Subject: Re: Porcelain or Metal crown
Author: churin
Date: 1 Jul
Ref:

Bill wrote:
> On Jul 1, 12:38 pm, churin <krone8...@mypacks.net> wrote:
>> Mark & Steven Bornfeld wrote:
>>
>>
>>
>>
>>
>>> churin wrote:
>>>> Bill wrote:
>>>>> On Jun 27, 9:58 am, churin <krone8...@mypacks.net> wrote:
>>>>>> I had metal crown on molar(#31)but it lasted about ten years. A part of
>>>>>> the top surface area was removed and cement underneath was exposed. The
>>>>>> broken crown was replaced with again a metal crown. This time it lasted
>>>>>> only one year. The damage was done in the same way as the previous one.
>>>>>> I chose metal crown because the both dentists who did the first one and
>>>>>> second one recommended metal crowns.
>>>>>> I still keep the removed crown which lasted 10 years. It really looks
>>>>>> "worn out" and appears badly deformed from the original shape. It looks
>>>>>> as though the opposing porcelain bridge struck hard on the metal crown
>>>>>> which appears softer than porcelain so that it yielded to the impact by
>>>>>> deforming itself.
>>>>>> Now I have to decide for a new replacement crown whether to go for
>>>>>> metal
>>>>>> crown again or switch to porcelain.
>>>>>> My question:
>>>>>> What is typical life of a metal crown on molar?
>>>>>> What is a downside(s) of porcelain(PFM), cosmetic aspect aside?
>>>>>> Any suggestion for choosing type of crown?
>>>>> It sounds as though it might have been a cheap stainless steel crown.
>>>>> We call those "temporary."
>>>>> But even a cast metal crown (much better than stainless steel pre-
>>>>> formed) can eventually be worn through by harsh contact from an
>>>>> opposing porcelain bridge.
>>>>> Generally I like to make a crown of a material similar to that which
>>>>> it's going to occlude against (bite against).
>>>>> So if there are no other confounding factors, generally if the tooth
>>>>> is going to bite against a porcelain bridge, I like to place a
>>>>> porcelain crown to match.
>>>>> - dentaldoc
>>>> How can I make sure that I get a quality crown whether it is metalic
>>>> or porcelain? Does it entirely depended upon a dentist I go to? Is
>>>> there anything I can do to help getting better crown?
>>> Not easy. Amatus can place a crown or inlay in a day (one long visit
>>> with a break) but most of us send impressions to a lab, so it will
>>> require multiple visits. Of course, even here the quality is dependent
>>> on both the dentist and the lab. The dentist should be able to discuss
>>> the materials to be used. You should be able to discuss this problem of
>>> chewing through the crowns, and formulate with your dentist a plan to
>>> minimize having this happen again. For me, unwillingness to discuss
>>> these issues in a respectful and comprehensible manner should be an
>>> automatic disqualifier to using the dentist for your treatment.
>>> Steve
>> Thanks for your suggestion.
>>
>> churin- Hide quoted text -
>>
>> - Show quoted text -
>
>
> Please do remember that when you place a crown into occlusion (bite)
> against an opposing crown that is made of a DIFFERENT material,
> eventually the harder material will grind down the softer material.
>
> That's why dentists frequently see porcelain bridges wearing away the
> opposing teeth and opposing gold crowns.
>
> If you grind your teeth, the wear is even faster.
>
> My advice is to make sure that the opposite crowns match each other.
>
> - dentaldoc
I appreciate it if you would comment on my response to yours above. I
indicated in it why I am leaning toward metal crown. My new dentist
examined my tooth, heard the crown treatment history and made his
recommendation.


Porcelain or Metal crown
27 Junchurin
29 Jun|- Steven Fawks
29 Jun|  \ Amatus Cremona
30 Jun|- Bill
1 Jul|  |- churin
1 Jul|  |  \ Mark & Ste…
1 Jul|  |     \ churin
1 Jul|  |        \ Bill
1 Jul|  |           |- Amatus Cremona
1 Jul|  |           |  |- Mark & Ste…
1 Jul|  |           |  |  \ Amatus Cremona
1 Jul|  |           |  |     \ Mark & Ste…
1 Jul|  |           |  |        |- Amatus Cremona
2 Jul|  |           |  |        \ Bill
7 Jul|  |           |  |           \ Amatus Cremona
2 Jul|  |           |  |- Bill
2 Jul|  |           |  \ Dartos
1 Jul|  |           |- churin
2 Jul|  |           \ Dartos
1 Jul|  \ churin
2 Jul|     \ Dartos
30 Jun\ Lobo
30 Jun   \ Amatus Cremona
1 Jul      \ Steven Fawks
1 Jul         \ Lobo
1 Jul            |- Amatus Cremona
2 Jul            \ Dartos