Question re: Captek crowns

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pubbievoter@yahoo.com - 14 May 2006 20:38 GMT

I have some long-standing PFM crowns in the upper front which have the
"dark lines at the margin" problem due to some minor gum recession.
Some of these crowns have to be at least 25 years old. However, they
all still seem to be quite serviceable and are giving me no problems.

Question for DDSs: Do the Captek crowns live up to their reputation of
not having the problem with showing a dark line at the margin, even
after, say 5-10 years of service?

Are there any disadvantages concerning capteks?

Would it be likely that my DDS would replace my current crowns with the
Capteks if I specifically ask him? I ask this question as I don't know
whether or not the lab he uses deals with captek crowns. Or do most
labs have the captek crowns readily available?

Thanks for the info.

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Newbie - 14 May 2006 23:47 GMT

>I have some long-standing PFM crowns in the upper front which have the
>"dark lines at the margin" problem due to some minor gum recession.
>Some of these crowns have to be at least 25 years old. However, they
>all still seem to be quite serviceable and are giving me no problems.

So this is an esthetics question.
Do the 'dark margins' show when you smile, or
are they apparent in photographs ?

>Question for DDSs: Do the Captek crowns live up to their reputation of
>not having the problem with showing a dark line at the margin, even
>after, say 5-10 years of service?

In my experience, I must say yes.
Have placed hudreds of Capeks.
All are still in service, and esthetics are uncompromised.
Anterior (front) and Posterior (back) teeth.

>Are there any disadvantages concerning capteks?

Other than a bit of increased co$t, no.

>Would it be likely that my DDS would replace my current crowns with the
>Capteks if I specifically ask him?

Yep, probably, especially if you got the buck$

I would, but only after explaining risk/benefit .
Everytime a tooth is operated there is trauma to the pulp (nerve).
This increases the risk of needing RCT.
Understand that dental insurance does not usually cover replacement
of crowns that are fully servicable and without pathology.

> I ask this question as I don't know
>whether or not the lab he uses deals with captek crowns. Or do most
>labs have the captek crowns readily available?

Depends on the doc and the specific lab.

>Thanks for the info.

If you really want replacement anterior crowns with maximum esthetics
you should consider 'all ceramic' restorations.
For the most natural looking result, "stacked porcelain" is hard to
beat.

Welcomed,

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fidelio - 17 May 2006 03:10 GMT

If you are concerned about a "dark line" in the future why not eliminate
the metal structure altogether. This would involve using an all ceramic
crown as suggested in another response, or for added strength an Alumnia
oxide or Zirconia oxide core crown such as Lava, Procera, or Inceram.
These strong cores are esthetic and have porcelian baked on top of them
so never a dark line.

> I have some long-standing PFM crowns in the upper front which have the
> "dark lines at the margin" problem due to some minor gum recession.
[quoted text clipped - 13 lines]
>
> Thanks for the info.

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