How to Choose the Best Material for Your Crown
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- Опубликовано: 5 авг 2024
- Did your dentist tell you that you need a crown? I will outline the different types of materials used to make crowns and the pros and cons of each type. To know more about crowns, check this article askthedentist.com/dental-crown/
I just wrote a review of the controversial Root Cause movie on my blog. Click on this link to read my review. askthedentist.com/root-cause-...
I just had a porcelain crown put in. I should of asked for a gold crown but was never informed by the dentists about the difference. They juts told me it was porcelain on the day of the procedure. If I would have know this I would have asked for gold. Now I feel ticked that the dentist did not tell me the stuff that I learned in the this video.
yes I was concerned about getting a gold crown, my dentist said pretty much what you said. listening to you just validated getting the gold crown. you explained it much better, thank you.
Excellent presentation to help us understant the logic behind which material is the best for the application.
Thank you so much. This was extremely helpful. I’m grateful for your video as I am a mom of 3 little boys and desire overall wellness and will be definitely choosing gold. Health is wealth!
Hi there, Jennifer. This is great to hear. BTW, I'm launching a new guide specifically for kids to help them reverse and prevent cavities, so if you're interested in hearing more, sign up for my newsletter on AsktheDentist.com. Keep up the great work!
Interesting, I went to dental school in California and we were taught that zirconia is actually almost as conservative as gold, around a 0.2-0.5mm difference in how much tooth structure you remove. You might be interchanging the terms zirconia and e-max? I would also argue that if you breathe in any material, even if you inhale gold particles that’s not very safe for your lungs either.
Thank you so much Dr!! That was so helpful 🙏🏼
This is wonderfully clear and informative. Appreciate it!
Thank you Doc.The video was very helpful in the terms of choosing crown material. I will talk to my dentist about gold for the back teeth.
Yes, your video has given me consideration for an alternative crown material.
I was going for "the gold" 😅 but I appreciate the fact that gold is able to obtain a tighter fit so leakage is greatly reduced.
Excellent and easy to understand narrative of options with pros and cons as to the different materials used for crowns.
My top upper front left incisor had been damaged and I've opted for gold. Apart from the practicality and durability of gold, it will be aesthetically the better choice.
Temporary crown fitted, gold crown hopefully within 21 days.
Thank you doc for idea, because I have implants and I’m ready for the crown soon so I’m looking what is the best material so here you are now giving us some idea what is the best for us. And plus you look great and young doc. Bless you always doc ❤
Does it matter so much once you have implants/ @happyvlogging87
Very helpful information. Thank you
Very good discussion of the types of crowns. The only other thing that I would like to see is a cost comparison between these options.
I received a zirconia bridge in lower molars. Ever since I have had a metallic feeling when my tongue touches them. Would certainly know why I would have this sensation! Thank you. Jan
I'm definitely going with the gold !!!!! !!!!! Thanx for your explanation.
Thanks for this!
Amazing explanation!
I greatly appreciate this information :)
Just been to the dentist and have an upcoming Zirconium crown to be fitted. Will now be going to gold. Thanks for the advice
Thank you so much!
Thanks for the great information!
Laura Myer thank you, I’m glad it was helpful
I was waiting to hear some info about ceramic crown as well
Yes it is called e.max but it is not strong as zirkonium. However, it gets light in it and it has the best natural look. So it depends, emax is not suitable for people who grinds teeth at night. It also depends if you want very white color, then you need to choose zirkonium, because emax is for natural look, I mean it will have yellow too. I wouldnt get emax if I pay that much money and still have yellow teeth wtf.
Thanks for the enlightenment.
What about silver/Stainless steel crown?
I have number 18 and 19 and I have to get the crown on 19 replaced (per the dentist) and I think i am swaying towards the gold because I dont want to go through this anymore. I could give less than two hoots about "looks" I am into longevity of the crown and dont want to upset the balance with the top teeth which are NOT crowned. Thank you for helping me make up my mind and taking the time to explain to allllll of us, it is appreciated. Some of us have to use these dental places that have dentists who really just come in and say "you need a crown, make an appt and we'll see you next time" its like what? I mean we are not just a robot, we want this explained to us. And if you know me its like ah ah ah, I have 10 questions and you Doc are going to answer them. Yeesh
Very impressive explanation, Plus I'll give your five star because you speaking without teleprompter.
glad i found this video. i am doing a crown on my 2 front teeth and i cant decide if porcelain or zirconia. i wanted the zirconia but budget wise, i cant afford it. so i guess porcelain is not really a bad choice. thank you!
