Tag Archives: Lafayette LA CEREC crowns

Will CEREC Crowns Last with Teeth Grinding?

I like the idea of CEREC crowns but I’m not sure if they are durable enough. I have worn my teeth down because I grind them at night. I have a high-stress, security clearance job that I seem to internalize. But I really don’t have a choice. I can’t talk about it to anyone outside of my co-workers and I am limited to what I can say to some of them. My dentist recommended CEREC crowns. The machines in the office look new, so I asked how long she has been doing CEREC. She said it’s been about 8 months. Is this a gimmick that she is trying to pay for at my expense or can CEREC stand up against me grinding my teeth every night? I need 4 crowns. How long will they last? Thanks. TY

TY – Chronic bruxism, or teeth grinding, is a concern for your natural teeth and any type of crowns you receive—not just CEREC. Teeth grinding can cause your jaw and facial muscles to ache. It can also lead to neck pain and headaches. And you’ve seen the damage it has done to your teeth.

A Priority over CEREC Crowns

Photo of CEREC same-day crowns digital scanner and computer, and the milling machine, available for same day crowns from Mike Malone DDS in Lafayette, LA
CEREC technology

Your first concern should be limiting the effects of teeth grinding; it will protect your teeth and your CEREC crowns. We’re surprised that your dentist hasn’t recommended a customized night guard. A night guard is comfortably worn at night to reduce bruxism and control the impact it has on your teeth. You won’t have to wear a big, uncomfortable device that prevents you from sleeping well. Today’s night guards easily fit into your mouth and are comfortable to wear. Many patients report that they sleep better while wearing them.

How Long Will Your Crowns Last?

There are several factors involved with how long your crowns will last:

  • The lifespan of a dental crown is about 15 years if you take good care of it. The same is true of a CEREC crown. Some crowns last even longer.
  • It’s important to get a custom night guard to protect your new crowns and the rest of your natural teeth. Without the protection, the pressure on your teeth can cause the crowns to crack.
  • CEREC crowns are made of porcelain. They are a durable option for protecting worn or broken teeth.

Ask your dentist about a custom night guard. If for some reason she is hesitant to fit you for one, we recommend that you get a second opinion from a dentist who has many years of experience with CEREC and dental crowns.

This post is sponsored by Mike Malone, DDS, an accredited cosmetic dentist in Lafayette, LA.

CEREC Crowns and Thyroid Issues

I have severe thyroid issues and find it important to make sure my dental work is metal free, as well as containing no lithium. I’m considering CEREC crown. I asked my dentist about these issues and he said my information is false and there’s no point in even answering the question. This annoyed me and made me wonder if it was safe for me to get one. Do you have information for me?

Alyssa

Dear Alyssa,

Block of porcelain for CEREC crowns

Before we start, I’m going to let you know this isn’t the best dentist for you. While I won’t say you’ll need a holistic dentist, you will need a dentist who will be willing to care about your concerns. This one obviously doesn’t.

CEREC Crowns are Metal-Free

Because CEREC crowns are milled from a single block of porcelain, you don’t have to worry about a metal base. Though you can get all-porcelain crowns even with traditional crowns, there are also some that have a metal base, so if you ever get a traditional crown, make sure to specify you want an all-porcelain crown.

CEREC Crowns can be Lithium Free

Dentists have quite a few options in the types of tooth-colored materials available in block form. Only one of them is lithium disilicate-based. There haven’t been any studies to date on this lithium with the thyroid. The lithium which is under scrutiny for leading to hypothyroidism is the lithium prescribed to bipolar patients.

However, for your own peace of mind, it’s best if you let your dentist know of your concerns ahead of time. It’s simple enough for him to avoid that one type for your sake. Just give him a head’s up.

Dentists should factor in the concerns of their patients. Though many try to assume they know more because “they’re the professional who has the dental degree”, it’s your body. No one knows your body better than you do.

