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Medical Forum / General / Dentistry / July 2005Porcelain Over Titanium?
I asked my dentist about porcelain crowns for front teeth and he said he uses porcelain on titanium. Is this a good method and does it look as natural as plain porcelain, he said it does. Also, I have to have crown recemented and he's going to put a titanium post and built up core. Is price of $450 right? Probably need a new crown if original doesn't fit right as well. General dentist or prosthodontist? What is your location? Is the post pre-made or custom made?  Signature~+--~+--~+--~+--~+-- Stephen [What's a Temporary?], D.D.S. Michigan, USA .................................................... This posting is intended for informational or conversational purposes only. Always seek the opinion of a licensed dental professional before acting on the advice or opinion expressed here. Only a dentist who has examined you in person can diagnose your problems and make decisions which will affect your health. ...................... >I asked my dentist about porcelain crowns for front teeth and he said he >uses porcelain on titanium. Is this a good method and does it look as [quoted text clipped - 3 lines] > post and built up core. Is price of $450 right? Probably need a new crown > if original doesn't fit right as well. > I asked my dentist about porcelain crowns for front teeth and he said he > uses porcelain on titanium. Is this a good method and does it look as [quoted text clipped - 3 lines] > and built up core. Is price of $450 right? Probably need a new crown if > original doesn't fit right as well. Either you heard wrong, or your dentist is misinformed. Titanium is strong and light, but notoriously hard to cast. Most porcelain/metal crowns are built on copings of various gold alloys, or variants on stainless steel. Steve SignatureMark & Steven Bornfeld DDS http://www.dentaltwins.com Brooklyn, NY 718-258-5001 >> I asked my dentist about porcelain crowns for front teeth and he said he >> uses porcelain on titanium. Is this a good method and does it look as [quoted text clipped - 5 lines] > > Either you heard wrong, or your dentist is misinformed. I heard correctly. In fact, I told him I wanted porcelain because it looks the most natural in front and he said he uses porcelain over titanium and assured me that the titanium is thin and you can't see it. Also, I mentioned different metals and he never uses base metal only noble. I doubt if he's misinformed since he's been practising over 30 years and I've never heard any complaints against him. BTW, this was the first time I went to him and although I didn't ask I don't think he accepts any insurance. Is this unusual? Just needed name, dob and medical history. See you really don't need SS and a million things do you? That's for dentists who are afraid the patients won't pay the bill lol The area is good but is $450 for a post regardless of whether it's gold or titanium plus a core build up plus recementing the crown an average price? Crown I think might have to be remade. BTW, how long have you boys been practising? Titanium is > strong and light, but notoriously hard to cast. > Most porcelain/metal crowns are built on copings of various gold alloys, > or variants on stainless steel. > > Steve There are systems now which will mill titanium crown-sub-structures. Most noble porcelain to metal crowns use a platinum/palladium mix. I have never used non-noble metals (except in temporary SSC's) since DS. Signature~+--~+--~+--~+--~+-- Stephen [What's a Temporary?], D.D.S. Michigan, USA .................................................... This posting is intended for informational or conversational purposes only. Always seek the opinion of a licensed dental professional before acting on the advice or opinion expressed here. Only a dentist who has examined you in person can diagnose your problems and make decisions which will affect your health. ...................... > >>> I asked my dentist about porcelain crowns for front teeth and he said he [quoted text clipped - 30 lines] >> >> Steve >There are systems now which will mill titanium crown-sub-structures. > >Most noble porcelain to metal crowns use a platinum/palladium mix. > >I have never used non-noble metals (except in temporary SSC's) since DS. Still making cast gold partials ? -- W_B Take out the G'RBAGE wubbabubbazG@RBAGEyahoo.com You got me on that one. Vitalium would not qualify as high noble despite its cost. Signature~+--~+--~+--~+--~+-- Stephen [What's a Temporary?], D.D.S. Michigan, USA .................................................... This posting is intended for informational or conversational purposes only. Always seek the opinion of a licensed dental professional before acting on the advice or