why do you need a crown on tooth
Broken tooth: The best predictor of if a tooth will break in the future is if the tooth has broken in the past. If your tooth has broken and your dentist tells you you need a crown, count yourself lucky! Often, when a tooth breaks, the break can occur deep enough that the tooth needs a root canal before the crown, or it can break below the level of bone rendering the tooth non-restorable. Once that tooth is extracted, it is usually recommended to replace it with an implant or bridge that costs thousands of dollars. That crown is starting to sound pretty good, huh? A dentist will often recommend crowns for teeth that they see are at risk for fracture, such as teeth that have very large fillings, or teeth that show fracture lines (especially if the patient has a history of grinding or clenching). Every time you get a cavity in a tooth, more tooth structure needs to be removed in order to fill it. Thus, if you have a tooth that has been filled multiple times over the years, there is often very little tooth left for us to work with. The composite material (Бwhite fillingБ) that we use must be bonded to the tooth with adhesive. If there is very little natural tooth surface area left, the bond will be weak and the filling will fail. Also, the composite material is not nearly as strong as the materials used to make crowns (gold or porcelain), so the chances that the filling or the tooth will break are much higher with very, very large fillings.
and scroll down for more answers: What is a crown? How long to they last? What are the types of crowns? Since crowns are one of the more common restorations that people need on their teeth, most dentist are regularly asked the question, Do I really need a crown. It is a completely fair question because even with insurance, crowns may cost you hundreds of dollars at a time. The reason they are recommended frequently is that a dental crown is often the best option to extend the life of a tooth for years to come. However, there are options in treating a tooth which may delay the need for a crown. You should be cautious when a dentist you are seeing for the first time recommends a number of crowns. At Sage Dental, we evaluate all options and review them with you before recommending a crown or set of crowns. We consider you our partner in maintaining your dental health and we will take the time to fully explain our treatment plan recommendations. If you have been told by another dentist that you need a crown, please for a free second opinion. 1. Show me and tell me why a crown is needed. If it hurts when you bite down, it is possible that your tooth is cracked. If a tooth is cracked, it is a serious condition and does usually require a crown. Unlike a broken bone, the fracture in a cracked tooth will not heal. Vertical cracks that travel to the gumline may require a full-coverage crown.
If the crack goes below the gumline, the tooth may require a root canal, with crown lengthening or possibly even extraction. However, make sure that the tooth is cracked and not just Бcrazed. Б б Craze lines are very common and not harmful. Most every adult back tooth has craze lines. These are just simple stress lines that do not necessarily indicate a crown. Since craze lines do notб effect the structural integrity of your tooth, you can choose from a number of different options to fix them. The least invasive of theseб is, which can bleach the stains from the crack to significantly reduce its visibility. However, craze lines that exhibit deep stains or are very long could suggest a developing crack. б Ask your dentist for either an inter-oral photograph or a hand held mirror to show you the crack. 2. What are my options? In some cases, while a crown is one option, there can be others. You might opt for a instead. Keep in mind, however, that a filling does not prevent you from needing a crown later on. Also, if a substantial portion of your tooth needs filling, a better solution is usually the crown because fillings do not give you the same kind of protection as crowns do. Also, if the filling is extremely large, it can cause the tooth to break, making it irreparable. 3. What are the implications of waiting? Nothing will happen. The tooth could chip- simple repair.
Or it could crack and would need a crown. In rare cases waiting could cause a root canal to be needed. The tooth could split, which could require crown lengthening or extraction. These are things that your dentist should be prepared to talk over with you. 4. Is a Root Canal needed? Most crowns do not need root canals. If a tooth is not infected or acutely inflamed, it will not need a root canal. 5. Does an old, really large silver filling mean I need a crown? If a silver filling is 2/3 the width of the tooth or more, it could require a crown. The small amount of tooth that is left in an old filling like this can get compromised. It is up to your approach. If you want to be proactive and prevent it from cracking, go with a crown. If you are more conservative, you can take the approach if its not broke, donБt fix it. At Sage Dental Our Philosophy is Prevention. We strive to keep your teeth and gums disease-free and we believe it is important to treat issues early, when they are less serious. We offer the a complete range of restorative and cosmetic services, including, and БЕБЕWe are comprehensive in our approach, but committed to never over treating our patients. If you are in need of a crown and donБt have dental insurance, we have an option for you. Our The fee to sign up for the discount program runs from $60 for Seniors and Students to $120 for a family. See details
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