Saturday, July 25, 2009

Question about getting a gold crown on a back molar?

The corner of my second molar in the far back of my mouth chipped off. The specialist (prosthodontist) recommended a gold crown. He said he didn't think there was enough room for my bite to allow a porcelain crown since my molars are very short and the molar above it supererupted from my first unsuccessful porcelain crown being off for 3 years after it kept falling off. Is he correct that sometimes there is not enough height on molar teeth to support a porcelain crown or that there isn't enough room in the bite for a porcelain crown? He also said that I barely have any tooth structure remaining and he would have to remove even more tooth structure to fit on a porcelain crown. I don't like the idea of having gold in my mouth when the rest of my teeth are white. Is gold my only option if there's not enough room on my molar for a porcelain crown? Would trying to place a porcelain crown in my situation be too risky?

Question about getting a gold crown on a back molar?
THE OPTION IS GOLD IS THE BEST CHOICE FOR THE TOOTH. IN THE FIRST PLACE WITH GOLD, UNLIKE PORCELAIN, THE CROWN CAN BE MADE TO ANY THICKNESS. GOLD IS ALSO THE IDEAL CHOICE FOR RESISTANCE TO BACTERIAL ATTACK. THE LOCATION OF THIS TOOTH IS FAR BACK IN THE MOUTH WHERE NOBODY WILL SEE IT WHEN YOU SPEAK.


I HAVE GOLD IN MY OWN MOUTH. THIS REPLACED A SILVER FILLING. HEY, IF A DENTIST CHOOSES GOLD FOR HIS OWN MOUTH, THEN GOLD HAS A VIRTUE.


I'VE SEEN SOME GOLD CROWNS ON MY PATIENTS AND WHEN I ASKED THEM WHEN THEY HAD IT PLACED, MANY OF THEM ANSWERED THAT IT'S BEEN THERE FOR 30 OR 40 YEARS.


GOLD LASTS FOR A VERY LONG TIME, IT'S WORTH GETTING. THE PROSTHODONTIST WAS CORRECT.
Reply:Gold crowns are extemely tough and hardwearing. Dentists do suggest them for people who have heavy bites or not much room. I f you really don't want gold ask more questions ie. a different dentist or the dental association or do some research on the net. The risks obviously on having a porc. crown fitted is that it may fail and you have wasted an amount of time and money. Good luck...
Reply:The prosthodontist is correct - he is not giving you bad advice.
Reply:Aha! I should have read the questions from the bottom to the top instead of from the top down. I answered this in your other question, but let me add...





If it's your back molar, especially if it's an upper molar, it will not be so visible as you fear. For one thing, gold is very reflective and it will actually pick up some color from your other teeth.





If your tooth is too short to trim off at least 1.5 mm from the top, you do not have room for a porcelain crown.



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