opinion expressed here. Only a dentist who has examined you in person can diagnose your problems and make decisions which will affect your health. ...................... > >>There are systems now which will mill titanium crown-sub-structures. [quoted text clipped - 9 lines] > Take out the G'RBAGE > wubbabubbazG@RBAGEyahoo.com >>>I asked my dentist about porcelain crowns for front teeth and he said he >>>uses porcelain on titanium. Is this a good method and does it look as [quoted text clipped - 22 lines] > > BTW, how long have you boys been practising? I have used pre-formed titanium posts (my supplier once sent them in lieu of my usual stainless steel posts) and they are equivalent. The titanium cuts more easily, otherwise they're the same in my book. IMO $450 for a custom post is a bit high, but supportable. $450 for a preformed post is very, very high. What's he charging for the crown? When I speak of precious metals, I'm generally thinking of gold, platinum. Many of the semiprecious alloys contain palladium. As Dr. Steve (M) says, it is certainly possible that there are milled titanium copings, but I can't think what the advantage would be, unless it's easier to mill than steel or gold (which seems very unlikely). Steve, is this a CAD/CAM system? Steve PS. This boy has been in practice 29 years now. Steve > Titanium is > [quoted text clipped - 3 lines] >> >>Steve SignatureMark & Steven Bornfeld DDS http://www.dentaltwins.com Brooklyn, NY 718-258-5001 Hi Steve, Some labs have CAD-CAM systems (other than CEREC) which will mill Titanium crowns. I don't know if they are set up to do posts/cores. This is not very common. I cannot think of any advantage of titanium over the usual Palladium/platinum metal Signature~+--~+--~+--~+--~+-- Stephen [What's a Temporary?], D.D.S. Michigan, USA .................................................... This posting is intended for informational or conversational purposes only. Always seek the opinion of a licensed dental professional before acting on the advice or opinion expressed here. Only a dentist who has examined you in person can diagnose your problems and make decisions which will affect your health. ...................... > >>>>I asked my dentist about porcelain crowns for front teeth and he said he [quoted text clipped - 49 lines] >>> >>>Steve > Hi Steve, > > Some labs have CAD-CAM systems (other than CEREC) which will mill Titanium > crowns. I don't know if they are set up to do posts/cores. This is not > very common. I cannot think of any advantage of titanium over the usual > Palladium/platinum metal Thanks! S SignatureMark & Steven Bornfeld DDS http://www.dentaltwins.com Brooklyn, NY 718-258-5001 prices in our practice - comparative 250$/ceramic/gold alloy 150$ceramic/nonprecious alloy we have a tech lab that makes titanium in out=r town but it only uses titanium for skeletons of partials - prostheses. it can also be for teeth but it is not that practical as gold and other alloy and people do not give so much of an importance - if the result is the same. Different is ceramic - full ceramic crown that is havin the best natural resemblence due to the missing of the metal infrastructure, that will not appear as something opaque from inside the tooth, but instead will have a natural trnslucent resemblence 250$ in our office.. we also have 100$ ceramic on nonprecious alloy - and this is what we do very often because of the small price. (vita omega - 3d - http://www.vita-zahnfabrik.com/eBRAIN/WebObjects/Vita.woa/6//wa/callPage?wosid=4 griY2d5C5ePeMDqoTnKh0&companyId=VIT&locale=de_DE&classBId=B18&page=pagCategoryBr owser ) nice writing 2 u robert dr. marius www.dline.ro if it makes any diff. :) What is the exchange rate for the Euro vs USD right now? Signature~+--~+--~+--~+--~+-- Stephen [What's a Temporary?], D.D.S. Michigan, USA .................................................... This posting is intended for informational or conversational purposes only. Always seek the opinion of a licensed dental professional before acting on the advice or opinion expressed here. Only a dentist who has examined you in person can diagnose your problems and make decisions which will affect your health. ...................... > > prices in our practice - comparative [quoted text clipped - 18 lines] > dr. marius > www.dline.ro if it makes any diff. :) > What is the exchange rate for the Euro vs USD right now? Is Romania part of the EU? Steve SignatureMark & Steven Bornfeld DDS http://www.dentaltwins.com Brooklyn, NY 718-258-5001 The poster is giving figures in Euros Signature~+--~+--~+--~+--~+-- Stephen [What's a Temporary?], D.D.S. Michigan, USA .................................................... This posting is intended for informational or conversational purposes only. Always seek the opinion of a licensed dental professional before acting on the advice or opinion expressed here. Only a dentist who has examined you in person can diagnose your problems and make decisions which will affect your health. ...................... > >> What is the exchange rate for the Euro vs USD right now? > > Is Romania part of the EU? > > Steve >The poster is giving figures in Euros Doubtful, but maybe. 