There’s a sort of hierarchy in the world of dental restorations. If you need a filling, you could just have yourself a minor cavity. In-lays and on-lays can provide a bit more structure for more deeply decayed or damaged teeth. However, when a substantial amount of tooth structure has been compromised, you may need what some might consider to be the mother of restorations: a dental crown. Crowns are usually recommended when decay has gone too far to be fully helped by a filling, but there’s still enough natural tooth to avoid a complete extraction.
What are Dental Crowns?
Dental crowns aren’t called as such because they are kings in your mouth, or because they resemble a nice tiara. Part of your tooth anatomy is actually called a crown. It’s the top part of your tooth which is what is most visible when you smile. It’s also usually the part that will most likely require reinforcement. While the crowns of royalty and crowns used for dental restorations Read more »
Permanent crowns can be made from various metals, porcelain fused to metal, all resin, or all ceramic. The crown is cemented onto the tooth, providing a full encasement of the original part of the tooth that remains. Before that happens, however, many people are sent home from the dentist’s office with a temporary crown. Temporary crowns can be made of acrylic or stainless steel as a one-size-fits-all protection of a tooth or filling while a custom made permanent crown is being fabricated. Technology has gotten a bit ahead of itself in the form of one-visit crowns, which sound too good to be true because they really are, in both quality and appearance. Your Deerfield dentist, Dr. Brent Engelberg, partners with a very experienced ceramist to offer patients high quality crowns. Some things are just worth waiting for. Read more »
What do you do when you’re enjoying a nice meal, and suddenly you bite down on something hard? “Oh great,” you think. “There’s some foreign object in my food.” You’re cursing the chef of the restaurant in your head when you realize that the object actually came from you. It’s your dental crown, and it has suddenly popped right off of the tooth it was meant to restore. A skilled dentist does their best to provide you with a crown that will last, but there are no guarantees. Over time, crowns can come off. Your Northbrook dentist, Dr. Brent Engelberg, can offer you some advice on what to do if this happens to you.
Dealing with a Dislodged Dental Crown
The first and most obvious instruction is to make sure you safely get the dislodged crown out of your mouth so you aren’t in danger of accidentally swallowing it. If you are too late, and the crown is on its way to your stomach, as long as you’re not choking, try not to panic. The crown, just like anything you consume, will pass once it goes through your digestive system. (That’s likely a crown you won’t want to have reattached.) Call your dentist immediately and let them know what has happened. They will give you instructions and work on getting you in for an appointment as soon as possible. Read more »
There is a reason why Dr. Engelberg, your Schaumburg dentist, is staunch about the quality of the dental work he offers patients. When dental procedures aren’t done with skill and quality, one issue can spiral into many, and take a toll on other aspects of your life – perhaps even your career. Take, for example, celebrity country singer LeAnn Rimes, who has been in the headlines regarding dental work she says was not up to par. A lawsuit is pending, and the details of the case are mere speculation at this point, but any incident like this can be used as a cautionary tale for you, as a patient, to be sure to choose your dentist wisely.
Complaints from LeAnn Rimes
LeAnn Rimes says that her dentist’s poor work caused a stall in her career. The well-known singer/actress is suing for compensation for “loss of earnings and future earning capacity.” Ms. Rimes also sites “physical, emotional and psychiatric injuries” from the three-years she has been under dental treatment for various issues. “Severe tooth pain, gum inflammation and chronic gum bleeding” were noted to be issues that had resulted from faulty crown placement, and forced the singer to cancel tour dates to take time for dental surgery to correct the problem. This information is according to court documents. Read more »
A realistic-looking smile makeover is the goal for many of our patients. With a more discerning and informed society, people understand that their friends, co-workers, and family will be able to tell if their cosmetic dental work appears unnatural or obvious. Buffalo Grove dentist, Dr. Brent Engelberg, understands that you want a better-looking smile, not a conspicuously faux grin or a mismatched dental restoration. That’s why our team uses some of the most high quality materials and meticulous techniques for offering you a natural-looking smile makeover.
Perfectly Matching a Porcelain Crown
Marti had always felt her dental restoration stood out among her natural teeth. After a childhood injury to her front tooth, she had a variety of different dental crowns placed that never quite matched the rest of her smile. This is a common problem for patients with dental work on only one front tooth. Matching these adjacent front teeth requires experience and skill. Unlike her previous dentists who had focused only on the injured tooth, Dr. Engelberg improved her smile with porcelain veneers, dental bonding, and a flawlessly color-matched crown.
The Advantages of Experience and Patience
One of the ways that Dr. Engelberg has ensured the highest quality of cosmetic dental work for his patients, old and new, is by partnering with one of the premiere ceramists in the country. Brad Jones, FAACD is so skilled, he creates real-looking, natural-feeling dental restorations and prosthetics that will amaze you. High standards and a focus on patient satisfaction are a common goal of Brad Jones and Dr. Engelberg. This is what may set us apart from some other cosmetic dentists who might be focused on speed and cost-cutting as opposed to quality and happy patients. Just as Marti was happy with her new veneers, we send patients out of our office on a daily basis that can’t wait to flash their updated grins to every person they pass by.
