Monday, April 27, 2009

I have to get 2 crowns on the furthest molars back. Is there a difference in the types and longevity?

I have to get 2 crowns on the furthest back lower molars. Is there a difference in what they're made of? Why did these teeth start to crack in the first place? Does this happen with age? I've never had root canals ...are they painful? How long are you in the chair?





ARRGGHH....I hate going to the dentist, but I faithfully go twice a year, and all of a sudden these 2 teeth decided to break off little chunks. Thanks in advance for your help.

I have to get 2 crowns on the furthest molars back. Is there a difference in the types and longevity?
The jaw is a class II lever, kinda like a nutcracker, the further an object/tooth is toward the hinge (tmj or jaw joint), the greater the force it recieves.





So to make a long lecture short : ), the last teeth in the arch get the most force on them and are more likely for fracture. The mircrofactures happen with time/nocturnal clenching/ etc...








What do we do as dentist: a full crown is recommended. I prefer full METAL crowns for those areas since they require the least amount of tooth structure reduction/preparation and provide the best strength. Given the right circumstances, you may be a candidate for a porclein crown (tooth colored crown) but you'll have to ask your dentist.





The crown prepartion procedure takes about an hour and you may or may not need a root canal additionally. Your dentist will tell you.








Smiles,








RA DDS
Reply:I have had the best luck with my gold crown. It was not much more expensive than the other types of metal. I had gone through a couple of other types before getting the gold. The other ones broke and/or came off. The only painful part about root canals, in my experience, is the shots to get numb... and then, afterwards the site where the shots were given along with where the rubber dam had been placed. It can take a couple of hours...depends on your roots. I usually take a nap during the procedure. It was not nearly as bad as I had imagined it would be.





Relax and make sure you let the Dentist know if you are feeling any pain so that they can get you properly numb.
Reply:Consider gold crowns for the very back teeth. They are only slightly more expensive, but they are also more durable. They won't affect your smile since they're your back teeth. If you have to have root canals, they aren't very pleasant, but a good dentist should be able to make you comfortable. There are some dentists that offer services while you're "out," which is a good option for folks with anxiety
Reply:Only your dentist can tell you which type of crown will be best for you, depending on your bite. Usually an all gold crown or a Porcelain fused to a metal sub-structure is what is recommended. They're no way of us knowing why you need these crowns without x-rays or seeing the inside of your mouth. It is usually caused by decay or if you've had large fillings placed in these teeth. Crowns aren't that painful. You will be sore for a few days, but nothing Ibuprofen can't fix. If you are doing both crowns at once, you'll probably be in the chair for a couple of hours. Hope this answers your questions; good luck.
Reply:Unfortunately i have had extensive dental work ,and out of all the fillings/root canals ,and extractions (I have an upper plate -false teeth on top-) The absolute least pain full ,and part of my mouth I have no problem with are my Gold crowns on the back lower molars.There is no pain and you wont even know they are there. The root canals made my mouth sore for a little while after but I didn't feel a thing when they were being done .Try thinking of something else when you are in the chair.


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