Dental Crowns
Crown Procedure

Crowns are used to restore a tooth to its natural size, shape and color after a large filling or crack in the tooth has compromised the tooth. Crowns are almost always placed after a root canal treatment because the tooth becomes weak and is likely to fracture. A crown will strengthen and protect what remains of the tooth and will improve your smile. Crowns are often made of all ceramic material and in some cases can be made in a single visit.

In order for the crown to be placed on the tooth, 1-2mm of the tooth must be taken away and an impression must be made of the tooth. If the office has the ability to make crowns in a day, it will be made and placed on your tooth in the same visit, otherwise the impression is sent to a lab and your crown is fabricated there. If you have to wait on your crown, a temporary is placed on your tooth and will be replaced with your crown when it arrives. When the crown is placed on your tooth, sometimes it needs to be adjusted a little to make the proper fit. After it is adjusted it is cemented to your tooth and is a permanent solution.

Crown & Bridge Instructions

Your lips, teeth cheek and/or tongue may be numb for several hours after the procedure. To avoid injury, you should avoid any chewing and hot beverages until the numbness has completely worn off. It is very easy to bite or burn your tongue, cheek or lip while you are numb.

Irritation to the gum tissue can occur from dental work. Rinsing your mouth 2-3 times per day with ½ tsp of warm saltwater can help to alleviate discomfort. Injection site can be sore for several days after your appointment. Over the counter pain medications work well to alleviate the tenderness.

MY BITE FEELS OFF, IS THIS NORMAL? If your bite feels uneven, please call our office so we can make a quick adjustment to the temporary or final restoration. Do not assume your bite will get better after time. The tooth may become irritated and a toothache may occur, if this is not done. It may also cause an increase in temperature sensibility with the tooth.

IS IT NORMAL FOR MY TOOTH TO BE SENSITIVE? It is normal to experience some sensitivity to heat, cold, sweets and pressure after your appointment. It is common for this sensitivity to last several months after treatment. Usually, deeper cavities will be more sensitive. Again, make sure that your bite feels even.

WHAT FOODS SHOULD I AVOID WITH THE TEMPORARY? Avoid eating chewy and sticky foods, such as gum, taffy, licorine, etc. Also, try not to eat hard foods directly on the temporary as it may fracture. It is best, if possible to chew on the opposite side from the tooth that was worked on to avoid dislodging the temporary.

WHY DO I NEED TO TEMPORARY TO STAY ON? While the custom restoration is been made, temporaries serve to product the teeth and to help minimize temperature sensitivity. In addition, they help to prevent movement of the adjacent and opposing teeth so that the final crown will fit properly.

WHAT SHOULD I DO IF MY TEMPORARY COMES OFF? Occasionally, a temporary crown may come off or fracture. Call us if this accurs and bring your temporary to the office so that we may re-cement or repair it. If the temporary comes off during off hours or if you are out-of-town, you can purchase re-cementing products from the drug store and attempt to do it yourself by following the instructions.

CAN I BRUSH & FLOSS AROUND MY TEMPORARY? You may brush your teeth and temporary crown as usual using soft toothbrush. Floss your temporary crown carefully. DO NOT pull up on the floss as this may dislodge or loosen the temporary. Instead, Pull the floss out from the side of the temporary. If a temporary bridge was placed, use a floss threaded to clean underneath the bridge and pull the floss out through the side or front of the temporary.

Gold Crown
Gold Crown

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.

Porcelain Fused To Metal Crown (PFM)
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.

Crown Aesthetics

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.

Full Porcelain Crowns
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.

Stainless Steel Crowns
Stainless Steel Crowns

Stainless steel crowns, also known as 'silver crowns or caps', are a very common procedure used to restore 'baby teeth' (and occasionally permanent teeth) that have large caries or those that had a pulpotomy (baby root canal). Although most teeth can be filled with a white or silver filling material, stainless steel crowns are by far the most predictable and durable option to fix 'baby teeth' with large caries, large defects, or damaged enamel. This is particularly true in very young children that have caries at a young age, since it is preferred that the 'fixed' teeth last as long as possible.

A Beautiful Smile Is Waiting For You

Our office provides smile makeovers to achieve the beautiful, natural look you seek. We can reshape your natural teeth to make them straighter or more youthful in appeal. Our offices is easily accessible and makes it convenient to those living near Miami Beach to get the care they deserve.

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