Most dentistry looks like dentistry. Our goal is to provide dentistry that is undetectable. We replace existing crowns and fillings with restorations that look and feel like your natural teeth.
Where damage to a person’s teeth is extreme and may be beyond repair, we can use porcelain or porcelain “pasted-on-gold” crowns to make the smile appear like new. This is an extremely reliable technique for repairing the most severe dental problems, even permanently replacing missing teeth to offer a complete smile and a functional bite. We are renowned for the quality of our work and the fantastic changes we make for people using this technology. These treatments are used for a long-lasting correction of major dental problems. It is usual for these treatments to last for 20 to 30 years, which is as close to permanent as dental treatment can get.
If tooth decay or damage is so extensive that veneers, direct composite bonding or other conservative treatments aren’t viable treatment options — or if you have undergone root canal therapy — Dr. Vinod Chandel will consult with you about dental crowns. Whether used to restore a damaged tooth or to create a lifelike tooth replacement for an implant, crowns can be fabricated in dental laboratories or in our office, depending on the material.
Part of your consultation may involve taking impressions of your existing tooth (or teeth) as a basis for creating the shape and size of your restoration(s). If crowns will be used as part of a smile makeover, these impressions are used to make models for designing the new length, shape and alignment of your teeth, so that you can preview your new smile before committing to treatment.
Dr. Vinod Chandel also will describe the tooth preparation process, as well as your options with regard to local anesthesia (to numb your teeth and surrounding areas) and sedation dentistry, if necessary. If your treatment involves placement of a temporary crown, Dr. Chandel will advise you of how long you will need to have the temporary in place and what hygiene steps to take to ensure functionality.
To perform the crown procedure, Dr. Vinod Chandel prepares the tooth and makes a molded impression of the teeth to send to a dental laboratory. A fitted, temporary crown is created during this visit to temporarily protect the tooth while the final restoration is being made in the dental laboratory. Once completed, the crown can be cemented or adhesive bonded at a later visit.
A recent technology, CAD/CAM technology (computer-aided design/manufacturing technology) has evolved to display a 3-D picture of the teeth. A restoration is then created through milling of a ceramic block. If this technology is located in the dental office (chair-side CAD/CAM), there will be no need for a temporary or return visit for the final cementation.
After your permanent crown has been placed, Dr. Vinod Chandel will provide you with information about caring for your new restoration. In general, maintain proper oral hygiene habits by brushing twice daily and flossing with dental floss or inter dental cleaners (specially designed brushes and sticks) once a day. These practices will help to remove plaque from the area where the crown meets the gum, and help prevent dental decay and gum disease.
Avoid chewing hard foods, ice or other hard objects, since this could damage your crown. It also is important to avoid biting your fingernails and grinding your teeth, which could significantly shorten its life-span. If you habitually clench or grind your teeth, your dentist may recommend wearing a night-time mouth guard to offer protection while sleeping.
The longevity of the full coverage crown is determined by the precision of its fit to the underlying tooth. The fit can vary tremendously and requires attention to detail by the Dr. Vinod Chandel. An ill-fitted crown can house bacteria that may build into more serious tooth decay in years to come.
It is also important that the tooth be in a healthy state to ensure its longevity. In all cases, your Dr. Vinod Chandel will evaluate the gums and supporting bone structure to ensure these supporting tissues are healthy. This protects the tooth and minimizes the potential for eventual gum recession that exposes the crown margin.