I had five gold. And few white pros. Crowns. Now I Still have two gold left. Three Gold replaced zirconia crowns. One can remove gold bec stuck on my tooth. It left 2 mm remaining On my tooth with cover zirconia without metal. Otherwise can remove the rest 2 mm if I wanted to but it will be a root canal! I am too sensitive to pain. No way. Leave it left.
Another gold crown broke/fell off bec broke my remaining tooth. To replace the new zirconia without metal.
Thank you very much for explaining in depth about crowns materials .
I just put zirconium crowns and I feel trapped on my
own mouth. Looks bigger then my natural teeth.
I really want to take them out because I don't feel comfortable
Can you give me an advice?
thanks for the detail discription dr
whats the difference between the emax crown and the zirconia crown
whats the differnce between molitithic zirconia crown and translucent zirconia crown
Thanks for a very informative video. I have one crown on a molar now and I am fine, except when I eat with a metal spoon and I get a shock effect. Now I need a crown for another molar, and my dentist no longer does gold crowns. Three questions.
1) Is there a way to get a new crown that has the same composition as my old crown? I would like to avoid introducing any new materials to my mouth.
2) If another dentist uses a different lab, would each lab use a different composition for the crown's material?
3) Can I get tested for the material that would be used in the new crown?
Thanks!
Hi Dr! I'm glad I found your channel. I'm a dental hygienist. My Dad was a dentist in CA, since passed away from cancer. I see a lot of dentists where I live in Utah, using the CEREC crown maker in their office. What are your thoughts on this? Does this make a good crown?! I'm used to the old school way, sending it to the lab, and my Dad would actually do his own lab work, along with sending it out, so I would see him in his office crafting gold crowns, etc. I have one of his on my molar. I feel like he wouldn't like the cerec, but he passed away before it was really popular. Also love your microbiome youtubes, I wish dentists were more on board with the food being an issue, unfortunately they're still like alot of the medical doctors, " food has nothing to do with it. " -------Please! It has everything to do with it! It's not just because you don't floss.
Thank you 🙏🏻
Hello, nice video thx. Which category do Ceramic crowns fall into? and are they durable as well?
Great video, can full cast gold crowns be applied to abutments? I lost 29, 30, & 31 from an old bridge that developed decay. long story short I ended up losing three molars.
Hi Doc, thanks for the informative presentation. I have a back molar sealed with amalgam after a root canal treatment done 10+ years ago, my dentist recommended me to cover it up with a crown, is this necessary? And does the amalgam need to be completely removed and replaced by resin as the crown material may not bond to amalgam?
I have a broken tooth top left molar (the last one beside the wisdom tooth, which has since been removed), I have a temporary filling and was advised by my dentist to have a crown. I never had one. This video was very informative. Thank you for providing such great information!
I'm so glad I could help, moonaglow!
This is simple gold
Thank you so much for this! This reinforces my initial feeling that I should go with gold for my upcoming molar crown. Cheers!
gold is best mate i got 2 and would get it on the front as well cause i dont give a fk what people think lol
@@JoeGCards savage
@@JoeGCards 👌👏
I have had a gold crown on my #31 tooth for the past 32 years and it's still in place! I had it done by a military dentist when I was in the Army. I now need another crown on an upper molar and am dreading having it done because my insurance won't cover gold crowns and I can't afford to pay out of pocket for the gold crown. The ironic thing is that dental insurance companies nowadays only think in terms of saving money in the short term and would rather pay for a cheaper material and have it replaced every 5 years rather than paying once for a gold crown where they probably won't have to replace it again and the patient will probably die before that would have happened.
@@karimaogden3875 Is your 32 yearly player 18k or 20k ? I’m about to have one and am pretty torn between the two.
