You will need to make a decision. The crowns will be made of lithium disilicate (all porcelain); no metal (aka porcelain fused to metal). Due to fact that these are large fillings, we have already lost a good deal of tooth from 20 years ago. Replacing with a filling is a good option. It is conservative, but it will break down in future. The future is unknown when it comes to timing, will it last a long time or just a few years? A crown is another good option. There will be no immediate need
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two questions: 1. Crown Tooth #4, and 5 or put composite if cost were no option? xrays attached .my dentist made the reccomendation below. 2. cerec or lab ?
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1 UpVoted this answer
Your dentist provided an excellent statement of your situation. The fact that he included all reasonable options and is reassuring you that there is no immediate need makes me wonder why you are asking for advise from us, people you have never met and are not likely to meet.
Maybe a few minutes with one of your dental team members, such as the patient coordinator, would answer your questions more appropriately.
Maybe a few minutes with one of your dental team members, such as the patient coordinator, would answer your questions more appropriately.
1 UpVoted this answer
The fillings on the x-rays look perfectly fine, so without actually doing a clinical evaluation, it's impossible to give a recommendation on whether fillings or crowns should be done. The bigger question is. If you're posting this question on DoctorBase, do you not trust your present dentist in his/her recommendations?
I do not see #4,5 as needing a crown based on the X-ray image. Composit or porcelain inlay should be sufficient unless there are extenuating circumstances such as the amalgam filling being larger than it appears or you grind your teeth. Options are always good but there should be a recommendation of specific treatment and why. This is a recommendation that should come from the dentist who knows you.
If cost is no consideration... I still wouldn't change my opinion. You had great advise. I am conservative and I would leave them until there is breakage, decay or discoloration that offends you. Then I would fill and wait as long as possible prior to any crown.
Only you and your Dentist know those answers.
Only you and your Dentist know those answers.
They appear to be moderate size fillings. I suspect a fracture of the filling on #5, there appears to be some decay starting under that. My basis for recommending a crown over a filling is when the filling has replaced more than a third of the remaining tooth structure. Replacement with a filling seems reasonable, but I would advise that crowns may be needed eventually.
As for Cerec, I would want some one who has used the machine for quite a while and is proficient with the technology.
As for Cerec, I would want some one who has used the machine for quite a while and is proficient with the technology.
It is hard to give a proper answer based solely off of those x-rays. Looking at those, I would say everything looks good with the fillings. However, looking into your mouth may show that those fillings or part of your teeth are cracked, etc. Therefore, without a full exam, it is too hard to give a definitive answer.
Silver mercury fillings last a very long time and almost always fail by leaking margins or fracturing the tooth. Assuming the treatment is based on a valid diagnosis, saving tooth structure is paramount for the longevity of any type of restoration. CEREC is the best option most of the time. Unless the surrounding tooth is not restorable, you should not need to fully crown the tooth. CEREC's allow for minimal tooth preparation.
In my practice I always try to keep things as simple as possible. Unless the fillings on #4&5 are breaking or not protecting the tooth as they once did, then a crown will be the better option as it is more durable than a composite filling. We offer Cerec [Same Day Crowns] and our success has been phenomenal if the crown and tooth prep is done appropriately. Good luck with your decision
Without examining the teeth directly, it is hard to say for sure. Porcelain fused to metal crowns are quickly becoming a thing of the past. I always tell patients these crowns are like VHS tapes. They were the best thing going in their day, and still work fine, but there are better options like DVDs and Blu Ray. Lithium disilicate and Bruxzir (all zirconia) crowns are the current standard. They are stronger, look better, and tend to chip much less easily than PFMs. If you've lost a "good deal of tooth," it sounds like crowns are a good option now. Ask your dentist if he offers Bruzxir crowns. They are more conservative (less grinding), incredibly strong, and offer pretty good esthetics (not as good as lithium disilicate, but near the back, you want strength over looks).