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Medical Forum / General / Dentistry / October 2006Removing crowns on two front teeth
Hi! I would really appreciate your input... I have all porcelain crowns on my two front teeth. This summer, I had a root canal on one of them, and decided to replace both crowns (they were over 10 years old, and the other was cracked. The dentist replaced my crowns a few days ago, but they are much lighter than the rest of my teeth, and I am very unhappy with the shape of them. My surrounding teeth are as light as I can get them, so I cannot bleach them to match the front crowns. My dentist agreed to replace them under the condition that I signed a paper in case a root canal was needed again or if a tooth was broken in the process. I do not have much tooth structure left. A post was put into the tooth with the root canal. I am terrified that the tooth will break when he tries to remove these crowns. Can you please tell me the success of removing crowns on teeth with root canals, and less tooth structure. I had very bad, protruding teeth as a child, and really do not want to have to live with these crowns, but do not want to lose my teeth either. Thank you so much for your help. > Hi! I would really appreciate your input... > I have all porcelain crowns on my two front teeth. This summer, I had a [quoted text clipped - 13 lines] > crowns, but do not want to lose my teeth either. Thank you so much for > your help. Generally I don't attempt to remove crowns per se; I cut them off--unless I am sure there is no risk of fracture. Since I can almost never be sure of this, I rarely try to pop single crowns off. Takes only a little more time, and eliminates the risk of fracturing the tooth. Steve What type of all porcelain crowns are they? as far as the consent form sounds reasonable he just wants to record that you understand the risks. This problem happens often when you only do 2 front teeth. You risk getting the bunny look. You might want to consider asking him to do the teeth on either side by placing very thin no prep veneers or a thin bonding to block out the colour depending on how far off the colour is. The eye teeth are 1/2-1 shade darker normally so it should blend in. He may want to entertain this option since there is less risk for you and less headache for him if you are up to it. > Hi! I would really appreciate your input... > I have all porcelain crowns on my two front teeth. This summer, I had a [quoted text clipped - 13 lines] > crowns, but do not want to lose my teeth either. Thank you so much for > your help. Thank you for your suggestions. I am not sure what kind of porcelain they are. I live in a small city and don't even think that my dentist uses veneers. I am also hoping to correct this without touching any of my other teeth.. I guess that I will take a chance and hopefully get better results with the next crowns. I am crossing my fingers that these ones come off without breaking my teeth. Thanks again. He knows about the veneers and can probably do them. There are dentists in 3rd world countries doing veneers. > Thank you for your suggestions. > I am not sure what kind of porcelain they are. I live in a small city [quoted text clipped - 3 lines] > crowns. I am crossing my fingers that these ones come off without > breaking my teeth. Thanks again. > Hi! I would really appreciate your input... > I have all porcelain crowns on my two front teeth. This summer, I had a > root canal on one of them, and decided to replace both crowns (they > were over 10 years old, and the other was cracked. The dentist replaced > my crowns a few days ago, but they are much lighter than the rest of my > teeth, and I am very unhappy with the shape of them. _______________________ Didn't you have an opportunity to approve the shape and the color before the crowns were cemented in place? - dentaldoc HI! I did look at them before they were cemented. However, the dentist told me that the colour was great. I told them that I thought that the crowns were protruding too much, but was told that they were the best that they could do with my teeth underneath protruding a bit. My old crowns, however, did not protrude.. I thought that maybe because they were a bit different than my other ones, that I just had to get used to them, and that they didn't stick out as much as I thought. I was also VERY nervous, as I have had so much work done to my mouth and was afraid to complain. I was told by others in the next few days that yes the colour was way off and it looked like they stuck out quite a bit. I now wish that I would have spoke up more at the time, but I am too late... I do appreciate your comments. Thank you very much > > Hi! I would really appreciate your input... > > I have all porcelain crowns on my two front teeth. This summer, I had a [quoted text clipped - 8 lines] > > - dentaldoc Hi! I posted earlier about replacing 2 front crowns.I will be getting them replaced in a few weeks. Besides the colour being to light, I have also explained that these ones are just too big. They are VERY bulky on the sides which make them look even more like buck teeth. The dentist said that was pretty well the best they could get, but my crowns before these ones were much better, and they were 10 years old. Is there anything that you think could be done this time to have them more aesthetically pleasing? I am including links to both my before pictures of the old crowns, and the new ones. Thanks again http://i92.photobucket.com/albums/l19/teach675/newcrowns.jpg http://i92.photobucket.com/albums/l19/teach675/oldcrowns.jpg > HI! I did look at them before they were cemented. However, the dentist > told me that the colour was great. I told them that I thought that the [quoted text clipped - 21 lines] > > > > - dentaldoc Sorry.. you can also see the two pictures side by side at this address http://s92.photobucket.com/albums/l19/teach675/ > Hi! I posted earlier about replacing 2 front crowns.I will be getting > them replaced in a few weeks. Besides the colour being to light, I [quoted text clipped - 35 lines] > > > > > > - dentaldoc The new crowns definitely looks whiter. I am not sure if your small town dental lab can do custom shade. Usually the dentist use a shade guide to choose a color. But for front teeth where is is very visible, I send my patient to the dental lab for custom shade. The lab tech will match color to your other teeth. I am not sure if that's possible at your location. I