Dr. Mark I am having a crown replaced on tooth #3,I have a full gold crown on #2 and it’s been wonderful. #3 was a porcelain fused to metal that had a cavity underneath after 6 years. I feel personally that it’s possible that the dentist didn’t remove all of the decay. I’m not going to accuse the dentist,but I am suspicious because my oral hygiene is good in my opinion. My question is why did my dentist say that they are going away from porcelain over metal and he wants to do zirconium. I asked about gold on #3. Do you think gold on 3 is the better choice? I feel the dentist wants it to look beautiful. I’d take gold because I’ll be dead before the crown is. 🤣 thanks Dr Mark.
Hello doctor, Can you please give me advise? A few days ago my upper molar was pulled out and near to this tooth I have a tooth with a zirconium crown. When I looked in mirror I found out that front part of this crown on side of my lips which used to be smooth now only has 1/3 of tooth smooth and seems like 2 millimeters thickness of my crown seems to be gone now. So I don't know what to do; is it possible to polish this crown to make smooth again? Or do I have to remove this crown? My tooth under this crown had a root canal and I hear that removing this crown is very difficult and can sometimes damage the tooth; is this correct?
For grinding issues I need full upper and lower rehab with crowns. What would you recommend? Emax or Zirconia?
which one is the best and lightweight material?
Thanks
Thank you for this video. I have a question. Do you need more room in your mouth to get a zirconia crown as opposed to metal? I was told "not enough room". How can that be when I had a crown that just fell out after 20 years. I don't want any more metal but asked for a zirconia crown. I was told it can't be done for lack of room. Can't a zirconia crown be made as small as necessary? Also, is a gold crown all gold? I am a very allergic person. Thanks again, Dr. B.
Hello which crown to choose for implan tfor front tooth health is big concern for me as I am transplant patient
I had a crown about 5 years ago. I didn't know there were different choices. Apparently my doctor used the normal porcelain in my molar. Well, it cracked in half. Now I gotta get it replaced.
How much is it for a full bottom and top dentures please
what about the radioactivity of gold inlay/Onlays/and crowns? In your video with Cody Kriegel, DDS, you all discussed the radioactivity of metal and EMFs.... so I know you mentioned you have gold....so do you still have that or have you replaced it?
Thanks really dr
I have a question how to correct interdental spacing by prostheses crown thanks in advance
And also bimaxillary protrusions
If you have opposing crowns made out of porcelain can you put a gold replacement crown below the porcelain crown ? Would make whole crown out of gold or just gold on the chewing surface? Great videos . Thanks
I am not a Dentist, but from what I have learned you can have porcelain fused to gold with gold on top called the occlusal and porcelain around the sides.
Doc is the porcelain ceramic crown is good because i just did that today?
Thankyou
Great information. Cheers Australia 🇦🇺
If you get a gold crown and you also have amalgam fillings will the dissimilar metals cause an electrical issue in your mouth that can harm dental work or teeth?
I am missing numbers 29, 30, & 31 molars I have all of my upper upper adjacent molars some have amalgam filling, do you think the two metals would cause galvanized shock? My next question is screw retained gold implants, could the screw hold of the occlusal be filled with gold foil to esthetically hide the hole.
@ Phil Jones. Actually you could have a small inlay made to cover the screw access hole. Gold foil would be a different color because it is pure cans not an alloy like the gold crown would be fabricated with. Also placing gold foil requires a solid surface to pack the foil against. Usually Teflon tape is placed over the screw head to keep whatever restorative material is used out of the screw head so that it can be tightened if need be in the future. The tape isn’t solid enough to pack the foil against. Even so, you would have a hard time finding a dentist that still places gold foil
me and my dentist have agreed to put pfm crown, i ve changed my mind on the last minute, and we decided to put pfz. Do you think i made a good choice?
My dentist put on metal crowns that have a bluish tint I think he said they were chromium but when I looked it up it may be Cobalt chromium and Cobalt is toxic? Can you tell me anything about Cobalt chromium?
