Q: Why does it seem like I am constantly re-doing crowns? I am lucky to get seven years out of them!
A: I just sent back a pair of sneakers called allbirds; (yes, a lower case “a”.); Made famous by the Techies of Silicon Valley. In one week my big toe wore a hole through the top of the sneaker. I put some duct tape over the holes. Someone handed me a dollar bill while standing on a street corner! Good customer service lead to a new pair shipped overnight. (This time I clipped my toenails extra short.)
For the last eight years or more, we have incorporated a protocol that could likely lead to your crown lasting a lifetime. This will be covered extensively on November 1st at our evening seminar to the public; “Cosmetic and Implant Update 2018.” Details below.
- Anesthetic injections given with electronic anesthetic machines; not needle syringes from “days of yore.” Plus vibrating retractors that stop the pain from reaching your brain.
- Conservative reduction of the tooth, above the gum line to allow for easy cleaning and more accurate impressions.
- Laser troughing vs. packing retraction cords (thick yarn soaked in vasoconstrictors, jammed under the gum line to push the gum away during impressions; Sometimes making the heart race).
- NO-GAGGING GOOP! Digital impression scans with the iTero Element. (More accurate virtual models milled by robots, not the old plaster models.)
- Milled “BruxZir” crowns: ONE special lab that takes your 3-D scans and mills out a perfect metal-free crown with better fit, preventing decay forming underneath.
- Cements that bond the crown to the tooth below, vs. older cements that just act as a filler, until they wash out and the tooth rots.
- Hygiene visits with special cleaning instruments designed for these restorations every three to four months; not twice per year.
Dr. Mitchell Josephs practices Implant, Cosmetic and General Dentistry with an emphasis on implants, porcelain veneers, and complex crown and bridgetreatment. He is on staff at JFK Medical Center and is a Faculty Advisory Board member at McGill University’s Faculty of Dentistry. He completed his residency at Manhattan’s Beth Israel Medical Center and Mt. Sinai Hospital.