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Medical Forum / General / Dentistry / February 2007crown - captek
My dentist recommended that I get a captek crown + bridge. It will cost me $2,000 after insurance. The alternative is to have a silver/ metal cown/bridge for $1,200. Is captek worth the extra $800? The bridge is for a molar that is hardly seen when i smile. Maybe I did something wrong, but I doubt it. The Captek crowns and bridges that I have done have *not* given the durability and longevity of conventional porcelain fused to noble metal. Looking good for 'a while' doesn't cut it for me. D > My dentist recommended that I get a captek crown + bridge. It will > cost me $2,000 after insurance. The alternative is to have a silver/ > metal cown/bridge for $1,200. Is captek worth the extra $800? The > bridge is for a molar that is hardly seen when i smile. Haven't had any trouble with the Capteks that I've done. Single units only, haven't tried a bridge yet. >Maybe I did something wrong, but I doubt it. > [quoted text clipped - 10 lines] >> metal cown/bridge for $1,200. Is captek worth the extra $800? The >> bridge is for a molar that is hardly seen when i smile. > Maybe I did something wrong, but I doubt it. > [quoted text clipped - 5 lines] > > D Sorry to hear of your bad experience. I haven't used them, and the marketing seems to imply superior fit and strength when compared to all-ceramics. Otherwise, why use them? How did they fail? Steve >> My dentist recommended that I get a captek crown + bridge. It will >> cost me $2,000 after insurance. The alternative is to have a silver/ >> metal cown/bridge for $1,200. Is captek worth the extra $800? The >> bridge is for a molar that is hardly seen when i smile. Porcelain wear under occlusal forces. They fit well and looked good. They just didn't hold up over time. Steve > Sorry to hear of your bad experience. I haven't used them, and the > marketing seems to imply superior fit and strength when compared to > all-ceramics. Otherwise, why use them? How did they fail? > > Steve > Porcelain wear under occlusal forces. > > They fit well and looked good. They just didn't hold up > over time. > > Steve Wow--not fractured? Steve >> Sorry to hear of your bad experience. I haven't used them, and >> the marketing seems to imply superior fit and strength when compared >> to all-ceramics. Otherwise, why use them? How did they fail? >> >> Steve What is wrong with porcelain wear under heavy occlusal forces? Would you prefer catastrophic fracture at the gingival crest?  Signature/ Amatus / >> >> Porcelain wear under occlusal forces. [quoted text clipped - 13 lines] >>> >>> Steve > What is wrong with porcelain wear under heavy occlusal forces? Would you > prefer catastrophic fracture at the gingival crest? I'd prefer neither of these, SIR!! I don't know the newer low-index porcelains, and while I'd heard they were less destructive to natural dentition I hadn't heard that they actually were softer than natural enamel. Certainly I'd rather wear the restoration than the tooth. Steve SignatureMark & Steven Bornfeld DDS http://www.dentaltwins.com Brooklyn, NY 718-258-5001 You have to always plan for a weak link. You have to know where the eventual failure will occur. If you engineer the failure point into right part of the restoration, you get the privilege of redoing the restoration over the next 40 years, rather than eventually extracting the tooth. With a metal crown coping, I would want the porcelain to wear down. If the porcelain is too strong, parafunctional forces force the failure down to the CEJ. Signature/ Amatus / >> What is wrong with porcelain wear under heavy occlusal forces? Would you >> prefer catastrophic fracture at the gingival crest? [quoted text clipped - 5 lines] > > Steve Well, when the gold coping is exposed in less than 2 years, I think that's a little excessive. ;-( D > What is wrong with porcelain wear under heavy occlusal forces? Would you > prefer catastrophic fracture at the gingival crest? That suggests excessive force from occluDING. If excessive force is placed on the crown, and the crown and porcelain are stronger than a cast iron anvil, where does the stress go? Signature/ Amatus / > > Well, when the gold coping is exposed in less than 2 years, [quoted text clipped - 5 lines] >> What is wrong with porcelain wear under heavy occlusal forces? Would you >> prefer catastrophic fracture at the gingival crest? > Well, when the gold coping is exposed in less than 2 years, > I think that's a little excessive. > > ;-( > D Ya. How long before that thin little high-gold coping gets perfed as well? Steve >> What is wrong with porcelain wear under heavy occlusal forces? Would >> you prefer catastrophic fracture at the gingival crest? SignatureMark & Steven Bornfeld DDS http://www.dentaltwins.com Brooklyn, NY 718-258-5001 My point is that if the crown (with its white covering) is too hard to chip or wear,,,,,,,,,, and the patient has *parafunction*,,, that the stress has to be relieved somewhere. The average crown prep leaves tiny slivers of dentin under the crown which are easy to shear off. End result, the tooth breaks off at the gingival crest. A metal post will transmit that force deep into the root where the cross-section is very narrow and often break the root. If the crown is wearing down, you at least have something to work with and restore once you get the parafunction under control. If the crown breaks off at the gingival crest, you are often discussing a reverse core with pins or post (which is good for 1-3 years only) or an implant (or bridge). Signature/ Amatus / > >> Well, when the gold coping is exposed in less than 2 years, [quoted text clipped - 10 lines] >>> What is wrong with porcelain wear under heavy occlusal forces? Would >>> you prefer catastrophic fracture at the gingival crest? I tend to use Captek for anteriors and bicuspids. Probably have made a few 1st molars too. It could be the lab. If you are interested contact me privately for the name wubbabubbazTR@SHyahoo.com >Porcelain wear under occlusal forces. > [quoted text clipped - 8 lines] >> >> Steve >My dentist recommended that I get a captek crown + bridge. It will >cost me $2,000 after insurance. The alternative is to have a silver/ >metal cown/bridge for $1,200. Is captek worth the extra $800? The >bridge is for a molar that is hardly seen when i smile. Esthetics is in the eye of the beholder. > My dentist recommended that I get a captek crown + bridge. It will > cost me $2,000 after insurance. The alternative is to have a silver/ > metal cown/bridge for $1,200. Is captek worth the extra $800? The > bridge is for a molar that is hardly seen when i smile. I'm starting to understand why I'm still driving the old Toyota. The extra lab fee might be a couple of hundred dollars tops. How does the dentist justify jacking the fee up by $800? And $2000 after insurance--I shudder to think what the full fee is! This might be a normal fee in Manhattan, but I'm not sure even about that. Steve $ $800 more than the all metal FPD >> My dentist recommended that I get a captek crown + bridge. It will >> cost me $2,000 after insurance. The alternative is to have a silver/ [quoted text clipped - 8 lines] > > Steve >> My dentist recommended that I get a captek crown + bridge. It will >> cost me $2,000 after insurance. The alternative is to have a silver/ >> metal cown/bridge for $1,200. Is captek worth the extra $800? The >> bridge is for a molar that is hardly seen when i smile. > > I'm starting to understand why I'm still driving the old Toyota. Hey ! I love Toyotas ! Got three of 'em and am considering the new Tundra ! Currently driving a Tacoma, the wife a 4-Runner, and the MR2 just for fun ! >The extra lab fee might be a couple of hundred dollars tops. How does >the dentist justify jacking the fee up by $800? And $2000 after >insurance--I shudder to think what the full fee is! > This might be a normal fee in Manhattan, but I'm not sure even about that. > >Steve Yeah, those are some steep fees.
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