Costs and Material Choices for Dental Crowns and Inlays - Dentistry

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The cost issues related to inlays and crowns, as well as material selection?


Hello, Doctor.
About a month or two ago, the filling on my last lower right tooth fell out.
After evaluation, the doctor determined that it was not suitable to refill, but there was no need for a root canal treatment.
Therefore, I opted for a porcelain inlay (out-of-pocket cost of 15,000 NTD).
However, since it was completed, I have been experiencing ongoing pain.
Today, I returned for a follow-up, and the doctor took an X-ray, indicating that the filling does not appear to be in contact with the nerve.
However, it was suggested that some individuals may have more sensitive nerves, which could lead to pain.
The doctor recommended removing the inlay and proceeding with root canal treatment.
I would like to ask what material would be most appropriate for the crown after the root canal treatment? In cases like this, is there a standard fee structure for redoing the crown? Should it be charged at the original price, half price, or should it be redone for free?

Niming, 20~29 year old female. Ask Date: 2020/04/08

Dr. Huang Tingfang reply Dentistry


Dear Anonymous Miss: Hello! Whether to perform a root canal treatment is determined by the physician, mainly due to symptoms such as pain when drinking hot water, sensitivity to touch, and continuous pain lasting over an hour.
For the posterior teeth, you can choose a metal crown which is more durable, or a porcelain crown which is more aesthetically pleasing.
The cost for a porcelain crown is approximately $20,000, while a metal crown is about $10,000.
You can discuss this with your physician! Take care! Wishing you peace and smooth recovery! Sincerely, Dr.
Huang Ting-Fang, Dentistry.

Reply Date: 2020/04/08

More Info


When it comes to selecting dental crowns and inlays, particularly after a root canal treatment, there are several factors to consider, including material choice, costs, and potential complications. Based on your situation, it seems you have already undergone a procedure with a porcelain inlay that has not provided the expected relief, leading to the recommendation for root canal treatment.

Material Choices for Dental Crowns
1. Full Porcelain Crowns: These crowns are aesthetically pleasing and mimic the natural appearance of teeth. They are particularly suitable for front teeth due to their translucency. However, they may not be as durable as other materials, especially in areas subjected to significant chewing forces.

2. Zirconia Crowns: Zirconia is a type of ceramic that is known for its strength and durability. It is less likely to chip or fracture compared to traditional porcelain crowns. Zirconia crowns can be a good option for posterior teeth where the biting forces are greater.

3. Porcelain-Fused-to-Metal Crowns: These crowns combine the strength of metal with the aesthetic appeal of porcelain. They are durable and can withstand significant chewing forces, making them suitable for back teeth. However, they may not provide the same aesthetic quality as full porcelain crowns, especially if the metal margin becomes visible over time.

4. Full Metal Crowns: These crowns are the most durable and can withstand heavy chewing forces. However, they are not aesthetically pleasing and are typically used for molars or teeth that are not visible.


Cost Considerations
Regarding costs, dental practices often have their own pricing structures, and there is no universal standard. Factors influencing the cost of dental crowns include:
- Material: As mentioned, different materials come with varying price points. Full porcelain crowns and zirconia crowns tend to be more expensive than porcelain-fused-to-metal or full metal crowns.


- Laboratory Fees: The complexity of the crown design and the laboratory used can also affect the cost. Custom-made crowns may incur higher fees.

- Location: Dental costs can vary significantly based on geographic location and the specific dental practice.

- Insurance Coverage: If you have dental insurance, it may cover a portion of the costs associated with crowns, but this varies by plan.


Replacing a Crown After Root Canal Treatment
If you require a new crown after root canal treatment, the choice of material should consider the location of the tooth, the amount of remaining tooth structure, and your aesthetic preferences. Zirconia crowns are often recommended for posterior teeth due to their strength, while full porcelain crowns may be more suitable for anterior teeth.


Pricing for Replacement Crowns
As for the pricing of replacement crowns, it typically depends on the dental practice's policy. Some practices may offer a discount for replacing a crown that was recently placed, while others may charge the full price again. It is essential to discuss this with your dentist beforehand to understand their policy regarding warranty or replacement costs.


Conclusion
In summary, when selecting a crown after root canal treatment, consider the material that best suits your needs based on aesthetics, durability, and the location of the tooth. Discuss with your dentist the potential costs involved in replacing the crown, including any warranties or discounts for recent work. Open communication with your dental provider will help ensure that you make an informed decision that aligns with your health needs and financial situation.

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