Crowns & Fillings
What Does Getting A Crown Involve?
A crown procedure usually requires two appointments. Your first appointment will include taking several highly accurate molds (or impressions) that will be used to create your custom crown. A mold will also be used to create a temporary crown which will stay on your tooth for approximately two weeks until your new crown is fabricated by a dental laboratory.
While the tooth is numb, the dentist will prepare the tooth by removing any decay and shaping the surface to properly fit the crown. Once these details are accomplished, your temporary crown will be placed with temporary cement and your bite will be checked to ensure you are biting properly.
At your second appointment, your temporary crown will be removed, the tooth will be cleaned, and your new crown will be carefully placed to ensure the spacing and bite are accurate.
You will be given care instructions and encouraged to have regular dental visits to check your new crown.
If your smile is in need of a makeover, crowns can provide predictable results. Crowns can give an unattractive tooth back its beautiful shape and color. For smaller or worn down teeth, a crown can restore the natural size of the old tooth. A crown can replace either part of or the tooth's entire structure. For procedures requiring only the areas visible from the outside, a veneer may be an alternative option.
Placing a Porcelain Crown In 1 Visit
Because our office can provide a dental crown in a single dental appointment, we do things a little different than other dental offices. We can skip the temporary molds and the time it takes to have a dental lab fabricate your final crown.
1. We start the crown procedure by reducing the overall size of the tooth that's in need of a dental crown. Shaving off existing tooth structure allows for the new crown to fit properly and it also creates a foundation for the new crown to be bonded to.
2. Next, using our state-of-the-art CEramic REConstruction (CEREC) system, we will digitally scan the section of your mouth that has been prepared for the crown. This is done by using a special wand that can be easily positioned in your mouth to ensure an extremely accurate digital representation of the restoration area.
3. We will now be able to see a high-resolution 3D representation of the area and start to design a new crown that will fit perfectly over the prepared tooth. Our patients often love getting to see us create a new tooth for them in real time, right there on the screen.
4. Once the digital representation of the new crown has been created on the computer, we will send it off to our in-house milling machine. We place a block of porcelain that has been color-matched to the shade of your existing tooth into the milling machine and run the program. This amazing machine robotically fabricates a perfect crown restoration that is ready to be placed over the prepared tooth at this time. This crown is the final crown and NOT a temporary crown which means you have just received a new dental crown in a single dental appointment.
Full Porcelain Crowns
These are very aesthetic, bonded crowns. They are mostly used for front teeth because they are the most natural looking type of crown and are often used in "cosmetic" dentistry.
There are many types, but they all have a common feature - no metal. They can occasionally break, but dental technology has advanced far enough to make them quite strong.
The 'gold' standard. Dental gold is about 60% gold alloy which is meant to match the hardness of the enamel of opposing teeth so both wear about evenly, an important trait. Gold does not tarnish or corrode and has some bacterial-inhibiting quality. Gold crowns are strong and will not break. However, gold crowns obviously are not considered aesthetic; they are gold colored. Usually, gold crowns are used for lower back molars because they aren't as noticeable.
Porcelain Fused To Metal Crown (PFM)
The most common type of crown and has a proven track record. PFM crowns are fairly aesthetic and they look like real teeth. However, the margins or borders may appear dark because PFM crowns have a metal substructure with layers of porcelain fired over the substructure. Porcelain is very hard, much harder than natural enamel and may cause excessive wear of the enamel of opposing teeth. Porcelain may break with extreme biting forces.
Types of Crowns
With today's advances in dentistry, there are several options when choosing a type of crown:
- Porcelain outer surface with a metal base crown
- Pure porcelain or composite crown
- All metal crown, which is usually gold
They all differ in durability, strength, appearance and cost.
Replacing missing or damaged front teeth by pediatric partial is a service we offer our patients for comfort and convenience. Children are prone to lose teeth even early in life. Whether due to dental disease, a playground, or a bathtub accident, premature loss of teeth is an unavoidable part of childhood.
Some parents may be unsure how to approach replacing missing teeth at this stage, and knowing this option is available is comforting them. The advantages of pediatric partial for children are:
- Improving esthetic
- Improving speech development and function
- Improving parent and family satisfaction
The process usually needs two visits to complete, first for the mold and fabrication and the second for insertion. Pediatric partial is a fixed appliance, and children can't remove it unless they apply excessive force. We will monitor the area, and when it comes to the near eruption of permanent teeth, usually around age seven, we will remove it.
