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Medical Forum / General / Dentistry / December 2005Lava crowns
A Dentist talked me into putting four pfm crowns on my upper anterior teeth for cosmetic reasons. My real teeth felt great, had no cavities and I never even thought about the slight misalignment, Since the day these crowns were put on I have been in a continual state of oral discomfort and those four teeth never feel right. That was three years ago. I am thinking about having them ripped out and having Lava crowns put in. Any thoughts on wether all ceramic Lava crowns would be more comfortable would be greatly appreciated. Than You. > A Dentist talked me into putting four pfm crowns on my upper anterior teeth > for cosmetic reasons. My real teeth felt great, had no cavities and I never [quoted text clipped - 4 lines] > ceramic Lava crowns would be more comfortable would be greatly appreciated. > Than You. There is no way to answer that unless we know what the nature of the discomfort is. Overall, an all-ceramic crown should be neither more nor less comfortable, but there are a variety of reasons why you may feel discomfort. Figuring out the source of the discomfort is far more important than replacing the crowns arbitrarily. Steve Steve, are you a dentist and do you know anyone who can help me? >> A Dentist talked me into putting four pfm crowns on my upper anterior teeth >> for cosmetic reasons. My real teeth felt great, had no cavities and I never [quoted text clipped - 9 lines] > >Steve > Steve, are you a dentist and do you know anyone who can help me? Yes I am a dentist. Any good dentist should be able to evaluate just what is causing the discomfort. If it is a matter of texture or shape, this is addressable with crowns. Sometimes temporary crowns can be played around with until the patient has become comfortable with the shape. I've had patients with difficult situations like yours, and I have worked with temp. crowns until comfortable, then taken an impression and sent it to the lab to be used as a guide when making the permanent crown. Of course the discomfort may be due to problems with the gums and/or the nerve, or the bite--these have to be evaluated separately. None of these are rocket science though. Steve >>>A Dentist talked me into putting four pfm crowns on my upper anterior teeth >>>for cosmetic reasons. My real teeth felt great, had no cavities and I never [quoted text clipped - 11 lines] >> >>Steve Steve, I dont like the feel of the metal in the back. Will Lava crowns feel better and can they get the same accuracy of fit as a pfm and are they as durable? Thanks. >> Steve, are you a dentist and do you know anyone who can help me? > [quoted text clipped - 17 lines] >>> >>>Steve > Steve, I dont like the feel of the metal in the back. Will Lava crowns feel > better and can they get the same accuracy of fit as a pfm and are they as > durable? Thanks. If it is the roughness of the metal, it should be possible to polish it. Ceramic or polished metal should both have a very smooth surface. I'm not familiar with Lava crowns particularly, but all-ceramic crowns should fit about as well as ceramo-metal. The esthetics are superior. You give up a little bit in strength with the all-ceramic, but unless you have destructive oral habits this is a fair trade-off. I would still want to know what you are feeling that is uncomfortable. Sometimes the point that the porcelain in a ceramometal crown meets the metal may be shaped as a little ridge that can be uncomfortable. I would make sure everything is smooth before you assume that the crown needs to be changed. Steve  SignatureMark & Steven Bornfeld DDS http://www.dentaltwins.com Brooklyn, NY 718-258-5001 Steve, I am continyally aware of these four teeth in my mouth. Before this was done all of my teeth felt comfortable and I never gave my front teeth a second thought. >> Steve, I dont like the feel of the metal in the back. Will Lava crowns feel >> better and can they get the same accuracy of fit as a pfm and are they as [quoted text clipped - 13 lines] > >Steve > Steve, I am continually aware of these four teeth in my mouth. Before this > was done all of my teeth felt comfortable and I never gave my front teeth > a > second thought. So, what bothers you about the new crowns ? Texture, shape, contour, pain, inability to bite your nails, etc. Signature/ Amatus / > Steve, I am continyally aware of these four teeth in my mouth. Before this > was done all of my teeth felt comfortable and I never gave my front teeth [quoted text clipped - 20 lines] >> >>Steve Life is full of tough lessons. No treatment is completely free of risks. It is certainly impossible to crown four upper teeth and have them feel *identical* to the four teeth before treatment. I have three molars crowned. Two have porcelain facings. I cannot tell where the metal and porcelain meet with my tongue. The crowns are slightly smoother than my natural teeth, but basically I never notice them unless I concentrate and try and find some difference. I haven't examined these crowns, so I don't know if they are excellent, pieces of crap, or somewhere inbetween. In my experience, the brand of crown has little to do with patient satisfaction. Lava, Procera, Empress, etc. ? Who cares? The skill of the dentist and lab make the difference. New crowns *might* make a difference if there are deficiencies that are identifiable and correctable. It could be an expensive gamble. Be careful what you ask for, you just might get it. Dartos > Steve, I am continyally aware of these four teeth in my mouth. Before this > was done all of my teeth felt comfortable and I never gave my front teeth a > second thought. > Life is full of tough lessons. No treatment is completely free of > risks. It is certainly impossible to crown four upper teeth and have [quoted text clipped - 14 lines] > > Be careful what you ask for, you just might get it. I sense some frustration here, and it may be semantical. Obviously, being "aware" of teeth is not much of a dental symptom to go on. I don't know if it is shape, texture, bite that seems to be the problem. The patient has given some effort to making clear that this is not exactly pain--but we don't know what it is. Tough to make a real suggestion without knowing more. Steve > Dartos > [quoted text clipped - 3 lines] >> teeth a >> second thought. SignatureMark & Steven Bornfeld DDS http://www.dentaltwins.com Brooklyn, NY 718-258-5001 >> Steve, are you a dentist and do you know anyone who can help me? > [quoted text clipped - 11 lines] > >Steve It's not vulcanology either ! >>>>A Dentist talked me into putting four pfm crowns on my upper anterior teeth >>>>for cosmetic reasons. My real teeth felt great, had no cavities and I never [quoted text clipped - 11 lines] >>> >>>Steve -- W_B Take out the G'RBAGE wubbabubbazG@RBAGEyahoo.com Steve, are you a dentist and do you know anyone who can help me? >> A Dentist talked me into putting four pfm crowns on my upper anterior teeth >> for cosmetic reasons. My real teeth felt great, had no cavities and I never [quoted text clipped - 9 lines] > >Steve > I am thinking about having >them ripped out and having Lava crowns put in. Any thoughts on wether all >ceramic Lava crowns would be more comfortable would be greatly appreciated. >Than You. We hear that Lava crowns are very "hot" right now. -- W_B wubbabubbazG@RBAGEyahoo.com Take out the G'RBAGE >A Dentist talked me into putting four pfm crowns on my upper anterior teeth >for cosmetic reasons. My real teeth felt great, had no cavities and I never [quoted text clipped - 4 lines] >ceramic Lava crowns would be more comfortable would be greatly appreciated. >Than You. Lava crowns are from the 1970s I believe. They have the floating colored oil. Joel Lava crowns are machine milled copings with stacked porcelain. Usually used for FPD work. Signature""""" Philip Atooth {Tooth mechanic extraordinaire} """" >>A Dentist talked me into putting four pfm crowns on my upper anterior >>teeth [quoted text clipped - 14 lines] > > Joel |
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