Visit your Buffalo Grove Dentist
Call ourBuffalo Grove dental office at (847) 259-6988. We serve the Chicago suburbs of Deerfield, Schaumburg, Buffalo Grove, Palatine, Barrington, Long Grove, Wheeling, and the surrounding areas, at (847) 259-6988.
As a proponent of continuing education, Dr. Brent Engelberg leads Total Advantage Live classes, in which he and professional ceramist, Brad Jones, FAACD, teach other dentists their methods for optimal fabrication and placement of porcelain veneers and dental restorations.
Full Mouth Rehabilitation Highlighted in Dental Publication
One of Dr. Engelberg’s most recent cases involving full-mouth rehabilitation was so innovative, that an article and case study were published in this month’s Inside Dental Technology. The article, titled “Achieving Aesthetic, Additive Full Mouth Reconstruction,” describes Dr. Engelberg’s conservative dentistry methods which improved not only the patient’s dental health, but also his image. Watch Arlington Heights Smiles patient, Mark, describe why he chose Dr. Brent Engelberg to perform his fullmouth rehabilitation in the video below.
Evaluating Occlusion for Optimal Results
Mark (pictured top right) is a businessman whose high-stress lifestyle had taken a toll on his teeth. Compounding on the fact that his teeth were not perfectly aligned, his stress contributed to teethgrinding and jaw pain issues. Dr. Engelberg assessed Mark’s TMJ disorder issues by evaluating the joint vibration of his jaw. This helped our Chicago cosmetic dentist better understand Mark’s bite issues and how to correct them. Dr. Engelberg also took photos to compare Mark’s bite to the rest of his facial symmetry. This helps our cosmetic dentist determine specifications for occlusal equilibration and cosmetic dental work.
Minimally Invasive, Conservative Dentistry
Using the additive reduction model, Dr. Engelberg was able to develop a blueprint for dental restorations that fit perfectly with Mark’s bite. This additive restoration technique allowed Dr. Engelberg to perform the necessary adjustments with little to no tooth structure removal.
High-End Dental Restorations
High quality materials are also vital to the success of full mouth rehabilitations. Our Chicago restorative dentist chose lithium-disilicate material because of its durability as a ceramic crown. In addition, smoother lithium-disilicate crowns are less likely to wear down the tooth structure of opposing teeth unlike some harder crown materials. Dr. Engelberg replaced the failing posterior crowns with these high-end dental restorations, and improved Mark’s smile with porcelain veneers that met his expectations of a realistic-looking smile makeover. Read more »
If you are a frequent reader of our dental blogs, you know that smoking can be dangerous to your oral health and ruin the aesthetics of your smile. After years of tobacco staining developed conspicuous discolorations to Tim’s dental bonding, he came to our Arlington Heights cosmetic dentist, Dr. Engelberg for a full mouth rehabilitation that could help him smile confidently again. Watch the video below to hear about his smile transformation that began with improving Tim’s oral health.
Tim’s Smile Makeover Story
Restorative Dentistry in Arlington Heights
As a cosmetic and restorative dentist, Dr. Engelberg is not only interested in the aesthetics of your smile but also reclaiming your optimal oral health with conservative dental treatments. For Tim, this meant addressing tooth decay inside a cracked tooth. Root canals save your teeth from more invasive dental procedures, like tooth extractions, by removing internal infection and building back tooth structure. In Tim’s case, Dr. Engelberg used a natural-looking porcelain crown to strengthen the affected tooth and restore aesthetic appeal.
Replace Dental Bonding with Porcelain Veneers
While dental bonding is a less expensive option than porcelain veneers, it can accumulate staining faster and become worn more quickly. Since Tim’s dental bonding was over 20 years old, he was in need of a cosmetic dentistry “re-do.” Dr. Engelberg replaced his old dental bonding with porcelain veneers. These authentic-looking veneers replaced stained front teeth with a dazzling white smile that helped Tim feel more confident in his professional atmosphere. Read more »
Quality dental care should always address smile issues with accuracy and durability. Unfortunately, not every dental procedure will meet your expectations. When old cosmetic dentistry work fails, our Arlington Heights cosmetic dentist, Dr. Brent Engelberg offers our patients another chance at a beautiful smile.
When Cosmetic Dentistry Fails
Porcelain veneers are one of the most popular cosmetic dentistry procedures in our Arlington Heights dental office. Our cosmetic dentist is highly experienced in determining accurate treatment plans and placing porcelain veneers. In fact, Dr. Engelberg teaches other dentists his proven effective and precise methods for designing and placing porcelain veneers in Total Advantage Live classes. Sometimes lower quality, or ill-placed porcelain veneers will crack under pressure, accumulating unsightly stains. These craze lines, or hairline fractures, occurred when Trent (pictured right) bit into a pita chip. See our video below to learn more about his smile makeover with Dr. Engelberg.
