Tag: bad veneers

What Should A Good Porcelain Crown Look Like?

Dentistry is a unique profession. We don’t just deliver a service, but we also deliver a product. Porcelain crowns, or caps, among many other type of restorations are delivered on a daily basis in a dental practice. So, what makes one dentist different from another? Why does one dentist charge more? What could the big difference be?

Here is a quick example of the difference between a good crown and a bad crown.

The sole purpose of a porcelain crown is to repair and preserve the tooth, mimicking its original shape and function. The color should match the existing teeth, so it blends in.

This is what we expect from a GOOD crown:

  1. Perfect Fit
  2. Matching contour to the neighboring teeth
  3. Straight emergence profile from the gum tissue
  4. Good contact between the teeth and the opposing biting surface
  5. Good color and stain match to neighboring teeth

Common errors seen in a BAD crown:

  1. Poor fit of crown – Results in recurrent decay, sensitivity, quick failure of crown.
  2. Over contoured crown – Results in inflammation around tooth, gum disease, recurrent decay and quick failure of crown.
  3. Crown fits on tooth like hat on a hat rack – Result is same as #2
  4. Crown is either too tight between teeth, too light or no contact at all – Results in food impaction, and consequent recurrent decay.
  5. Crown looks like a marshmallow or corn kernal rather than a tooth.

So now you know what a good crown should look and fit like. Now why are not all crowns made like this? Simply put, making a good crown is an art and requires a high level of skill. It takes time, and time is money.

The dentist needs to deliver a perfectly prepared tooth, a perfect mold of that tooth, and a perfect prescription to what he/she wants from the technician.

The technician needs to perfectly trim the model, perfectly build the crown on the model, and perfectly adjust that crown on the model. Then the dentist needs to try this crown on the tooth first, make any necessary adjustments, and then cement the crown perfectly. There is no room for error!

Preparing the tooth takes time and skill. Taking a perfect mold takes time and skill. The less a dentist gets paid for a procedure the less time he/she can spend on it. It is a simple matter of economics. It is a business. Running a dental practice is very expensive and there is significant cost involved.

Now, once a perfect mold exists the crown needs to be made by a highly skilled technician. The more skill the technician has the higher the cost. It is a very simple formula. You get what you pay for!

All these steps and requirements put together are what it takes to make a good crown. A bad crown is not much better, and sometimes worse, than no crown at all.

The difference between a good and a bad crown is immense – the aesthetics are better, the fit is better, the longevity is better.  Would you expect to pay the same for a good and a bad crown? Of course not. A crown should last a very long time – decades. So, if the cost difference is less than a few pennies per day over the lifespan of the crown, why not get the good crown?

At Ideal Dentistry we only place good crowns because that is the right thing to do.

Keep smiling.

Louisvilles Porcelain Veneer Expert

Porcelain veneers are the pinnacle of modern cosmetic dentistry – they can give you the smile you have always dreamt of, but it comes with a catch.

Veneers are not “one size fits all”.  Beautiful, highly functional veneers are the most customizable dental procedure available,  but also the most difficult.  This has led to many incredible smiles, but also many more poor fitting, poor functioning “Chiclets” smiles.  What a disappointment to spend all that time and money trying to get the smile of your dreams only to end up with something sub par?

Let me summarize.  If your child, partner or best friend was in an accident and had a deep laceration across their face that would require many stitches and could possibly result in a permanent life altering scar, who would you seek out to work on that laceration?  I bet you would want a plastic surgeon to perform this procedure, not a general doctor, right?

Veneers are the most difficult procedure in dentistry, so why have a regular dentist “try” to give you the smile of your dreams?

You only have one smile, forever. It represents who you are, how you feel, and how others feel about you.  Why would you want to gamble with all that?

I have guided my career towards becoming the best cosmetic dentist I possibly could from the beginning.  I knew I wanted to be a true cosmetic dentist, becoming one of the youngest, if not the youngest, accredited cosmetic dentists in the entire world.  This has given me the experience over the past 10 plus years to “walk the talk”.

At Ideal Dentistry I don’t just offer lumineers, Da Vinci Veneers, Cerinate Veneers, or any of the other names out there for veneers.  I offer custom veneers designed for you and your smile.  Everybody has a different idea of what a beautiful smile looks like.  I focus on exceeding your expectations by listening to you and sculpting the perfect smile for you, and only you, not a “generic” veneer.  That is the Ideal Dentistry difference.

So, if you are looking for a beautiful smile that perfectly matches your look and personality, then Ideal Dentistry is for you.

A beautiful smile is the window to your soul.  Treasure it as it reflects who you are to everybody you meet, including yourself.