Tag: Dental Crowns

CEREC and The Primescan Up Close – Ann’s Story

By: Dr. Elizabeth Eggert

It is always ideal when your dental exam reveals no problems, but sometimes issues do arise.  If your tooth has a large cavity, cracks, or is broken, Dr. Elizabeth or Dr. Jeff will likely recommend a crown to help restore the integrity of your tooth.  A crown will reinforce the tooth and help keep it functioning for eating, smiling, and speaking.

Crowns have been around for decades and fortunately the materials and process for making crowns has continued to evolve and improve.  Traditionally, getting a crown on your tooth involved two appointments.  Currently, technology exists that allows us to make crowns in our dental office in one appointment.  This offers a number of advantages, probably the biggest of which is convenience in coming to the office for only one appointment instead of two.  Another advantage is the ability to take a digital impression with an intraoral scanner.  This eliminates the need to take a traditional impression with putty material that sets up in your mouth.  A crown in one day also means there is no need for a temporary crown.  Temporaries are durable but do occasionally break or come loose, necessitating a visit to have a new temporary made or recemented.  An additional remarkable feature of the “same-day crown” is the ability to replicate the shape and anatomy of an existing tooth or crown, which makes it easy for your new crown to fit well into your bite.

We have been using this technology with the CEREC system for many years and we recently upgraded our intraoral scanner to the Sirona Primescan, which makes taking digital impressions even faster and easier.  Not every case can be completed in one visit, but many can, which most people find preferable.  A recent patient, Ann, commented, “It is very convenient to get the crown fitted and designed in one visit versus having to come back!”

We want to share some photos with you of Ann’s case so you can see this technology in action.  If one of your teeth ends up needing a crown, you can trust that our great team at Eggert Family Dentistry will take wonderful care of you too!  

Call us today at 651-482-8412 to inquire about getting your next crown in one day!

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What Is a Core Buildup, and Why Would You Need One?

By: Dr. Elizabeth Eggert

When a tooth is severely damaged – for example, from a large cavity, a fracture, or a failed filling – a crown may be necessary to restore the function and appearance of the tooth. However, if too much of the tooth is missing to support the crown, it may be necessary to rebuild part of the tooth. 

A core buildup can be part of the process of preparing a tooth to receive a crown. For the crown to be successful, there are minimum size requirements for the height, width, and taper of a tooth. A core buildup ensures the tooth has a strong foundation and is stable enough to support the crown. 

Is a Core Buildup Always Necessary for a Crown? 

If a tooth has not suffered significant damage, Dr. Elizabeth or Dr. Jeff can often prepare the tooth for a crown without doing a core buildup. However, if the tooth is badly damaged, for example because of a fracture or an existing large filling, a core buildup is an essential part of the preparation for a new crown.

What Is a Core Buildup Made Of? 

Dr. Elizabeth and Dr. Jeff usually use a composite resin or a resin modified glass ionomer to create the core buildup. Although metal-based materials have been used in the past for core buildups, they require a more invasive preparation of the tooth enamel and require an additional appointment to give the material time to fully set. By using a resin material, more of the original tooth can be saved because of the ability to bond to the tooth, which tends to result in better crown retention. Also, the material can be prepared right away and on the same day! 

What Is a Post, and When Is It Needed?

When a substantial amount of the original tooth is missing and the tooth has had a root canal, Dr. Elizabeth or Dr. Jeff may need to add a post to help hold the resin material of the core buildup. The ability to use the root canal space allows for even more support for the new foundation. 

Is the Core Buildup Done at the Same Appointment as the Crown? 

Completing a core buildup typically takes about 5-10 minutes. If placement of a post is needed, the appointment may take longer. When the core buildup is finished, Dr. Elizabeth or Dr. Jeff can use the CEREC crown restoration system to create your new crown in minutes. 

If you think you may need a crown, call our office at 651-482-8412. During your oral exam, Dr. Elizabeth or Dr. Jeff will determine whether you need a crown and a core buildup. 

