Can I Replace My Dental Crown with a New Material?

Can braces be removed and redone?

Hello, I currently have had five root canals on my front teeth.
When I was 18, I had braces to protect them, but at that time, the dentist did not mention that the material would vary so much.
Therefore, I chose the one that cost 10,000, but when it was placed, I noticed that the color and translucency were very different from my original teeth.
I would like to ask if it is possible to remove or grind down the current material and replace it with a new one? I am interested in switching to all-ceramic crowns.
Thank you.

Niming, 20~29 year old female. Ask Date: 2021/02/01

Dr. Huang Tingfang reply Dentistry

Hello, the aesthetic quality of dental crowns not only tests the skills of the dentist and dental technician but is largely determined by the color of the patient's natural teeth.
If the patient's teeth are too dark, the resulting crowns will inevitably sacrifice some translucency in order to mask the original tooth color.
This situation can occur even with all-ceramic crowns.
Therefore, before considering replacing your existing crowns, it is advisable to consult with an experienced dentist.
The dentist will provide a corresponding treatment plan and risk assessment based on your specific situation.
I hope this information is helpful to you.

Reply Date: 2021/02/01

More Info

Yes, you can replace your dental crown with a new material, such as a full porcelain crown, if you are dissatisfied with the current crown's appearance or material. It's essential to consult with your dentist to discuss your concerns and the options available to you.

When considering replacing a dental crown, there are several factors to keep in mind:
1. Material Options: Dental crowns can be made from various materials, including metal, porcelain-fused-to-metal (PFM), and all-ceramic (full porcelain). Each material has its pros and cons. For instance, all-ceramic crowns are known for their aesthetic appeal, as they can closely mimic the natural appearance of teeth. They are particularly suitable for front teeth where aesthetics are crucial. However, they may not be as strong as metal crowns, especially in areas subject to heavy chewing forces.

2. Aesthetic Considerations: You mentioned that the current crown does not match the color and translucency of your natural teeth. This is a common issue with dental crowns, especially if the underlying tooth structure is darker or if the crown material does not allow for adequate light transmission. Full porcelain crowns can provide a more natural appearance, as they can be color-matched to your existing teeth and offer better translucency.

3. Procedure for Replacement: Replacing a dental crown typically involves removing the existing crown, which may require some drilling or grinding to ensure that the underlying tooth structure is intact. Your dentist will then prepare the tooth for the new crown, which may involve reshaping it to accommodate the new material. Impressions will be taken to create a custom crown that fits well and matches the desired aesthetics.

4. Potential Risks: While replacing a crown is generally safe, there are risks involved, such as damage to the underlying tooth or the need for additional treatments if the tooth has been weakened. If the tooth has undergone root canal treatment, as in your case, it is crucial to ensure that the tooth is structurally sound before placing a new crown. Your dentist will evaluate the tooth's condition and may recommend a post or core buildup if the tooth is significantly compromised.

5. Consultation with Your Dentist: Before proceeding with the replacement, it is essential to have a thorough discussion with your dentist. They can provide insights into the best material for your specific situation, considering factors like your bite, the location of the crown, and your aesthetic preferences. They can also explain the costs involved, as different materials may have varying price points.

6. Long-Term Considerations: When choosing a new crown material, consider the long-term implications, such as durability, maintenance, and how well the material will hold up over time. Full porcelain crowns, while aesthetically pleasing, may require more careful maintenance and may not be as durable as metal options in high-stress areas.

In summary, replacing your dental crown with a new material is a viable option, especially if you are seeking improved aesthetics. Consult with your dentist to explore the best materials and procedures for your needs, ensuring that you achieve a result that meets your expectations both functionally and cosmetically.

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