Removing crowns on two front teeth

Discussion in 'Dental Archive' started by Teach, Sep 10, 2006.

  1. Teach

    Teach Guest

    Hi! I would really appreciate your input...
    I have all porcelain crowns on my two front teeth. This summer, I had a
    root canal on one of them, and decided to replace both crowns (they
    were over 10 years old, and the other was cracked. The dentist replaced
    my crowns a few days ago, but they are much lighter than the rest of my
    teeth, and I am very unhappy with the shape of them. My surrounding
    teeth are as light as I can get them, so I cannot bleach them to match
    the front crowns. My dentist agreed to replace them under the
    condition that I signed a paper in case a root canal was needed again
    or if a tooth was broken in the process. I do not have much tooth
    structure left. A post was put into the tooth with the root canal. I
    am terrified that the tooth will break when he tries to remove these
    crowns. Can you please tell me the success of removing crowns on teeth
    with root canals, and less tooth structure. I had very bad, protruding
    teeth as a child, and really do not want to have to live with these
    crowns, but do not want to lose my teeth either. Thank you so much for
    your help.
     
    Teach, Sep 10, 2006
    #1
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  2. What type of all porcelain crowns are they?
    as far as the consent form sounds reasonable he just wants to record
    that you understand the risks.
    This problem happens often when you only do 2 front teeth. You risk
    getting the bunny look. You might want to consider asking him to do the
    teeth on either side by placing very thin no prep veneers or a thin
    bonding to block out the colour depending on how far off the colour is.
    The eye teeth are 1/2-1 shade darker normally so it should blend in.
    He may want to entertain this option since there is less risk for you
    and less headache for him if you are up to it.


    Teach wrote:
     
    Alexander Vasserman DDS, Sep 10, 2006
    #2
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  3. Teach

    Teach Guest

    Thank you for your suggestions.
    I am not sure what kind of porcelain they are. I live in a small city
    and don't even think that my dentist uses veneers. I am also hoping to
    correct this without touching any of my other teeth.. I guess that I
    will take a chance and hopefully get better results with the next
    crowns. I am crossing my fingers that these ones come off without
    breaking my teeth. Thanks again.
     
    Teach, Sep 11, 2006
    #3
  4. He knows about the veneers and can probably do them.
    There are dentists in 3rd world countries doing veneers.


    Teach wrote:
     
    Alexander Vasserman DDS, Sep 12, 2006
    #4
  5. Teach

    Bill Guest

    Teach wrote:
    _______________________


    Didn't you have an opportunity to approve the shape and the color
    before the crowns were cemented in place?

    - dentaldoc
     
    Bill, Sep 12, 2006
    #5
  6. Teach

    Teach Guest

    HI! I did look at them before they were cemented. However, the dentist
    told me that the colour was great. I told them that I thought that the
    crowns were protruding too much, but was told that they were the best
    that they could do with my teeth underneath protruding a bit. My old
    crowns, however, did not protrude.. I thought that maybe because they
    were a bit different than my other ones, that I just had to get used to
    them, and that they didn't stick out as much as I thought. I was also
    VERY nervous, as I have had so much work done to my mouth and was
    afraid to complain. I was told by others in the next few days that yes
    the colour was way off and it looked like they stuck out quite a bit.
    I now wish that I would have spoke up more at the time, but I am too
    late...
    I do appreciate your comments. Thank you very much
    Bill wrote:
     
    Teach, Sep 12, 2006
    #6
  7. Teach

    Teach Guest

    PLEASE look at pictures regarding previous post

    Hi! I posted earlier about replacing 2 front crowns.I will be getting
    them replaced in a few weeks. Besides the colour being to light, I
    have also explained that these ones are just too big. They are VERY
    bulky on the sides which make them look even more like buck teeth. The
    dentist said that was pretty well the best they could get, but my
    crowns before these ones were much better, and they were 10 years old.
    Is there anything that you think could be done this time to have them
    more aesthetically pleasing? I am including links to both my before
    pictures of the old crowns, and the new ones. Thanks again

    http://i92.photobucket.com/albums/l19/teach675/newcrowns.jpg

    http://i92.photobucket.com/albums/l19/teach675/oldcrowns.jpg

    Teach wrote:
     
    Teach, Sep 24, 2006
    #7
  8. Teach

    Teach Guest

    Re: PLEASE look at pictures regarding previous post

    Sorry.. you can also see the two pictures side by side at this address

    http://s92.photobucket.com/albums/l19/teach675/

    Teach wrote:
     
    Teach, Sep 24, 2006
    #8
  9. Teach

    AdvanceAgent Guest

    Re: PLEASE look at pictures regarding previous post

    The new crowns definitely looks whiter. I am not sure if your small
    town dental lab can do custom shade. Usually the dentist use a shade
    guide to choose a color. But for front teeth where is is very visible,
    I send my patient to the dental lab for custom shade. The lab tech
    will match color to your other teeth. I am not sure if that's possible
    at your location.

    I can't really comment on the shape because it's hard to judge with the
    picture. However, if the old crowns felt comfortable, the new ones
    should also.