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3 Ways to Fix a Chipped Tooth

By: Dr. Elizabeth Eggert

A chipped tooth is no laughing matter. Depending on the severity of the break, a chipped tooth can be embarrassing and extremely painful. At Eggert Family Dentistry, we have three options for repairing a chipped tooth: bonding, veneers and crowns. Let’s take a closer look at each of these three options.

Dental Bonding

One of the biggest perks of dental bonding is the ease of the process. Dental bonding can be completed in a single appointment. Elizabeth and Dr. Jeff apply a putty-like composite resin to your tooth and then sculpt and shape it before curing and hardening the material with an intense blue light. Once polished, composite bonded restorations have a smooth and shiny finish, blending in well with the natural teeth.

Dental bonding is an effective way to repair and reshape a cracked tooth and is also used to correct gaps in teeth or cover up stains. Dental bonding usually lasts for 5-10 years and is a cost-effective solution that helps restore your natural smile.

Check out Lia’s story about her experience with dental bonding here!

Veneers

Sarah's Smile After

Veneers are a stunning option for cracked teeth as well as stained, gaping, and misaligned teeth. They consist of a thin porcelain shell that covers your existing tooth. Applying veneers is a little more labor-intensive process than dental bonding and requires 2-3 visits to complete. At your first visit, Dr. Elizabeth or Dr. Jeff will discuss the result they hope to achieve with the veneers. Then, they prepare your teeth for the custom porcelain overlay and take an impression of your prepared teeth. This impression is then sent to a dental lab where your veneers are fabricated. In the meantime, Dr. Elizabeth or Dr. Jeff will fit you with an attractive temporary solution. The veneer preparation process takes 2-3 weeks. Once your custom veneers are created, you will come back into our office where we will polish your teeth and bond your veneers in place. We work hard to make sure they feel like natural teeth and that you love the results.

Take a look at Katie’s story to learn how porcelain veneers transformed her smile!

Crowns

A crown is an excellent option for repairing a severely cracked or damaged tooth. Commonly made from 100% porcelain, crowns restore the integrity of a damaged tooth more than dental bonding or porcelain veneers because they “cap” or fully encompass the entire tooth. They facilitate chewing and can be color-matched to the rest of your teeth for a flawless appearance.

Creating and placing your custom crown will take 1-2 visits with Dr. Elizabeth or Dr. Jeff. A local anesthetic will ensure your comfort while your tooth is prepared for the crown. In many cases, we can take a CEREC scan of your tooth and fabricate your custom crown in our office the same day! Sometimes, however, a lab fabricated crown may still be the better choice for your situation. If that is the case, we will take an impression of your tooth and surrounding teeth and send this impression into one of our trusted labs where they will fabricate your custom crown. This process usually takes 2 weeks. In the meantime, we will fashion a temporary crown for you to wear.

When we fit your crown, we use a cement bonding agent to ensure that your crown stays securely in place. Crowns usually last 10-20 years with proper care.

Read Mary’s story to learn how crowns dramatically improved her smile!

Do you have a chipped tooth that needs to be repaired? Give us a call at 651.482.8412 to make an appointment and discuss your options!

Occlusal Equilibration: Is it Right for You?

By: Dr. Elizabeth Eggert

An improper bite – often the result of a misaligned upper and lower jaw – can lead to pain, joint problems and accelerated wear on the teeth. Fortunately, you don’t have to live with this condition. At Eggert Family Dentistry, Dr. Elizabeth and Dr. Jeff specialize in occlusal equilibration, a procedure that helps restore correct mouth structure and alleviates the irritating and painful symptoms associated with misaligned jaws.

What is occlusal equilibration?

Occlusal equilibration is the process of adjusting the biting surfaces of teeth in order to achieve the proper bite and the proper positioning of the jaws.

What should I look for?

