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.
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.
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.
A filling is a way to restore a decay damaged tooth back to its normal function and shape. When you get a filling, the dentist will removed the decayed material from the tooth, clean the affected area, and then fill the area with a material deisgned for fillings. There are many types of filling material avaialbe ranging from gold to porcelain.
Call us at 904-992-8900 or request an appointment online so we can discuss the benefits of white fillings and how they can help improve your smile.
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.
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.
Composite fillings are today's modern filling choice. They are made to match your tooth's natural color to make them virtually invisible to notice and are placed onto the tooth by bonding the filling material to the tooth so they do not have the unlikely chance of falling off. Many patients choose to replace their old silver and gold fillings with composite fillings.
- Beautiful in appearance
- Completed in a single visit
- No filling leaks
- Less chance of tooth cracking
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.
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.
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.
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.
How Much Do White Fillings Cost?
As with every dental procedure, prices vary depending on each person's unique treatment situation but white fillings generally cost more than metal fillings. Most patients report back to us that the advantages of white fillings outweigh the price differences because of their natural appearance and unique ability to bond to the teeth.
Are White Fillings Covered Under Dental Insurance?
Many dental insurance plans cover the price of white fillings up to that of metal fillings. Azari & Zahedi Dentistry will gladly check with your dental insurance provider to see just how much they will cover and help you experience white fillings for yourself.
If you are thinking about replacing your old metal fillings with natural-looking white fillings, please call us at 904-992-8900 or request an appointment today. We'll get you in and will go over everything needed to get you on your way to a much more natural looking smile.