Tag Archives: Lafayette CEREC crown

Could CEREC Crown Have Saved My Tooth?

I needed a root canal treatment and dental crown. I wanted to do a CEREC crown, but my dentist doesn’t have the machine. I considered going elsewhere, but felt guilty about going to another dentist. So, I thought the traditional crown would have to suffice. After he made the temporary, I had to go out of town for work. While I was gone, the temporary crown broke. I called my dentist and he said it would be fine, though to try and eat on the other side of my mouth. I was super careful. When I got back, I immediately went to the dentist but he told me that a crown would no longer work. First, the crown would no longer fit and we’d have to start over. But, that part of my tooth broke and the rest was brittle, so he’d have to do an extraction. Is this really my only option? Now what? I’m over $2000 into this crown which I can’t even have and now I’m losing the tooth. Should I have gone to a CEREC dentist?

Minnie W.

Dear Minnie,

A tooth receiving a CEREC crown

There are some things that bother me about what you’re saying. I’d like you to get a second opinion to see if your tooth can be saved. Preferably to a dentist who does provide CEREC crowns. Some dentists will even do free second opinions. While certainly, a CEREC crown would have saved your tooth, because it would have been protected from day one, there’s more at issue here.

If he’d have suggested you see an emergency dentist when your temporary broke, this would also have protected your tooth. It would also have allowed your permanent crown to fit. When you leave the space empty, it doesn’t always take very long for your teeth to shift leading to the crown not fitting properly. This was your dentist’s fault.

Something else which bothers me is how quickly the tooth became brittle. That’s uncommon.

If You Can’t Get a CEREC Crown and Lose the Tooth, What then?

If it turns out you can’t save the tooth, I’d first ask for a full refund from your first dentist. Then it’s time to decide on a tooth replacement. The two best options are dental implants or a dental bridge. A dental bridge would make more sense if either of the adjacent teeth need to be crowned.

If they don’t, then a dental implant would be a better option. It’s a great tooth replacement, but you don’t want just any dentist to do it. It’s an advanced procedure. Be sure to ask the dentist how many they’ve done and what their success rate is? It needs to be at least 98%.

This blog is brought to you by Dr. Mike Malone.

If I Get a CEREC Crown Will It Fall Off?

I have a friend who got a dental crown. The temporary one fell off three times before his permanent one came in, then his permanent one fell off–twice. I’m wondering if it is because he got a regular crown. Would the same thing happen if he had gotten a CEREC crown?

Danny P.

Dear Danny,

In reality, neither crown should fall off. The temporary is more excusable because they’re designed to come off easily. However, the permanent one, when bonded properly should have stayed fixed. A well-made crown could stay affixed without bonding (assuming you don’t eat anything extremely chewy). But when it’s made well and bonded, you’re safe.

It sounds like this dentist isn’t the best when it comes to a proper understanding of either porcelain crowns or bonding. Hopefully, you’re not going to the same dentist.

CEREC crowns are a little safer. They’re milled by computer so are more likely to be cut precisely. Plus, you don’t have to worry about the hassle of a temporary crown.

I’m not sure where you’re getting the crown, but if it’s somewhere visible and you plan on doing any cosmetic work, such as teeth whitening, you’ll want to get the whitening done before the crown is designed. You can’t whiten crowns once they’re done. So, the wise thing to do is whiten your teeth and then have your crown made to match the new color.

This blog is brought to you by Dr. Mike Malone.

Persistent Pain with CEREC crown

I got a CEREC crown on a molar. I’ve had horrible pain ever since, whenever I bite down on anything. My dentist blames it on the way I chew. He said I have a cow chewing effect and that is the cause.  I’m wondering how that is possible if it didn’t hurt before.

Mika B. – Denver, CO

Mika,

I’m with you. I see no reason why you would suddenly start chewing like a cow. My suspicion is your dentist is just not quite up to snuff on this procedure.

CEREC crowns are milled by a computer, so they’re usually easier to place. That being said, there are two things that can go wrong.

  1. It is placed too high. If that happens, whenever you bite down, that tooth is higher than the others. That would cause sensitivity whenever you bite down.
  2. A second possibility is that the underlying tooth is infected. It’s possible something was missed.

Because I’m not sure your dentist is handling this well, I would get a second opinion from an endodontist.

This blog is brought to you by Lafayette Cosmetic Dentist Dr. Mike Malone.

Should I go somewhere else to get a CEREC crown?

My dentist told me I needed a dental crown.  We scheduled an appointment, but after talking to my nephew, I’m wondering if I should go to a different dentist in order to get a CEREC crown?  He loves his.

Nellie D. – Washington

Nellie,

The difference between a CEREC crown and a traditional crown is twofold: 1. Where they’re milled and 2. The turn-around time.

A CEREC crown can be great, but what matters the most is the artistry of the dentist. So, if your dentist is artistic, you’ll get a great crown no matter which method is chosen. You’ll want a crown that looks both natural and beautiful.

If getting a crown the same day means a lot to you, ask your dentist if he has a CEREC machine, or another one similar, available. If he doesn’t, you’ll have to make a decision as to whether your dentist’s skill outweighs the  desire to not have two appointments.  A skilled dentist could make a beautiful crown no matter where is it milled.

This blog is brought to you by Lafayette, LA Dentist Dr. Mike Malone.