can't really comment on the shape because it's hard to judge with the picture. However, if the old crowns felt comfortable, the new ones should also. There are 2 ways to remove a crown: 1) by tapping it out with force 2) by cutting it out I agree with Dr. B that cutting it may be better for you in this case. By the way, your gum around your 2 old crowns looks very red and inflamed. [AdvanceAgent #367924] Games I am currently playing: http://uc.gamestotal.com/?in=367924 > Sorry.. you can also see the two pictures side by side at this address > [quoted text clipped - 39 lines] > > > > > > > > - dentaldoc Hi! The sad part is that I did go to someone for custom shading. They told me that it was the right color. He said that maybe it was the liner he used that made them look too white. When I went back to get a new color for my next crowns, he wanted to use the same shade again and touch it up once they were done. I asked him to go a bit darker, and hopefully they will match my teeth. This is a very stressful process! I feel like I am the only one who cares that they look good! I see where my gums look inflamed. They were not always like that, but have been again since these crowns were put in 3 weeks ago. I take very good care of my teeth and do not understand why my gums do that!! > The new crowns definitely looks whiter. I am not sure if your small > town dental lab can do custom shade. Usually the dentist use a shade [quoted text clipped - 65 lines] > > > > > > > > > > - dentaldoc Front teeth are usually hard to match color, but custom shading will usually do the work. You probably know this by now. When the dentist try in your new crown, before cementing, what you see is what you get. So if you don't like it, don't let him/her cement it. The lab can adjust the color until you like it. It is the dentist's responsibility to get the crowns to your liking. You may want to suggest to the dentist to use a new lab. Regarding the gum, sometimes(not saying this is the case because I need visual exam) if the margin of the crown is not well made it can: 1) impinge on the gum and thus irritate it or 2) cause food/plaque to trap near the margin and thus irritate the gum [AdvanceAgent #367924] Games I am currently playing: http://uc.gamestotal.com/?in=367924 > Hi! > The sad part is that I did go to someone for custom shading. They told [quoted text clipped - 77 lines] > > > > > > > > > > > > - dentaldoc Thank you. I have learned my lesson and will not have them cemented until they are the right color. I should have refused to have them cemented last time, but as I said, thought that maybe it was just be and that I would get used to them. Thank you for your help. I appreciate it. I will also ask the dentist about the margins. The gum above my right tooth feels sensitive and hurts a bit if I bite into anything. I have just been avoiding it, and am using a fork for everything! > Front teeth are usually hard to match color, but custom shading will > usually do the work. You probably know this by now. When the dentist [quoted text clipped - 98 lines] > > > > > > > > > > > > > > - dentaldoc something is not right about these 2 photos In the after these are PFM crowns not the most cosmetic to put on the front teeth, ofcourse we do not know whats underneath. > Thank you. I have learned my lesson and will not have them cemented > until they are the right color. I should have refused to have them [quoted text clipped - 106 lines] > > > > > > > > > > > > > > > > - dentaldoc HI! The crowns should be solid porcelain, not fused to metal. When I was first making my appointment with the dentist, he said that I would be getting PFM crowns, and I was very clear that I wanted all porcelain crowns. I saw the crowns before they were put into my mouth, and I didn't notice any metal. At the lab, the person who chose my colour said something about a porcelain that was approximately 40.00 more a tooth that would hide the color underneath if it was a bit darker. One of the front teeth is darker and has had a root canal. Is there any way I can tell if these are PFM?? I am getting prepped for new crowns next week and am very nervous that they will look as artificial as these ones do! Thank you very much! > something is not right about these 2 photos > In the after these are PFM crowns not the most cosmetic to put on the [quoted text clipped - 110 lines] > > > > > > > > > > > > > > > > > > - dentaldoc I just checked my insurance claim and it states that the crowns are Porcelain jacket crowns. They were 907.00 Canadian each. Does that sound like PFM crowns?? > HI! The crowns should be solid porcelain, not fused to metal. When I > was first making my appointment with the dentist, he said that I would [quoted text clipped - 123 lines] > > > > > > > > > > > > > > > > > > > > - dentaldoc what was written on the claim form does not mean anything. question is when you looked on the inside of the crown was it dark or white like a tooth?? You can have complete porcelain coverage over metal and it is still considered PFM. That is what gives the crown a greyish appearance. > I just checked my insurance claim and it states that the crowns are > Porcelain jacket crowns. They were 907.00 Canadian each. Does that [quoted text clipped - 126 lines] > > > > > > > > > > > > > > > > > > > > > > - dentaldoc Hello again, When I looked at the crowns, they were white on the inside as well. > what was written on the claim form does not mean anything. > question is when you looked on the inside of the crown was it dark or [quoted text clipped - 133 lines] > > > > > > > > > > > > > > > > > > > > > > > > - dentaldoc Even though the after photo is out of focus, they look opaque to me. > Hello again, > When I looked at the crowns, they were white on the inside as well. [quoted text clipped - 136 lines] > > > > > > > > > > > > > > > > > > > > > > > > > > - dentaldoc Well, they don't look very good to me -- they l ook like chiclets! I would go back to the dentist immediately and tell him that these need to be redone so they look natural, not like chiclets!!! There's no reason for the shade not to be better. Call him tomorrow morning -- better yet, call today and leave a message and then call again tomorrow. > Hi! I posted earlier about replacing 2 front crowns.I will be getting > them replaced in a few weeks. Besides the colour being to light, I [quoted text clipped - 38 lines] >> > >> > - dentaldoc |
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