
Signature
Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001
> I have more frequently seen damage to the lower front teeth from
>porcelain crowns on the upper incisors, but no reason to assume you
[quoted text clipped - 13 lines]
>
>Steve
Thanks Dr. Bornfeld. I'll ask about the low index porcelain, and ask
more about the grinding, or parafunction.
As you may remember I am seeing a dentist at dental school and it was
the student (grad student) dentist who mentioned the grinding, not the
prof, so I'm not absolutely certain she knew what she was talking
about, concerning the grinding; though she probably did. But in any
case, I'll ask her to let me discuss this with the prof and see what
he says.
I don't think the dentist school would be looking for future crowns to
replace (i.e; profit motive) though they could be I suppose. The prof
seemed to genuinely think the resin would be better, to save my upper
real teeth from being damaged by the porcelain lower teeth.
Dartos - 30 Jan 2007 13:54 GMT
I agree Dr. B.
Yes, the resin crowns will not wear the natural teeth. However, as
the resin wears, the bite will come closer together. When the crowns
need replacement, it will not be a matter of just removing the old
crowns and making new ones. The teeth will have to be cut down even
more. If none of them needed root canals yet, this might cause them
to. Get the porcelain.
BUT....
Controling the parafunction (clenching/grinding) is the only way to
get the maximum life out of the crowns and your natural teeth.
Some type of 'bite guard' is in order. IME, the NTI device is the
easiest to wear and has the fewest side effects. I've had one patient
out of hundreds who prefers a 'horseshoe' appliance over the NTI.
Pretty good odds.
JME,
D
>> I have more frequently seen damage to the lower front teeth from
>>porcelain crowns on the upper incisors, but no reason to assume you
[quoted text clipped - 27 lines]
> seemed to genuinely think the resin would be better, to save my upper
> real teeth from being damaged by the porcelain lower teeth.
Le Huart - 30 Jan 2007 22:50 GMT
Do you charge less for the in office NTI than the lab fabricated horseshoe?
Dartos - 31 Jan 2007 16:24 GMT
I charge about the same. The 'horseshoe' actually costs more to
make, but since the NTIs work so much better, they are worth
at least as much.
;-)
D
> Do you charge less for the in office NTI than the lab fabricated horseshoe?
Mark & Steven Bornfeld - 30 Jan 2007 14:59 GMT
>> I have more frequently seen damage to the lower front teeth from
>>porcelain crowns on the upper incisors, but no reason to assume you
[quoted text clipped - 27 lines]
> seemed to genuinely think the resin would be better, to save my upper
> real teeth from being damaged by the porcelain lower teeth.
This may certainly be true, and it's not necessarily inappropriate to
give up a bit of durability and esthetics for a more physiologically
kind situation. The situation needs to be assessed on it's particular
merits.
Steve

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