum and if you are unhappy now with the appearance of your teeth, the possibility of having problems sooner than later with crowned teeth increases, and then unhappiness increases if there are no teeth. This is assuming, the teeth are in good condition. Natural teeth are preferable over crowned teeth every time, in my opinion, which probably no one else shares. And I state this, at the risk of being told to butt out. Gail Crowning an intact, healthy tooth is something you would only do for very good reasons. If you're looking at just a small change in the contours of your teeth, it may be possible to attain this with resin ("bonding") which, in the right hands, can look beautiful. If the color is also an issue, pre- resorative bleaching may be all you need to add to the treatment plan. On the other hand, the changes you need may be of a magnitude that can only be attained with crowns. No simple answer. Even well-made crowns have a limited lifespan. At 28 you may stand to have them remade another 3-4 times in your life. By the way, an anterior tooth that's been root canaled does not, necessarily, require a crown. Depends on esthetic needs and how intact the tooth is. Good luck. >My question is: is it a good idea to crown teeth in healthy condition >just for the sake of getting a good smile? In my case, ideally only two >root canalled teeth need crowns, but my problem with having a good >smile would still remain unsolved in case I choose to crown only two >teeth. So do crowns on healthy teeth make me susceptible to more tooth >problems? Get porcelain veneers on the other non root canaled teeth. -- W_B Take out the G'RBAGE wubbabubbazG@RBAGEyahoo.com > My dentist recommended that I get 6 crowns for my front teeth--all > porcelain. I am 28 years old now, and when I was 16 I had an accident [quoted text clipped - 4 lines] > get a good smile as having my current smile has affected my > personality--negatively! My own two cents: You need to post a photo to this group or more preferably to Tinypic.com or one of the other free photo hosting outfits. It is next to impossible to say what is necessary withot seeing your mug. I am not the first to say this, and I won't be the last. If worst comes to worst, go to a photo store and have them take a close up with a really high quality digital and then have them email you the photos. Then publish them. You shouldn't have much trouble getting this done, and it shouldn't cost a fortune. Then the dentists will be able to advise you well. Cheers SP SignatureFinally: take out the TRASHH Excellent advice. If someone dings his fender, the insurance agent or somone rushes out with a digital camera to document the damage. Dentistry cannot be assessed without a looky-see. Joel > > My dentist recommended that I get 6 crowns for my front teeth--all > > porcelain. I am 28 years old now, and when I was 16 I had an accident [quoted text clipped - 18 lines] > -- > Finally: take out the TRASHH "looky-see"? I can't seem to find that in the Glossary of Prosthodontic Terms. > "looky-see"? I can't seem to find that in the Glossary of Prosthodontic > Terms. > > -- > Message posted via http://www.medkb.com Look up, "Don't-Make-Me-No-Nervermind!" Joel >"looky-see"? I can't seem to find that in the Glossary of Prosthodontic >Terms. It's right next to "looky-loo".... -- W_B Take out the G'RBAGE wubbabubbazG@RBAGEyahoo.com > >"looky-see"? I can't seem to find that in the Glossary of Prosthodontic > >Terms. > > It's right next to "looky-loo".... Which is right above Lucy Liu. > -- > > W_B > Take out the G'RBAGE > wubbabubbazG@RBAGEyahoo.com >> On Tue, 12 Apr 2005 11:31:12 GMT, "Charlie Oster via MedKB.com" ><forum@MedKB.com> wrote: [quoted text clipped - 5 lines] > >Which is right above Lucy Liu. Which is where you would like to be ? -- W_B Take out the G'RBAGE wubbabubbazG@RBAGEyahoo.com > >> On Tue, 12 Apr 2005 11:31:12 GMT, "Charlie Oster via MedKB.com" > ><forum@MedKB.com> wrote: [quoted text clipped - 7 lines] > > Which is where you would like to be ? Good one. > -- > > W_B > Take out the G'RBAGE > wubbabubbazG@RBAGEyahoo.com > >"looky-see"? I can't seem to find that in the Glossary of Prosthodontic > >Terms. > > It's right next to "looky-loo".... > -- You guys know Lucky Luc? Cowboy character drawn by a French dude? White hat? Spurrs? Cigarette in mouth like Andy Capp? Horse as smart as Grommit? SP SignatureFinally: take out the TRASHH Nope, I had no idea Grommit was smart. > > >"looky-see"? I can't seem to find that in the Glossary of Prosthodontic > > >Terms. [quoted text clipped - 8 lines] > -- > Finally: take out the TRASHH >> >"looky-see"? I can't seem to find that in the Glossary of Prosthodontic >> >Terms. [quoted text clipped - 6 lines] >Grommit? >SP No, but have heard of Lucky Pierre... -- W_B Take out the G'RBAGE wubbabubbazG@RBAGEyahoo.com > Excellent advice. If someone dings his fender, the insurance agent or somone > rushes out with a digital camera to document the damage. Dentistry cannot be > assessed without a looky-see. > > Joel Thanks, JME SP SignatureFinally: take out the TRASHH |
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