Additionally, neither dentists nor doctors have accumulated the sum of all knowledge and understanding when it comes to medical care. We’re still developing knowledge. Therefore, if a patient feels a type of material has a negative impact on them, we should listen.

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

Crowns are getting old- can they be upgraded?

My dental crowns are getting old.  I don’t have time to do a new crown, which would mean two days away from work.  Can I just get the old ones upgraded a little so they are white again?

David R. – MN

David,

If by upgraded, you mean have your crowns whitened, then no.  There isn’t any kind of dental work, such as crowns, bonding, or veneers, that can be whitened by traditional teeth whitening. Instead, they have to be re-done.

I know you can’t get a lot of time off work.  In that case, I would consider CEREC crowns.  You can get them in just one appointment.  There is no need for a temporary crown.  The same day you go in for the initial appointment, you  get your permanent crown.

They’re made out of porcelain, just like regular porcelain crowns and are attractive and natural looking.

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

CEREC crowns caused a tooth infection

I got a CEREC crown and now, a few months later, I have a massive tooth infection on the tooth under the crown. I feel like the crown caused the infection. Have you noticed this to be common with CEREC crowns?

Alonso G. – New Mexico

Alonso,

No, that isn’t an issue with your crown. It is more likely a dentist issue. There are a few possibilities going on. With the first, your dentist didn’t remove all of the infection to begin with. It’s possible he thought the infecion was dealt with, but there was some left. If the  infection isn’t dug out of there, it will continue to spread.

Another option is your tooth developed new decay. That can happen a couple of ways.  There is a learning curve with CEREC crowns. Some dentists are more skilled than others. It’s possible your dentist left some gaps in the margins or there were some other issues  with his bonding that left your tooth vulnerable to decay.

It’s also possible that you’ve had a harder time with your oral hygiene. It isn’t easy getting crowns all the way clean and flossing is more of a challenge than it used to be.

You’ll need to have your dentist look at this right away and make sure he gets all the infection. When completed, you might want to make sure there are no gaps anywhere, in case the problem is your dentist.

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

Dentist only does CEREC crowns

My dentist recently got a cerec machine and says he’s only doing cerec crowns now. I’ve always had traditional crowns and really want to stick with the same thing. What do I do?

Kate O. – Oregon

Kate,

What you would do is tell your dentist how you feel. There is nothing that says you HAVE  to have a CEREC  crown. I’m sure the situation is more that your dentist has invested all this money on the CEREC machine and he wants to get the most out of it.  He can do the same types of crowns in one appointment.

If he was able to do the traditional crowns before, he is now.  However, it is his practice and he ultimately decides what procedures he wants to do at his office.  However, you get to decide what to do with your body. So, you might be better served with a different dentist.

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

CEREC crown keeps falling out

I got a cerec crown for the first time. It has fallen out twice. Is this something that is common with these types of crowns?

Alai K. – Brownsville, TX

Alai,

No, the problem is an issue with the crown. In fact, CEREC crowns are generally more accurately milled because they are done with a computer. The problem is with whatever bonding process your dentist is using.

I’ll be honest with you, most dentists go their entire career without having even one crown fall out. The fact that yours did twice, tells me there is a problem with your dentist more than your crown.

I suggest you take your crown somewhere else to be bonded and quickly. If you like the person who fixes is, you’ve found yourself a more competent dentist.

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

 

Crown keeps falling off

I got a CEREC crown, but it keeps falling off–like four times. What do I do?

Yvette – New Mexico

Yvette,

What you need to do first is get a new dentist. There is no reason for a CEREC crown to keep falling off if it is properly bonded on.  Most dentists go there entire careers without having even a crown fall off once, much less four times.

CEREC crowns are generally easier than traditional crowns, because they’re computer milled.

I know it sounds like I’m being harsh, but there really isn’t a reason for these to come off.

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

Mismatched crown

I moved to a new city. As a result, I’ve obtained a new dentist. He has this machine that enables crowns to be made the same day.  That part was great. Unfortunately, that is the extent of the positives. I’ve had crowns done before. This is my fourth.  All the previous ones match my existing teeth. This new one, however, is a mismatch. It is pretty obvious too. Is this the necessary cost of convenience or did something go wrong.