Hi Dr. Mark, What about choosing a crown material to sit on an implant plus a custom abutment for #19? Let's omit gold in your answer, given the expense. Purely as it regards durability and low maintenance: Would you choose a PFM (highly noble metal) or Zirconia? Is it a close decision or is there a clear winner? (I think my dentist charges about the same, though I need to confirm that).
i have the same question
Gold can be so expensive... What are the options to get a crown with similar properties for molars? I have seen some dentists offering cobalt chrome crowns - are they any good?
I’m about to have a gold crown for a molar but I’m not sure whether I should go get 18k or 20k :(
Tomorrow I'm having my gold crown replaced. I have had the gold crown for 30 years. It's caused me zero problems and nobody has ever noticed it. I was considering another material however I remind myself why I picked gold in the first place, and that was I didn't want to revisit the dentist and have the crown replaced if it cracked. I'm hopeful the new gold crown will give me another 30+ years of trouble free eating.
I was going with zirconium for teeth 8,9 (front ) now I’ll do the gold ty !
What did you get? How has it worked?
You sold me on gold thank you very much
What’s the difference between emax and porcelain??
How long ceramic crown last on front teeth ?
And does it stain ?
I got the distinct impressiin my dentist would prefer I not have too many options given he has an in house lab and leans towards zirconia (told me thats what I was getting), although my concern is with toxicity and the margins leaking leading to RCT as mentioned (one which I had removed). I have white gold metal crowns over my 3-6, 3-7 (cdn # for left bottom molars) teeth that didnt have safe merc removal so I have always wondered if they are part of my health problems. I have had a temp crown for 3 weeks now and am having reactivity. What to do in this situation as dont want to trade one reaction for another.
I need a crown for my right bottom molar #30 so I might do the gold.
The problem with gold is like you said it's not solid gold. It has nickel and copper. Copper has arsenic in it. But they do use it for water pipes and the Arsenic keeps mold from growing inside the pipes.
Hi Doc,
I am currently opting for porcelain crown since I can't afford a gold crown. I wanted to know if I could switch to gold crown later in the future.
Following
my dentist chose zirconia for me... was wondering if gold was better but you confirmed it. too late to change it now that the mold was taken and order is in, huh?
So I went to the dentist and he was in a rush and didn’t even asked me what kind of crown I wanted nor needed now they call me and said we have your Zarconia crown ready and I’m like what? I thought it was all porcelain. Now I don’t l don’t know if I should get them or ask for a refund
What about emax crowns
My daughter is 13 she got a root canal on molar 30. At the last minute found out her insurance only pays for gold or silver. I’ve been so devastated. I don’t have 1,600 to pay out of pocket for the natural one. So I’ve been doing research going to go with the gold. It’s in the back
I have a PFM on my #30 molar and a monolithic zirconia on my #19 implant. They are both unseen but beautiful nonetheless and I no longer take my teeth for granted.
which one would be better to be placed over an implant for a premolar? pfm or zirconia
@@musicmanin PFM can chip. Zirconia is even stronger than natural teeth.
@@100equus thanks for the reply, i heard from my dentist that pfm is good for absorbing shock (and would chip upon hard compress) when biting very hard, the zirconia crown may pass on the shock to the implant?
@@musicmanin You want to be careful with zirconia. It will transmit shock to abrade opposing teeth.
If your allergic to aluminum oxide and lithium disilicate? Had two removed from burning two to go. No options 🙁 Zirconia has aluminum oxide burning for months. Mine were ground off and inhaled all that dust very sore throat. Now worried about lungs
Zirconia has aluminum oxide? Need to research it. Got zirconia crowns recently done
Do you think Braces for Top teeth only, Porcelain fused to metal crown on one front tooth, and a deep cleaning for 8,000 is to much to pay without insurance?
Go to turkey is very cheap
I had zirconia crowns ever since feeling headache sleeplessness no interset in life
Gold crown touched by a stainless fork or spoon gives a shock. A porcelain crown does not. WHY ? Iam having an implant and both endodontist tell me to get porcelain crowns made in their offices. I am SELF INSURED and cost for 1 implant is shy of $8,000 .
Q: How about Titanium ?
I'm 10 and I lost my molar for eating too much food learned my lesson and choosing silver
Thank you very much!
