All crowns are designed to restore functionality to a damaged tooth. But crowns can differ from one another in their appearance, in the material they’re made from, and how they blend with other teeth.
A crown is a metal or porcelain artifice that’s bonded permanently over a decayed or damaged tooth. Every crown process begins with preparation of the tooth so the crown will fit over it. Afterward, we make an impression of the prepared tooth digitally or with an elastic material that most often is sent to a dental laboratory to create the new crown.
It’s at this point where crown composition and design can diverge. Most of the first known crowns were made of metal (usually gold or silver), which is still a component in some crowns today. A few decades ago dental porcelain, a form of ceramic that could provide a tooth-like appearance, began to emerge as a crown material. The first types of porcelain could match a real tooth’s color or texture, but were brittle and didn’t hold up well to biting forces. Dentists developed a crown with a metal interior for strength and a fused outside layer of porcelain for appearance.
This hybrid became the crown design of choice up until the last decade. It is being overtaken, though, by all-ceramic crowns made with new forms of more durable porcelain, some strengthened with a material known as Lucite. Today, only about 40% of crowns installed annually are the metal-porcelain hybrid, while all-porcelain crowns are growing in popularity.
Of course, these newer porcelain crowns and the attention to the artistic detail they require are often more expensive than more traditional crowns. If you depend on dental insurance to help with your dental care costs, you may find your policy maximum benefit for these newer type crowns won’t cover the costs.
If you want the most affordable price and are satisfied primarily with restored function, a basic crown is still a viable choice. If, however, you would like a crown that does the most for your smile, you may want to consider one with newer, stronger porcelain and made with greater artistic detail by the dental technician. In either case, the crown you receive will restore lost function and provide some degree of improvement to the appearance of a damaged tooth.
For anyone else, having a tooth accidentally knocked out while practicing a dance routine would be a very big deal. But not for Dancing With The Stars contestant Noah Galloway. Galloway, an Iraq War veteran and a double amputee, took a kick to the face from his partner during a recent practice session, which knocked out a front tooth. As his horrified partner looked on, Galloway picked the missing tooth up from the floor, rinsed out his mouth, and quickly assessed his injury. “No big deal,” he told a cameraman capturing the scene.
Of course, not everyone would have the training — or the presence of mind — to do what Galloway did in that situation. But if you’re facing a serious dental trauma, such as a knocked out tooth, minutes count. Would you know what to do under those circumstances? Here’s a basic guide.
If a permanent tooth is completely knocked out of its socket, you need to act quickly. Once the injured person is stable, recover the tooth and gently clean it with water — but avoid grasping it by its roots! Next, if possible, place the tooth back in its socket in the jaw, making sure it is facing the correct way. Hold it in place with a damp cloth or gauze, and rush to the dental office, or to the emergency room if it’s after hours or if there appear to be other injuries.
If it isn’t possible to put the tooth back, you can place it between the cheek and gum, or in a plastic bag with the patient’s saliva, or in the special tooth-preserving liquid found in some first-aid kits. Either way, the sooner medical attention is received, the better the chances that the tooth can be saved.
When a tooth is loosened or displaced but not knocked out, you should receive dental attention within six hours of the accident. In the meantime, you can rinse the mouth with water and take over-the-counter anti-inflammatory medication (such as ibuprofen) to ease pain. A cold pack temporarily applied to the outside of the face can also help relieve discomfort.
When teeth are broken or chipped, you have up to 12 hours to get dental treatment. Follow the guidelines above for pain relief, but don’t forget to come in to the office even if the pain isn’t severe. Of course, if you experience bleeding that can’t be controlled after five minutes, dizziness, loss of consciousness or intense pain, seek emergency medical help right away.
And as for Noah Galloway: In an interview a few days later, he showed off his new smile, with the temporary bridge his dentist provided… and he even continued to dance with the same partner!
If you would like more information about dental trauma, please contact us or schedule an appointment for a consultation. You can learn more in the Dear Doctor magazine articles “Trauma & Nerve Damage to Teeth” and “The Field-Side Guide to Dental Injuries.”
The Perfect Road Map For Your Child’s Oral Health
On July 3rd, 1806, two years into their journey to chart the uncharted west of America, pioneer explorers Meriwether Lewis and William Clark reached a challenge of epic proportion – the Rocky Mountains. What next, they wondered? Without a map, they were forced to do what explorers do – explore, and hope for the best. So, that got us thinking. Wouldn’t it be nice to have a handy map you could use to chart your own dental health? With that in mind, and in honor of our “Dog Days of Summer” explorers, we at Bucktown Dental wanted to share with you a few mile markers you can use to stay on top of your child’s health today, next year, and for years to come!
6 to 24 months
When you’re a new parent, life is a whirlwind, and the dental care of your newborn may not be top of mind when you look in their mouths and see no teeth! Here are some things to keep in mind:
Schedule a visit: As soon as that first tooth comes in, you’ll want to give us a call at 773-276-2757 to schedule a visit and set up a periodic exam schedule. Also, be aware the ADA recommends fluoridated toothpaste now for all children under the age of three. Don’t wait!
Ask us about:
- Home hygiene basics: Things like, tips and tricks on brushing and other care. There’s nothing better than having our hygienists give brushing tutorials – they’re experts!
