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Molly Maloof, MD

Director of Clinical Content
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just had perm crown on tooth #19

dentist put a1 near top, a2 near gum line..

should i just go all a1? he said it would stand out.. color was made to blend in.
Poster
  • Male | 36 years old

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Featured Answer

3 UpVoted this answer Robert Johnson, DDS Dentist, Spokane Gary F. Alder, DDS Dentist, River Forest
It probably made very little difference. BUT, give your doc a lot of credit for caring that much to make your tooth look good and blend in. Sounds like he/she is a keeper!

best,

Dr. Rick Liftig
Rick Liftig
1 UpVoted this answer Gary F. Alder, DDS Dentist, River Forest
The normal distribution of color is to be slightly darker at the gingival margin or gum line. This is due to the fact that the enamel color and thickness determines the tooth color in the top half of the tooth and the dentin color more so in the bottom half. The enamel is thickest and covers the color of the dentin well in the top of the tooth. In the bottom half it begins to thin and eventually disappears just beyond the gum line.

So in the bottom half, the dentin color begins to dominate the crown color.To maintain a natural appearance a gradual darkening of the tooth is reproduced in most crowns to mimic the gradual thinning of the enamel. If this tooth is visible in your smile you should match it as closely as possible to the teeth around it. Or you may be get lots of questions from people about your new crown.
1 UpVoted this answer Gary F. Alder, DDS Dentist, River Forest
That's a common combination of shades for a molar. Most molars do have two or more colors or shades to them. I'd go with your dentists advice. Sounds like he/she is trying to give you a good color match.
1 UpVoted this answer Gary F. Alder, DDS Dentist, River Forest
Teeth are not just one color. The color is usually slightly darker near the gum line. Using a strategy of multiple shades can help the tooth blend in and look more realistic. Your dentist is the expert and would follow their recommendation.
John Sheets
1 UpVoted this answer Gary F. Alder, DDS Dentist, River Forest
Teeth often don't match a standard shade and as result a combination of shades is often necessary to get the perfect match for you.
1 UpVoted this answer Gary F. Alder, DDS Dentist, River Forest
If you look closely at teeth, you start to see that they aren't just one flat color. They have translucency and differing shades depending on location. Even within one tooth you see that it is usually a little bit darker near the gumline. Your dentist was trying to get a very natural look so that your crown won't stand out and look "fake". I would stick with the a1/a2 combo! Also, tooth #19 is in the back, so it will not be very visible when you smile.
1 UpVoted this answer Gary F. Alder, DDS Dentist, River Forest
I would go with your dentist recommondation.
1 UpVoted this answer Gary F. Alder, DDS Dentist, River Forest
I would go with your dentist's recommendation since he seems to be very esthetically aware considering that the crown in question is a lower molar and not an anterior tooth.Ultimately the esthetics is between you and your dentist.
1 UpVoted this answer Gary F. Alder, DDS Dentist, River Forest
This dentist sounds like he pays attention to detail and knows what he is talking about.
1 UpVoted this answer Gary F. Alder, DDS Dentist, River Forest
It sounds as if your dentist was trying to give you the most natural look to your crown. I would recommend keeping the crown. Changing the crown for such a subtle difference could be problematic.