So,Throw out your "Gold teeth,and see how they roll...a song by Steely Dan!!!!
Hello. Thank you for the information. What about Emax crowns? I've been offered them now and I need to do 3. Could you clarify what are they made of and are they safe? How durable are they? Thank you so much.
Which did you choose i was offered emax too
@@hoganmisses7448 I ended up going to a bio dentist and he put in crown without any metal in them. I trust that they are safe.
@@superberrylife9668 thanks for your response.
crownn without metal meaning zirconium?
Hi, doctor, for single front tooth Number 8, for aesthetic purpose in terms of shade, shape, and translucency matching with the adjacent tooth, do you suggest ceramic or zirconium crown? Thank you so much. I appreciate it.
go with emax aka ceramic but I suggest you also use night guard if you are a grinder
@@krishnak2 thank you very much, doctor. :))
@@krishnak2 Doctor, just one more question: the reason you suggested night guard is to prevent the grinding to make its lifetime last longer, right? Thank you so much. I appreciate your helpful information. :))
I called your office and they said you are retired, doctor!???!!!!
Dang, I was about to get two porcelain crowns on my back molars, but after watching this video I am going to get gold. They are my back teeth anyways so you won’t even see them.
I’m not trying to go back to the dentist for a broken crown cause my wallet will cry.
I've never had a failure of my gold crowns. Expense is the big problem.
what about base metal full cast?
Base metal is probably your worst choice for a metal in your mouth, as it has the most alloys mixed in compared to noble and high noble metals. Sorry I don't have a happier answer.
@@askthedentist are most PFM base metal under the porcelain?
@@mikehascats26 Yes. The majority are base metal. And it’s silver in color. It’s very uncommon to have a noble or high noble underneath the porcelain in a prom. And it’s a gold color.
@@askthedentist so since PFM is so popular, most people have base metals in their mouth, right?
I trust gold. Thus all of my crowns are gold and if I need a filling, I always ask if a fold inlay/onlay would be suitable.
For molars too? In that case are those 18k or 20k? Let me ask you for my reference
@@MoMo-gw6qr Molar crowns run about $1,200 but with insurance, patient portion generally runs about $600. Inlays and onlays are about the same.
@@kcgunesq Thanks but I’m curious about hardness(pureness) about gold content more than price
@@MoMo-gw6qr Gold is ideal as it is softer than natural enamel and more ductile than composites. So when your natural teeth contact the crown, it will wear the crown (but not much) instead of your natural teeth. Many composites work the other way. The filling or crown will wear away the remaining unrestored teeth.
@@MoMo-gw6qr Also, there are different alloys, but if you stick with a high noble blend, it should probably last longer. To be fair, I believe this is what most dentist in the US use if a patient requests gold.
I just received a zirconia crown. I chose this because I’m allergic to metals.
Wt, an experienced DDS and his wife have crowns put in. He's giving advices about oral health to the public? 🤔
Gold is good, but looks awful, even in the back I can see mine very visible. I sense this dentist is biased to gold. Zirconia wins overall, durability and aesthetics...he under scopes zirconia by saying 'may' last as long as gold. He should say 'should', and maybe even longer than gold. The newer zirconia like layered we are still gaining information on. My only concern is the layer, which is cermanic on the zirconia, can that covering crack? I don't know yet, but I will see as I recently had all of my teeth (28 natural some gold crowns) replaced with full mouth zirconia.
@ Mike Flair. Zirconium certainly beats gold when esthetics are critical but we simply don’t have the clinical history to say that it will last longer or even as long as gold. You might argue than zirconium is harder or has more wear resistance, but those properties are not necessarily a good thing. Gold has a wear rate the more closely approximates enamel. That means that the opposing teeth will wear more rapidly than the zirconium. Also the harder material transmits more shock when biting which could cause issues with teeth and especially implants. Zirconium is a much more brittle material than gold. Gold crowns almost never fracture. No doubt, zirconium looks better and is cheaper, but it’s physical properties don’t trump gold
Gold is better in every category except how people think you look.
This guy doesn't bother answering anyone's questions, so don't bother asking him.