1 Euro = ~$1.20 USD Maybe he is quoting in 1964 dollars. You know, like JME used to do. -- W_B Take out the G'RBAGE wubbabubbazG@RBAGEyahoo.com > What is the exchange rate for the Euro vs USD right now? Those prices are in dollars $. Romania has a very depressed economy, the worst in Europe and I doubt if a dentist can earn $50 a day(even that may be a lot there) So the price is mostly materials which are also cheaper to make there. The rest of Europe has prices similiar to the US. Prices in Moscow are the same as NYC (possibly higher) for crowns, implants etc and when you take into account the lower salaries it's very high indeed. The dentists have about the same level of skill as US even in Romania, but there is a paucity of patients with only the wealthy getting good dental care. BTW, the national health systems in all European countries have always been crap and only the very low income people will even use them. But if you don't mind spending a few thousand to get to and lodge in Bucharest for a few weeks and you have about 20 crowns to do it might be worth your while. Personally, I wouldn't do it. >> prices in our practice - comparative >> [quoted text clipped - 17 lines] >> dr. marius >> www.dline.ro if it makes any diff. :) >> What is the exchange rate for the Euro vs USD right now? > >Those prices are in dollars $. Would that be US, Canadian, Australian, Hong Kong, New Zealand, Singapore, or Taiwan dollar$ ? -- W_B Take out the G'RBAGE wubbabubbazG@RBAGEyahoo.com >>What is the exchange rate for the Euro vs USD right now? > [quoted text clipped - 5 lines] > take into account the lower salaries it's very high indeed. The dentists > have about the same level of skill as US even in Romania, Unless things have changed an AWFUL lot in the past 15-20 years, I can categorically say that the standard of dentistry in old eastern block was primitive in the extreme. I cannot of course say that they haven't caught up since then. But my patients from eastern Europe who've come over have had such low-quality prosthetic work that the burden IMO is very much on them to demonstrate that things have improved. JMO, Steve but there is a > paucity of patients with only the wealthy getting good dental care. BTW, the > national health systems in all European countries have always been crap and [quoted text clipped - 25 lines] >>>dr. marius >>>www.dline.ro if it makes any diff. :) SignatureMark & Steven Bornfeld DDS http://www.dentaltwins.com Brooklyn, NY 718-258-5001 >>>What is the exchange rate for the Euro vs USD right now? >> [quoted text clipped - 11 lines] > up since then. But my patients from eastern Europe who've come over have > had such low-quality prosthetic work It depends where you're from and your economic status. The cities like Moscow are quite different than the outskirts. If you're in Brooklyn most of your eastern European patients are probably from Beloruss, a depressed area which is now a country. Brazil has a great deal of poverty and you'll find deformaties common. Yet, the plastic surgeons in Rio are the best in the world. that the burden IMO is > very much on them to demonstrate that things have improved. > [quoted text clipped - 31 lines] >>>>dr. marius >>>>www.dline.ro if it makes any diff. :) > Brazil has a great deal of poverty and you'll find deformaties common. Yet, > the plastic surgeons in Rio are the best in the world. Lots of plastic surgeons here in La Jolla and up the road in Beverly Hills would be in a position to challenge that blanket statement. - dentaldoc > It depends where you're from and your economic status. The cities like > Moscow are quite different than the outskirts. If you're in Brooklyn most of > your eastern European patients are probably from Beloruss, a depressed area > which is now a country. > Brazil has a great deal of poverty and you'll find deformaties common. Yet, > the plastic surgeons in Rio are the best in the world. You'll tend to find better treatment if you're willing to pay for it regardless where you are. Our eastern european patients are from all over the former eastern block--Russia, Ukraine, Poland. Our receptionist is from Romania. I won't tell you about her teeth. ;-) Steve > that the burden IMO is > [quoted text clipped - 34 lines] >>>>>dr. marius >>>>>www.dline.ro if it makes any diff. :) SignatureCut the nonsense to reply |
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