Replacing Damaged Veneers
Dr. Engelberg, our Arlington Heights cosmetic dentist, replaced Trent’s damaged porcelain veneers with high-end dental restorations, designed and fabricated in close collaboration with our professional ceramist, Brad Jones, FAACD. In addition, Dr. Engelberg brightened Trent’s smile with professional teeth whitening. This in-office teeth whitening procedure takes as little as an hour to brighten your teeth nine shades whiter for fantastic results.
Laser Gum Reshaping
As a finishing touch to Trent’s smile restoration, Dr. Engelberg performed laser gum reshaping to create an even, ideally framed smile. Gum contouring is often used as a complement to cosmetic dentistry, ideally framing your new smile. These subtle changes make a big impact on your image by reshaping your gum line. Additionally, laser gum contouring allows for more precise treatment and quicker healing. Read more »
In yesterday’s blog we discussed Dr. Brent Engelberg’s article in Dentistry Today “Zirconia: Clinical Impressions” in which he explains a clinical study of a new dental restoration. While the majority of the article focused on the cosmetic benefits of layeredzirconia crowns, Dr. Engelberg also posed the question of safety and dental health implications associated with these restorations. In this blog, we will delve deeper into the new trend in dentistry that has your Chicago dentist worried.
Are Full-Contour Zirconia Crowns Too Hard?
One of the biggest advantages of zirconia crowns are their strength. Glidewell Laboratories, maker of BruxZir, a brand of zirconia crowns, boasts their product is “nearly ‘bulletproof’”. The extremely hard material is advertised as ideal for bruxers, or people who grind their teeth; however, our Chicago dentist poses this question in his Dentistry Today article: “In a clenching of bruxing patient, what is the impact of full-contour zirconia on the opposing dentition long-term?” Since the material is so hard, will an all zirconia crown damage the opposite tooth when chewing or grinding?
Zirconia vs. Porcelain Crowns
With pressure resistance measured in megapascals, or MPa, zirconia rates almost ten times higher than the porcelain layered on PFM crowns. Even Cerec crowns, when made with lithium disilicate (e.Max) measuring 360 MPa, can’t come close to the hardness of zirconia. The Full-Contour Lava crown, 3M’s brand of zirconia, measures over 1000 MPa. In the past, trying to combine the strength of Lava crowns with the aesthetics of layered porcelain frequently resulted in chipping of the porcelain. This is because the porcelain layered over the zirconia coping was contingent on a properly designed coping.
Zirconia Crowns Not as Cosmetically Appealing
While there are no studies to show the impact of zirconia crowns on opposing teeth, we know this for sure: Full-contour zirconia crowns are not as aesthetically pleasing as layered zirconiacrowns or porcelain-fused-to-metal crowns. The monolithic material that gives zirconia crowns their strength is also the downfall for their cosmetic appeal. Translucency is vital when it comes to a natural-looking dental restoration. Because full-contour zirconia is mostly opaque, these dental crowns are much more conspicuous than porcelain crowns or layered zirconia crowns.
Quality Restorative Dentistry in Chicago
As with most new technologies, the test of time is the hardest to pass. Perhaps several years down the road we will know more about the implications of these zirconia crowns. Until more studies show these crowns to be safe, our Chicago dentist will continue to value quality aesthetics, patient safety, and optimal dental health. Read more »
Dedicated to continuing education and understanding new trends in dentistry, our Chicago dentist submitted an article discussing the aesthetics and drawbacks of zirconia crowns to a dental magazine that publishes relevant news in dentistry, clinical studies, and peer reviewed articles for continuing education. In his Dentistry Todayarticle “Zirconia: Clinical Impressions”, Dr. Brent Engelberg compares the aesthetics of different types of zirconia crowns and addresses the growing demand for these types of dental restorations.
Zirconia Crown Comparisons
At our dental office in Arlington Heights, dental crowns are used for a variety of purposes. These dental restorations build back tooth structure after significant decay has damaged the tooth, create cosmetic enhancements, and replace old, failing dental crowns. In this article, Dr. Engelberg discusses replacing failing gold crowns for a patient who is experiencing tooth sensitivity as a result of decay underneath his several-decades-old dental restoration. After a Dr. Engelberg had a thorough consultation with the patient, and decided that zirconia crowns would be the most cosmetically pleasing replacements.
Advantages of Layered Zirconia Crowns
An advantage of a full-contour zirconiacrown is its ability to cover over dark staining from decay on the natural tooth. Unfortunately, this coverage of full-contour zirconia crowns comes with the price of opacity. More translucent dental restorations almost always appear more natural. That’s why cosmetic restorations like veneers are made from thin semi-translucent porcelain shells. Since full-contour zirconia crowns are almost completely opaque, our Chicago dentist chose layered zirconia restorations. Much like porcelain-fused-to-metal, or PFMcrowns, these layered zirconia crowns combined the strength and coverage of zirconia with the aesthetics of porcelain. The result was a more natural-looking dental restoration that not only covered the staining from tooth decay, but also matched the patient’s surrounding teeth. Read more »