    There are 2 ways to remove a crown:

    1) by tapping it out with force
    2) by cutting it out

    I agree with Dr. B that cutting it may be better for you in this case.

    By the way, your gum around your 2 old crowns looks very red and
    inflamed.

    [AdvanceAgent #367924]

    Games I am currently playing:
    http://uc.gamestotal.com/?in=367924

    Teach wrote:
     
    AdvanceAgent, Sep 25, 2006
    #9
  10. Teach

    Teach Guest

    Re: PLEASE look at pictures regarding previous post

    Hi!
    The sad part is that I did go to someone for custom shading. They told
    me that it was the right color. He said that maybe it was the liner he
    used that made them look too white. When I went back to get a new color
    for my next crowns, he wanted to use the same shade again and touch it
    up once they were done. I asked him to go a bit darker, and hopefully
    they will match my teeth. This is a very stressful process! I feel
    like I am the only one who cares that they look good!
    I see where my gums look inflamed. They were not always like that, but
    have been again since these crowns were put in 3 weeks ago. I take
    very good care of my teeth and do not understand why my gums do that!!

    AdvanceAgent wrote:
     
    Teach, Sep 26, 2006
    #10
  11. Teach

    AdvanceAgent Guest

    Re: PLEASE look at pictures regarding previous post

    Front teeth are usually hard to match color, but custom shading will
    usually do the work. You probably know this by now. When the dentist
    try in your new crown, before cementing, what you see is what you get.
    So if you don't like it, don't let him/her cement it. The lab can
    adjust the color until you like it.

    It is the dentist's responsibility to get the crowns to your liking.
    You may want to suggest to the dentist to use a new lab.

    Regarding the gum, sometimes(not saying this is the case because I need
    visual exam) if the margin of the crown is not well made it can:

    1) impinge on the gum and thus irritate it
    or
    2) cause food/plaque to trap near the margin and thus irritate the gum

    [AdvanceAgent #367924]

    Games I am currently playing:
    http://uc.gamestotal.com/?in=367924

    Teach wrote:
     
    AdvanceAgent, Sep 26, 2006
    #11
  12. Teach

    Teach Guest

    Re: PLEASE look at pictures regarding previous post

    Thank you. I have learned my lesson and will not have them cemented
    until they are the right color. I should have refused to have them
    cemented last time, but as I said, thought that maybe it was just be
    and that I would get used to them. Thank you for your help. I
    appreciate it.
    I will also ask the dentist about the margins. The gum above my right
    tooth feels sensitive and hurts a bit if I bite into anything. I have
    just been avoiding it, and am using a fork for everything!
    AdvanceAgent wrote:
     
    Teach, Sep 27, 2006
    #12
  13. Re: PLEASE look at pictures regarding previous post

    something is not right about these 2 photos
    In the after these are PFM crowns not the most cosmetic to put on the
    front teeth, ofcourse we do not know whats underneath.


    Teach wrote:
     
    Alexander Vasserman DDS, Sep 29, 2006
    #13
  14. Teach

    Teach Guest

    Re: PLEASE look at pictures regarding previous post

    HI! The crowns should be solid porcelain, not fused to metal. When I
    was first making my appointment with the dentist, he said that I would
    be getting PFM crowns, and I was very clear that I wanted all porcelain
    crowns. I saw the crowns before they were put into my mouth, and I
    didn't notice any metal. At the lab, the person who chose my colour
    said something about a porcelain that was approximately 40.00 more a
    tooth that would hide the color underneath if it was a bit darker. One
    of the front teeth is darker and has had a root canal. Is there any
    way I can tell if these are PFM?? I am getting prepped for new crowns
    next week and am very nervous that they will look as artificial as
    these ones do!
    Thank you very much!

    Alexander Vasserman DDS wrote:
     
    Teach, Sep 30, 2006
    #14
  15. Teach

    Teach Guest

    Re: PLEASE look at pictures regarding previous post

    I just checked my insurance claim and it states that the crowns are
    Porcelain jacket crowns. They were 907.00 Canadian each. Does that
    sound like PFM crowns??
    Teach wrote:
     
    Teach, Sep 30, 2006
    #15
  16. Re: PLEASE look at pictures regarding previous post

    what was written on the claim form does not mean anything.
    question is when you looked on the inside of the crown was it dark or
    white like a tooth??
    You can have complete porcelain coverage over metal and it is still
    considered PFM.
    That is what gives the crown a greyish appearance.

    Teach wrote:
     
    Alexander Vasserman DDS, Sep 30, 2006
    #16
  17. Teach

    Teach Guest

    Re: PLEASE look at pictures regarding previous post

    Hello again,
    When I looked at the crowns, they were white on the inside as well.

    Alexander Vasserman DDS wrote:
     
    Teach, Sep 30, 2006
    #17
  18. Re: PLEASE look at pictures regarding previous post

    Even though the after photo is out of focus, they look opaque to me.


    Teach wrote:
     
    Alexander Vasserman DDS, Oct 2, 2006
    #18
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