Maintaining good oral hygiene and periodic visits to Azari & Zahedi Dentistry help with the longevity and esthetic of the appliance.
What's In A Name?
Tooth-colored fillings, white fillings and composite resin fillings are all names for the high-strength, natural-looking fillings that can be placed today instead of silver or gold (also known as amalgam fillings). No matter what the name, Azari & Zahedi Dentistry will know just what you're talking about when referring to this natural-looking filling.
Zirconia crowns are another excellent fit used in the restoration of back molar teeth on select candidates. We offer Zirconia crowns on the upper front teeth when there is not enough tooth structure to do a bonding procedure. The material is biocompatible and is the next generation in pediatric restorative technology. For this reason, besides superior durability and esthetic is safe to use on children.
We will discuss the specific assessment of your child in more detail when you come for a consultation.
Strong and Natural Looking
White fillings are made from a high-strength composite resin that can be easily color-matched to your natural tooth making it nearly invisible to you and anyone else. Unlike silver and gold fillings, composite tooth-colored fillings actually bond to the tooth which means they support the surrounding tooth structure, which helps to prevent breakage and insulate the tooth from excessive temperature changes. You are much less likely to have a composite filling fall out which is a common issue with metal fillings.
Replacing Old Silver Or Gold Amalgam Fillings
Azari & Zahedi Dentistry specializes in beautiful cosmetic dentistry. Metal fillings are often thought of as an eyesore especially with the front teeth that are visible to everyone when you smile. We are able to remove those old metal fillings and replace them with today's white fillings which are nearly identical in color to the teeth that they are in.
Virtually everyone is a candidate to have metal fillings replaced with natural-looking white fillings. Request an appointment online or call our office directly at 904-992-8900 to discuss replacing your old metal fillings with white ones.
Don't Count Silver & Gold Out Completely
Silver and gold fillings have been around for a very long time; and to this day, they do an adequate job in filling teeth. Today's white fillings are, by far, a patient's first choice when it comes to any kind of dental procedure that requires a filling because of their natural cosmetic benefits. This doesn't mean white fillings are the best choice in every situation; metal fillings still have their own benefits.
Metal fillings (also known as amalgam fillings) are very strong and do not wear out as quickly as composite (white) fillings. In situations where a tooth requires a large filling and other treatment options such as porcelain crowns are not desired, a metal filling might be your best treatment option because of the structural qualities of the metals themselves; and composite fillings generally can't withstand the forces exerted on them if they have to cover a very large area. Metal fillings generally cost less than natural-looking fillings, and patients that need fillings in any out-of-sight teeth often consider a metal filling.
Types of Fillings
There are four different choices that you have when it comes to filling a cavity.
- Composite Fillings - Natural tooth-colored filling, bonds to the tooth to provide added security.
- Silver Fillings - Inexpensive and strong amalgam based filling.
- Gold Fillings - More attractive than silver and provide for a better fit.
- Porcelain Fillings - Also called inlays; the most attractive and durable of the tooth colored choices.
The most simple filling you will ever receive! With the help of CEREC, you can get a filling in just one quick visit. This is good not only for new fillings but can also be used to replace old unsightly metal fillings. CEREC is chosen by many dentists to help restore teeth back to their natural beauty and shine. Instead of the traditional fillings, which use resin or composite materials, the CEREC machine uses porcelain. Porcelain has a higher success rate and lasts much longer than the traditional non-CEREC fillings. The first step is examining you tooth structure that is to be restored. The treatment area is prepped and a digital impression is taken of the restoration area. Instead of those messy uncomfortable molds, our office simply scans the area with a wand that captures the teeth in which your fillings are to be placed. Next, we use the CEREC machine that helps us to create a 3D model of your restoration. After the design phase is complete, this information is sent to the milling machine where it mills your prefabricated porcelain filling. Once complete, the filling is ready to be placed and polished during your same visit. This process is quick, simple and creates the same feel and functionality of your natural teeth with pleasing aesthetics as well as long lasting results.
Fotona LightWalker Laser
Modern dentistry has given dentists a new and less painful way of repairing cavities. The LightWalker is a minimally invasive laser that puts much less stress on the patient by being quieter (no drilling noise) and most procedures performed with the LightWalker do not need numbing, which means less injections and little or no pain and bleeding. After treatment, overall there is reduced swelling and need for medication, making the experience much more relaxed and pleasant for our patients.