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FAQ:  Cracked Tooth

Cracked Teeth Molars Corinne Scalzitti Question:
Best Crown for Cracked Tooth? I am a 41 year old female (great dental record). I went to a new Dentist and was told that tooth #30 was cracked and needs a crown.

Options given were porcelain with metal combo, but for tooth #31 only. Another option is Gold Crown. The tooth is smaller in height than #30. I really do not want a gold crown in my mouth. Not very appropriate for a female.

Can they adjust the height of the porcelain/metal crown to fit #31? I have not had any problems with my teeth except very infrequent sensitivity (mostly after tooth whitening). Should I have a 2nd opinion? ... Visitor from FL

I would probably seek a second opinion.

Dentists love gold crowns, especially for the last tooth back. #31 is at the hinge of the temporomandibular joint. The last teeth back take the major forces of the bite, and gold really is a good choice for this.

A porcelain fused to metal (PFM) crown could have the porcelain crack off over the years, so this is the reason your dentist would like to do gold.. If you want the longest lasting, trouble-free restoration, this is a good choice. Also, smile very big and you will see that this is probably not visible from the side of your smile.

But, there are other choices. I very seldom use gold or porcelain fused to metal anymore, except that I still like gold for the last tooth. There are newer materials, especially Cercon that are made of zirconia, which is all white and very strong. There are several variations of this material.

If you objected to gold and your dentist didn't have another choice, I would seek a second opinion. Also, I probably would not use porcelain fused to metal on tooth #30 because of fears of porcelain cracking in the future.

You might look for an LVI (Las Vegas Institute of Advanced Dental Studies) dentist in your area. Dentists who study there are usually advanced in cosmetic procedures and keep current with new techniques.

Corinne Scalzitti, DMD, MAGD

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