A crown or tooth cap is indicated when there is sufficient damage, decay or trauma to a tooth’s integrity. When more than 60% of a tooth is damaged, has a large broken down filling in it or an entire cusp is missing (broken or decayed) the tooth loses its structural support. The tooth then has a high likelihood of cracking. A crown can literally hold the tooth together by surrounding the tooth and providing support. A crown can be made of various materials – porcelain, metal, or a combination of the two. There are tooth colored materials being used called Zirconia or E-Max that are as strong as metal but have the aesthetics of porcelain. These crowns are metal-free.
A metal crown can be precious, non-precious or semi-precious. The higher gold content the better. Gold, platinum and palladium are much more biocompatible (healthier) than semi-precious or non-precious metals, which can contain nickel, copper or other scrap metals. Dr. Samborski’s practice in Worcester has dental crowns and metal tooth caps with a high content of gold and precious metals that he only uses for his metal crowns. These crowns provide excellent marginal integrity, strength, and can last a very long time.
A porcelain dental crown from Worcester based General & Implant Dentistry is entirely porcelain. These crowns provide the best aesthetics, translucency and natural appearance. They best resemble the natural tooth structure but lack strength. These crowns are best when used in the front of the mouth where aesthetics are most important and chewing forces are lower.
A porcelain to gold crown from the Worcester office of Dr. Samborski is an excellent choice for the majority of back teeth as it provides the aesthetics of a porcelain cap with the support and strength of metal. These crown are made with a metal (precious metals) core with porcelain baked over it.
Porcelain fused to gold or all gold crowns provide the strength and durability needed for heavy chewing. Gold is also a better choice for patients who may grind their teeth.
Periodontal Disease: Crown Lengthening
When you look in the mirror, does your gumline look uneven? Or do you see too little gum? These are common effects of periodontal disease. A type of gum surgery called gingival surgery can lower or even out the gumline. And if more of the tooth needs to be exposed, gingival surgery can fix that, too. One type of gingival surgery is called crown lengthening.
How Crown Lengthening Works
Surgery to expose more of the crown (the part of the tooth you can see) includes:
Functional lengthening. In some cases, a restoration (artificial crown) is needed. Gum and bone are removed to expose enough tooth to anchor the new crown. This also helps prevent future damage to gum and bone near the restoration.
Cosmetic lengthening. This is done to remove an overgrowth of gum tissue that causes a “gummy” smile. It can improve appearance and may make teeth easier to keep clean.
To learn more about our Worcester dental crown and tooth cap procedures, preventive and restorative dentistry services, or to schedule an appointment, please call our office staff at (508) 757-0591 or use our online appointment request form to schedule an appointment. We offer our services to residents of Holden, Paxton, Shrewsbury, Boylston, Westborough, Worcester, Auburn and Northborough in Worcester County, MA.