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What could be a white spot or not sure if chip on crown on tooth #19?

had lithium discalete crown November, now DEC., 2 months.

im going to the dentist Monday, December 15.

can this be polished or does it have to replaced?

it has a 3yr warranty..

i do not believe im a grinder.
Poster
  • Male | 36 years old
December 11, 11:11 PM

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Featured Answer

1 UpVoted this answer Robert G. Csillag, DMD Dentist, Newton Centre
It is very hard to diagnose a white spot on your Emax crown, (lithium Disilicate) dental crown, without a clinical exam or a picture, it could be a chip, it could be a custom characterization, or a deeper fracture in the overlay porcelain....See your dentist to see if there is irreversible damage to your EMAX dental crown, or he can easily repair. You also need to evaluate the bite, your occlusion, and your good dentist is the one who knows if there is the chip, was it the fault of the ceramist, or the preparation of your tooth.

Best of luck to you.
Anthony A Mobasser
Anthony A Mobasser, DMD
Dentist in Los Angeles, CA
Level: Key Opinion Leader (113)
Website: http://www.celebritydentist.com
December 18, 08:20 PM
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1 UpVoted this answer Synneve Skeie, DDS Dentist, Pleasant Hill
You certainly have every right to expect a new crown not to chip. The dentist who placed it should remake it at no charge to you. If the so called "chipped area" is small enough it is possible that the area could be smoothed and polished satisfactorily in order to avoid having to completely remake the crown.
Charles Sizemore
Charles Sizemore, DDS
Dentist in Plano, TX
Level: Top Contributor (36)
Website: http://www.drcharlessizemore.com
December 12, 02:03 AM
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Your Dentist needs to check for any fractures/hairline cracks/loss of glaze.If there is no visible fracture that can be seen under near infra red light polishing may suffice..If there is fracture replacement is advisable.The fracture may be due to lab errors in fabrication,clinical error involving prepping the tooth ,or faulty occlusion/bruxing by patient.In either case the crown if requiring replacement the patient should not be charged again,Al the corrective measures must be applied to prevent repeat failure including the use of night guard if necessary.
Vinay Jerath
Vinay Jerath, DDS, FIADFE, FAGD
Dentist in Mount Pearl, NL
Level: Master Contributor (58)
Website: Vinay Jerath, DDS
January 16, 05:24 AM
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Might be nothing, might be plaque/tarter, might be cement, might be... a lot of things. Visit your dentist and bring your concerns to their attention. if it's an issue that puts you or your tooth at risk they will tell you and deal with it accordingly. could very well be a small minor issue where nothing is required. Good luck!
Bill Argersinger
Bill Argersinger, DDS
Dentist in Durham, NC
Level: Contributor (23)
Website: DurhamDDS
December 29, 08:34 PM
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If its a small chip on the porcelain its most likely can be polished and smoothed without having to go through the process of replacing your whole crown. Goodluck!
John H. Cho
John H. Cho, DDS
Dentist in Long Beach, CA
Level: Master Contributor (81)
Website: John H. Cho, DDS, Inc
December 25, 04:02 PM
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It sounds like you had an Emax crown made and I doubt it would have chipped this soon, considering how strong this material is. It is most likely part of the staining or glazing that you may have not noticed initially. If it is a minor chip that does not affect the integrity of the crown, it can be polished. If it is something weakening the tooth, then the crown would need to be replaced.
Hani Jabbour
Hani Jabbour, DMD
Dentist in Walnut Creek, CA
Level: Top Contributor (38)
Website: Kwon and Jabbour General Cosmetic Dentistry
December 22, 05:44 AM
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A white spot on a new Emax crown could be caused by the pooling of the glaring material or an actual void in the glaze. This does not necessarily w amen the crown, I hope your dentist checked it out and if Ge felt that the integrity of the restoration was compromised, he replaced it at no charge to you.
Robert G. Csillag
Robert G. Csillag, DMD
Dentist in Newton Centre, MA
Level: Master Contributor (77)
Website: Robert G. Csillag, DMD
December 21, 06:33 PM
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If you have white spot on the crown, was it there when it was placed in November? If so, it may be polished if the material is thick enough to be adjusted and polished and remain functionally strong enough. If the spot is new, then it could be a defect in the material requiring an adjustment or replacement as determined by your dentist. More than likely, it is a chip (if it is rough where it once was smooth). It could have chipped from eating or from grinding. Unless you have someone watching you sleep, it is difficult to know if you are a grinder. Symptoms and proper diagnosis from a trained professional are the only true way to determine if you are grinding. Good news is grinding can be managed by a variety of methods. Talk with your dentist about your options.
Jeffrey J. Bueno
Jeffrey J. Bueno, DDS
Dentist in Pleasanton, CA
Level: Key Opinion Leader (125)
Website: Pacific Dental Care and Fastbraces®
December 17, 02:45 AM
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Most Grinders don't believe they aren't grinders just as most snorers don't believe they snore. The truth of the matter is unless you have some way to measure and observe yourself asleep you as the patient really don't know. On the other hand your teeth can tell a loot about what you are doing and when to a trained eye. Lithium Disilicate crowns are very hard. Grinding and clenching both put multiples of your normal maximum biting force and at odd angles on your teeth. This has the effect placing lateral or shearing forces on teeth or the crowns on them. Teeth or crowns don't tolerate shearing forces well. Subsequently they crack, chip or fracture. Will you need to replace the crown? That's up to you. If the the tooth is otherwise asymptomatic I would try to polish it out and spare your pulp the trauma of another crown prep. Check you bite, and you noctornal and daily hapbits and proceed carefully.
Paul McGriff
Paul McGriff, DMD
Dentist in Federal Way, WA
Level: Master Contributor (71)
December 15, 04:55 PM
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In our office, if here is a chip you should get a replacement crown at no charge. Contact your dentist. I'm sure he/she will take care of your issues.
Allure Dental TN
Allure Dental TN
Dentist in Nashville, TN
Level: Contributor (21)
Website: Allure Dental
December 15, 03:08 AM
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