Toronto Dental Crown doctors

Martin Frankel, DDS Martin Frankel, DDS
Toronto Cosmetic Dentist
181 University Ave., Toronto
11 answers
Dan Haas, DDS Dan Haas, DDS
Toronto Cosmetic Dentist
906 Sheppard Ave W Unit 1, Toronto
9 answers
Dan Hagi, DDS Dan Hagi, DDS
Toronto Cosmetic Dentist
30 Disera Dr Suite 210, Thornhill
8 answers
Domenic Belcastro, DDS Domenic Belcastro, DDS
Toronto Cosmetic Dentist
15 Alvin Ave. , Toronto
Dr. Charles Botbol DDS Dr. Charles Botbol DDS
Toronto Cosmetic Dentist
1100 Sheppard Ave E. Suite 209, Toronto

Recent Answers

Two Recently Crowned Teeth Need Root Canals?

I recently got two crown lengthing/crowns. I waited a month between the lengthening and crown. It's two weeks later and I'm still throbbing in pain. It's hyper sensitive to cold. Now he says I need a root canal, without even looking in my mouth. I'm suspicious that two teeth suddenly need canals and suspect the process. These new crowns are all ceramic (not metal on ceramic) and I read the cement used might be the issue. I'm leaning towards getting a second opinion.

A: Crown and Root Canals whats the deal?

Mark,

Every time a tooth is traumatized by either decay, physical trauma, a filling placed, a crown prepared the nerve gets traumatized.  It takes some time for most nerves to recover from the trauma inflicted by dental procedures, including bonding a crown. 

Sometime, rarely, the nerve does not fully recover and gets inflamed and this sounds like what you are experiencing.  A root canal may be need on one or both those teeth.  Sometimes the hypersensitivity may resolve but this is up to your dentist to determine.

Hope this helps,

Dr. Dan Hagi

 

Dan Hagi, DDS
Toronto Cosmetic Dentist
Do I Need a Crown After a Root Canal on a Veneered Tooth

I've have veneers on my front 6 teeth, In the past few years I've needed root canals on the canine tooth and tooth next to my front tooth. Now my dentist is pushing me toward taking the veneer off these teeth and adding a crown. Does this seem right? I don't want to go through this procedure if I don't have to. Can't I just leave them alone? There's barely any discoloration, the doctor just says it'll be more sturdy. I'm worried about my gums as well, they're already sensitive in the area.

A: Crowns not always needed on front teeth

I am a believer that less is sometimes more when it comes to front teeth.  Whenever there is a choice of treatments that are effective in a given situation, I would always choose the most conservative option.  In this case, that would be the veneer.  The key is that there must be a choice of equally effective options.  There are certain things to consider in answering your question.  Without seeing your teeth it is difficult to say with 100% certainty that one way is better than the other. 

*  A vulnerable area of a front tooth is the "neck" of the tooth.  This is the area where the tooth meets the root.  Because of the way that the forces of the lower tooth against the upper tooth are directed during chewing and/or grinding-clenching, the tooth could be susceptible to fracturing at the gum-line.

*  Does the tooth have fillings in it already that might make it weaker in the "neck" area?

*  Do you grind your teeth?

Many teeth that have veneers are still very strong.  They have not had any fillings placed in them, and the only dental work that has been done on them is the thin veneer.  In this type of case I do not usually recommend crown placement just because of a root canal treatment.  In a tooth like this, the maximum amount of tooth structure still exists in the neck area.  Placing a crown although not wrong, in my opinion compromises the strength of the tooth.

Teeth that have fillings however, especially in the neck area are more susceptible to fracturing after root canal treament.  Placing a crown in this case could have the effect of strengthening the tooth.  If your tooth falls into this category, I would say that your dentist is probably right to suggest the crown. 

Ask him what his reasoning is for the recommendation, and ask what the condition of your teeth are presently.  I hope this will help you in your decision process. 

Martin Frankel, DDS
Toronto Cosmetic Dentist
Is It Possible to Have a Dental Implant Crown Replaced for a Larger, Wider Crown to Give Me a More Even Smile? (photo)

I was wondering if its possible 2 have my implant crown replaced for a larger size 2 create a even smile? Granted, the implant was done over 14 years ago. For the mot part I've been happy with it. However, as time went on I started noticing a decrease in my smile, giving me a collapsed looked on one side. I was hoping someone can explain why and what can be done? Although on the other side, I have a much larger crown from a root canal done in 1991, I would much rather keep it in its place. Thx

A: Replacing a crown on a dental implant.

It is very hard to render advise based on those pictures but here is what I see.  You have a gorgeous smile.  Your upper lip moves up more on the left side compared to the right and as a result the teeth on the right look smaller than the ones on the left.  It does not look like the size of the teeth is mismatched.  As a result I don't think that replacing the crowns will accomplish what you want.  Maybe a bit of Botox in the left.  In general implant crowns can be easily replaced but we need a good reason.  I just don't see one.  Hope this helps.  

Dan Hagi, DDS
Toronto Cosmetic Dentist
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