If you’re experiencing any of these issues, you may benefit from occlusal equilibration:

The diagnostic process

If you’re concerned about jaw misalignment, you can schedule a diagnostic appointment, also known as the Records Process, with us. At this appointment, Dr. Elizabeth or Dr. Jeff will assess your mouth structure and will look at a 3D model of your teeth. After analyzing how your teeth move against each other, Dr. Elizabeth or Dr. Jeff determine if adjusting the biting surfaces of your teeth could help reposition your upper and lower jaws properly. A lot of times, equilibration won’t be recommended until after completing splint therapy.

Occlusal equilibration

If Dr. Elizabeth or Dr. Jeff determines that occlusal equilibration is right for you, you will come to a separate appointment for this procedure. During the procedure, Dr. Elizabeth or Dr. Jeff will gently reshape the biting surfaces of your teeth in a specific manner. The precise altering of the biting surfaces of your teeth will allow them to bite together properly and allow your jaw, muscles, and teeth to work in harmony.

The end result

Our patients are pleased with the results of an occlusal equilibration and often remark that they can feel the difference in their bite right away. It helps them feel more relaxed and like it is easier to chew.

If you think you may benefit from occlusal equilibration, you can schedule a consultation with us at Eggert Family Dentistry at 651.482.8412!

Crowns vs. Veneers – What’s the Difference?

By: Dr. Elizabeth Eggert

Cracked, discolored, misshapen and decaying teeth can dramatically impact a person’s self-confidence. If you’re considering redoing your smile, but aren’t sure which route to go, read on! We’ll discuss dental crowns and veneers and highlight some of the differences so together, we can help you determine which option is best for you.

What are crowns?

Made from porcelain, ceramic or metal, crowns are about 1.5 mm thick and cover the entire tooth. Crowns are an excellent choice for teeth that are structurally compromised and need additional support.

What can I expect from the crown process?

If your tooth is decaying, Dr. Elizabeth or Dr. Jeff will start by removing the decay. Then they will reshape your tooth to create space for the crown. Next, Dr. Elizabeth or Dr. Jeff will take a digital image or putty impression of your prepared tooth which helps to ensure that your crown is a perfect fit. Depending on whether you’ll have your crown fabricated same-day in the office with the CEREC crown procedure or if your crown will be made at the dental lab, there will be some wait time. With a CEREC crown, you’ll go home with your final crown on the same day. With a laboratory fabricated crown, a temporary crown will be placed on your tooth initially to help protect it during the 2 weeks the crown is being made. Ultimately, your final crown is cemented into place and should last many years.

Pros and cons of crowns

Because the entire tooth is covered, the tooth is less likely to fully fracture or split than with other restorations like veneers or fillings. Porcelain crowns can look and feel good and can be color-matched to blend with your natural teeth. Crowns generally feel very natural.

Crowns do require more tooth preparation than veneers and sometimes this can put the tooth at higher risk of tooth sensitivity or nerve damage.

What are veneers?

Manufactured most commonly from porcelain, veneers are less than 1mm thick and cover the front of a natural tooth. Veneers can also be made directly from composite resin, or plastic. These typically need to be repaired or replaced more frequently than porcelain veneers.

What can I expect from the veneer process?

Similar to the crown preparation process, the veneer preparation process requires Dr. Elizabeth or Dr. Jeff to reshape your tooth to create space for the veneer. Next, a putty impression of your prepared tooth is taken which helps to ensure that your veneer is a perfect fit. While you’re waiting for your permanent veneer to be manufactured, Dr. Elizabeth or Dr. Jeff will place a temporary veneer on your prepared tooth to protect it. Ultimately, your final veneer is bonded to your tooth and the cement is hardened with a bright blue curing light.

Pros and cons of veneers

Porcelain veneers are an excellent choice for cosmetic restorations and are a conservative way to help correct misshapen teeth. Veneers can also be color-matched so they blend seamlessly with the rest of your teeth or they can be made in a lighter shade to give you the bright smile you’ve always dreamed of.

If you’re thinking about dental restorations and would like to know more about your options, Dr. Elizabeth Eggert or Dr. Jeff Eggert would love to speak with you. Call our office at 651.482.8412!