Benjamin A. – Maryland

Benjamin,

No, that is not a necessary price for the convenience of a same day crown.  The type of crown you received are CEREC crowns. You’re right that they’re very convenient. It’s great not needing a temporary crown, or needing to come back for a second appointment to get your permanent crown.

This problem you’re experiencing is the result of what dentist you currently have, not the type of crown he gave you.  It is the dentists responsibility to match a crown to the existing teeth.  You can see if your dentist would be willing to re-do it to make it match your current smile. However, you may have to try for a refund and go to a more artistic dentist to get the results you are hoping to get.

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

Ugly CEREC Crown

I travel a lot for work and even when I am home, I’m still on the go. Because of this, I’ve been holding off on having a crown done. Not only is it near impossible for me to get to the dentist for two separate visits, but I’m really concerned that something will happen to my temporary while I’m away from home. I’ve been hearing a lot about these CEREC same day crowns and I like the concept, but a friend of mine had one done and the color doesn’t look quite right. Is this one of the expected trade-offs when having a CEREC crown done?

Thanks,

Sam

 

Dear Sam,

A cheesy grin is great, but not so much when it looks cheesy because the teeth are mismatched between shades of yellow and white like co-jack cheese. Unfortunately, your friend’s cheesy grin faux pas could have been avoided, but luckily, you don’t have to suffer the same fate in the name of convenience.

CEREC crowns are fantastic when it comes to streamlining the process, but like traditional crowns, some dentists don’t do a good job of matching the shade. There are options available for a dentist to make the restoration match the surrounding teeth- it’s just a matter of finding a dentist who has the cosmetic and artistic ability to do the matching.

Start by selecting a dentist who does CEREC crowns and ask the staff ahead of time how he selects shades. Often, but not always, the level of competence in the staff is very telling. You can also ask to see before and after photos of patients the dentist has treated. Many dentists like to have a “brag book” on hand or a smile gallery online to show off their finest cosmetic work. You can also speak directly with the dentist beforehand and ask him how he selects shades.

As any reputable cosmetic dentist knows, the most important deciding factor when it comes to esthetics is patient satisfaction. As such, he will always let you examine your restoration before it is cemented and will be certain to make sure you’re happy with it before you leave.

If you want to avoid an unpleasantly cheesy grin, ask a few questions in advance and you’ll be sure to have your same-day-crown be a same-day-beautiful-work-of-art too.

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

My Crown Looks Awful

I got a makeover on five teeth. Four were veneers and one is a crown. The veneers look OK, but the crown looks different than the others. It’s like there is a shadow underneath it. My dentist says it is from the cement and that it isn’t noticeable. If that’s true, than how come I can see it? I asked if we could re-do it, but she said it wouldn’t match the others because they need to be done at the same time. Is that true?

Hannah S. – Little Rock, AR

Hannah,

Well, it may be true for your dentist, but it isn’t true for someone with expertise in cosmetic dentistry. There is a danger in letting a general dentist without a lot of training in cosmetic procedures. A true cosmetic dentist would not be satisfied if you didn’t like the way it looked.  That crown would go right back to the lab.

The problem is twofold: one, dentists are taught in dental school that they know better than the patient. That is not the case with those who have significant training in cosmetic. They are taught that the patient is the decision maker as to what is beautiful.  The second issue is skill. Now a great cosmetic dentist could match your crown to other teeth easily. Maybe your dentist doesn’t know who to do that. However, your dentist ordered the veneers with the crown at the lab. They should be able to match the specifications to the lab.

I’ll be honest, if you really want this done well, you’ll probably need to have it done by a different dentist. I recommend you see a dentist who is accredited with the American Academy of Cosmetic Dentistry (AACD). These dentists are in the top 1-3% in their field. They can give you a gorgeous crown.

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