Denver Dental Crown doctors

Scott Greenhalgh, DDS Scott Greenhalgh, DDS
Lakewood Cosmetic Dentist
3190 South Wadsworth Blvd. Suite 300, Lakewood
21 answers
Cate Vieregger, DDS Cate Vieregger, DDS
Denver Cosmetic Dentist
7400 E. Crestline Circle Suite 230, Greenwood Village
3 answers
Randall Simon, DDS Randall Simon, DDS
Denver Cosmetic Dentist
8770 Wadsworth Blvd #H, Arvada
1 answer
Gary M. Radz, DDS Gary M. Radz, DDS
Denver Cosmetic Dentist
999 18th Street Denver Place Suite 1300 , Denver

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: Two Recently Crowned Teeth Need Root Canals?

No one is ever too excited to hear the words,"root canal". Sometimes they are necessary, even in cosmetic dentistry.  You may  want to ask your questions to your dentist before getting too involved with other opinions. He may be able to clarify what's going on. Make sure they know how concerned you are and how much pain you are having. 

Teeth can be much more sensitive after crown lengthening. If so he can give you some tips on reducing the sensitivity. If it's immediately after the crowns were cemented, then it could also be caused by your bite pressure.

If old crowns were removed and replaced, then these teeth may have already had extensive damage and crowning them again can irritate the nerves. If the work was deep at the start, then throbbing pain can point to a nerve problem and the need for a root canal.

Don't delay in your follow up, it can get worse.

If you need another opinion, then visit an Endodontist (rather than a dentist who does root canals), they are the specialists in root canals.  

Scott Greenhalgh, DDS
Lakewood Cosmetic Dentist
Recent Crowns on 5 Front Teeth Are Now Breaking off, Do Dentists Have to Guarantee Their Work?

I recently had 5 crowns put on my top front teeth. Three of the teeth were chipping quite often so the dentist said I should get crowns on all 5 so they would match. One tooth broke off after one month; another broke off after 3 months, another broke off yesterday. I've had to have root canals and new crowns on the first two. Now I'm wondering whether to get another crown on the 3rd one. I'm worried it will just break off again. Do dentists have to guarantee their work?

A: Recent Crowns on 5 Front Teeth Are Now Breaking off, Do Dentists Have to Guarantee Their Work?

I sponsored a seminar that later changed everything I did in my dental practice. My practice sponsored the Ritz-Carlton for a seminar on their Secrets to Customer Service. The goal of this level of service is to create and experience that truly delights our client.

While traditionally there are no guarantees in dentistry and other healthcare, if you were my patient I would want to be be enthusiastic and delighted with your new crowns.

In the situation you describe, If I were the dentist, I would be embarrassed and want to make you happy, beyond the cost concerns. On the other side, crowns are made of porcelain and are not indestructible, so patients do have their own responsibility to care for them properly.

In your situation, there could be an underlying issue with the precision of your bite, in addition, you may clench or grind your teeth and that can be part of the chipping issue.

In your situation, I would make a short list of your concerns and ask for some time to speak to the dentist. When everyone is calm, this can be a productive conversation. If the emotions on either side get whipped up, then no progress is made.

I would expect new crowns to be more trouble-free than you described.

Scott Greenhalgh, DDS
Lakewood 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: Do I Need a Crown After a Root Canal on a Veneered Tooth?

Some teeth need root canals after dental treatments. Research shows that's necessary about 6% of the time. In your case it would be important to know what happened that the root canal was required. If you have an open margin or new decay around your old porcelain veneers, then you ought to have a new crown.

Part of your issue sounds like a communication gap. Whatever your dentist told you about the new crowns still is making you feel pushed into it. If there is a structural reason, then he ought to be able to clearly demonstrate that. In our office I use a lot of digital photographs. In a situation like this, if the veneer were starting to crack, or there was a margin that was getting a new cavity, then you could see that for yourself.

I'd ask a few more questions, and if possible try to get some photos of the area. You may want to also discuss that you are satisfied the way they look now, and that you are worried that new work may make your gums more sensitive yet.

 

Scott Greenhalgh, DDS
Lakewood Cosmetic Dentist
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