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Medical Forum / General / Dentistry / July 2006

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Min. residual tooth for Cerec?

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Pat Coghlan - 05 Jul 2006 18:23 GMT
My mother-in-law broke off the outer cusps of the large upper molar,
which had a filling.  It probably had one or two vertical cracks and was
just waiting to "give".

I suggested she ask her dentist about getting a Cerec restoration, and
told her that he would probably suggest a crown, since he doesn't have
the Cerec system.

True to form, he suggested a crown and indicated that he didn't think
there was enough residual tooth (I'd say there's more than 50%) for a
Cerec restoration.

Should she go and get an opinion from someone who has the Cerec system,
since her dentist is probably biased towards the types of restorations
he's able to do?
Mark & Steven Bornfeld - 05 Jul 2006 19:27 GMT
> My mother-in-law broke off the outer cusps of the large upper molar,
> which had a filling.  It probably had one or two vertical cracks and was
[quoted text clipped - 11 lines]
> since her dentist is probably biased towards the types of restorations
> he's able to do?

    Cerec can make crowns or onlays.  But the only real magic with Cerec is
that it is possible to prepare the tooth and insert the finished
restoration the same day.  Essentially the same kinds of restorations
(crowns, onlays, inlays) can be done by any dentist using a good dental lab.
    It is certainly possible that two dentists would differ on their
recommendation vis a vis crown or onlay in a given situation.

Steve

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Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001

Pat Coghlan - 06 Jul 2006 13:38 GMT
I have an onlay, but it's gold.  A Cerec onlay is white.

Are there other types of onlays that are white?

>> My mother-in-law broke off the outer cusps of the large upper molar,
>> which had a filling.  It probably had one or two vertical cracks and
[quoted text clipped - 21 lines]
>
> Steve
Mark & Steven Bornfeld - 06 Jul 2006 14:31 GMT
> I have an onlay, but it's gold.  A Cerec onlay is white.
>
> Are there other types of onlays that are white?

    Yes, onlays are commonly made in resin and ceramic, under a variety of
trade names.  They all differ slightly in particular composition, filler
particle size, etc.  In general resin will of course be softer, which
isn't always a bad thing.  Also, lab-fabricated restorations will be
stained by a ceramist and these guys do this all day.  I believe Cerec
can be custom stained as well (by either the lab or the dentist) but
sending it to the lab eliminates the primary reason dentists get
Cerec--to avoid lab fees and get the restoration done in a couple of hours.

Steve
Signature

Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001

 
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