- Preventative dentistry: The possible need for fluoride supplements
- Dietary strategies: Achieving a balanced diet early in life for good oral health later
- Feeding practice awareness: Bottle, breastfeeding, and no-spill training cups
- Non-nutritive oral habits: Thumb sucking, pacifiers
2 to 12 years old
Ah, the little ones are growing up. Teeth are coming in at all sorts of crazy angles, and you’re going crazy from the rise in obligations. Here’s a quick list of what to consider during this time frame:
- Preventative dentistry: Pit and fissure sealants can do wonders for keeping your child’s dental bills down, and their teeth in their head until they’re ready to fall out naturally. Ask us about them. They’re affordable AND useful. And, super-fast, you’ll be in and out in no time.
- Orthodontic Consultation: Visiting an orthodontist for an early consultation is best done around your child’s seventh birthday. With today’s technology, early intervention can reduce the cost and duration of braces when your child gets older.
The Teen Years
The years “everything” happens! As children start to come into their own, new habits and desires begin to unfold as well. You’ll have to address every imaginable concern during these years, from piercings, to calls for whitening, braces, and the need to refer yourself away from your pediatric dentist and to a general dentist for continuing oral care. So, speak with us about:
- Cosmetic Dentistry: What solutions are advisable now, and what things should be avoided.
- Teen social pressures: Smoking, alcohol, intraoral/perioral piercings and the like. Believe it or not, we can help a lot with this. Give us a call at 773-276-2757 to see how we can help!
- Orthodontics: Options for minimizing appearance and health problems later in life.
- Home hygiene tips: Brushing, flossing, choosing the right mouthwash.
- Craniofacial injury prevention: With your children’s possible participation in sports, you’ll want to get them a mouthguard. Hands down it’ll be one of your best investments in a healthy mouth. And we make great ones at Bucktown Dental!
Staying on top of your child’s oral health isn’t as hard as you think, and if you keep this schedule handy, you’ll be ahead of most of your neighbor's kids when it comes to a healthy mouth and body. Come to think of it … why not share it with them as well? They’ll thank you for the help.
Tooth replacement at any age is a challenge, but especially for teenagers. Dental implants in particular may not be possible yet for teens or young adults whose jaws are still developing. Because it’s imbedded directly into bone, the implant will not move with the jaw as jaw growth occurs, making it look potentially unattractive.
The best solution could be a temporary replacement until their jaw reaches maturity. One such option is a removable partial denture (RPD), an artificial tooth set in an acrylic base that resembles gum tissue. Although we associate dentures with older adults, an RPD works well for teens as a temporary measure. Perhaps the best version for a younger person utilizes metal clips that fit over adjacent teeth and hold the RPD in place. Although quite resilient, the wearer needs to be careful when biting into something hard (like an apple or similar firm fruit) or the artificial tooth may break off.
Another option, a bonded bridge, is a fixed solution similar to a traditional bridge. Whereas a traditional bridge is supported by crowns affixed to the teeth on either side of the empty socket (and requiring extensive alteration of the teeth to accommodate them), a bonded bridge attaches to the supporting teeth with wing-like projections of dental material that attaches to the backs of the adjacent teeth, hidden from view. Although not as secure as a traditional bridge, they can conceivably endure until the teen’s jaw structure is ready for an implant or other permanent solution.
Choosing between an RPD and a bonded bridge will depend on a number of factors, including the teen’s individual bite, clenching or biting habits and the health and strength of supporting bone and gums. Regardless of the type of solution chosen, it’s important to maintain good oral hygiene, especially around a bridge. If bacterial plaque is allowed to build up on tooth surfaces, it could result in an infection that can damage both gums and bone, and reduce the chances of a successful implant in the future.
All these and other considerations should be discussed after a thorough examination. From there, we can advise you on the best course of action to restore both appearance and function until it’s time for a permanent restoration.
With the summer beginning, it truly is important that you get your face looking fresher and your smile glowing. There's nothing more important than feeling good about yourself and being happy. You can find many non-invasive facial rejuvenation processes you are able to get. These processes include dermal fillers, Botox, thread lift, platelet rich plasma therapy, and teeth whitening. You can see immediate results with a some of these facial rejuvenation procedures.
Dermal Fillers are used for cheek augmentation, lip augmentation, and to soften facial wrinkles. Injection dermal fillers is a simple and non-invasive. Shots are also one of the only treatments showing results almost immediately. We use dermal fillers such as Radiesse and Belotero.
Botox injections are used for anti-aging treatment of face wrinkles, (facial lines) such as frown lines (angry 11’s). forehead wrinkles, lines at the corners of the eyes (Crow's-feet), and neck wrinkles. Botox is also used for eyebrow lift and for face slimming. Botox injections are also used to treat headaches.
Thread lift is a procedure used for tightening of sagging skin. In Thread lift treatment, Polydioxanone (PDO) threads are injected into your skin. The skin is pulled to attain skin tightening. Thread face lift is a great “lunchtime” facial rejuvenation process that can improve the look of sagging skin.
In PRP (platelet rich plasma therapy) therapy, your own blood is treated to concentrate platelets and then reinjected into skin. The skin is aroused, using this method and it creates more collagen, causing your skin to restore itself and tighten through the course of 6-8 weeks. Although results may require some degree of patience, platelet rich plasma therapy introduces no side effects and is amazingly effective.
If you have stained, dull, or discolored teeth, teeth whitening procedures can effectively restore your glowing smile. Teeth whitening may be done at home or as an office procedure. Office teeth whitening is ideal for anyone looking for immediate results.
Facial rejuvenation is not only for girls. Looking good is an edge to men in their careers and social life. Areas of most concern for men include sagging neck skin and muscles, fatty “jowl” area and double chin. Clearly, the aims of facial rejuvenation for men are rather distinct, as men usually do not need their faces "feminized". Non-invasive facial rejuvenation is especially attractive for men as it offers solution that is fast with “no down time “.
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