Baltimore Cosmetic Dentists

Bernard Ian Krupp, DDS Bernard Ian Krupp, DDS
Baltimore Oral & Maxillofacial Surgeon
1220 East Joppa Road Building B Suite 314, Baltimore
24 answers

Recent Answers

Am I a Canidate for Dental Bonding Following Invisalign? (photo)

I am now 14/16 months into the Invisalign process and my teeth are great.My overbite/jet has also become much better.However, I chipped 3 of my teeth from having a bad bite. My dentist rounded off my 2 front teeth which made them appear shorter next to my other incisors.I spoke with my ortho,and he told me he can reshape them and to wait because they might even out more. I do not want my other teeth ground down for veneers or to even them out. Can I have them made square again,fixing the chips?

A: Bonding or recontouring?

Bonding can certainly provide a solution for you once your treatment is complete… However, recontouring or reshaping by adjusting the enamel slightly may be a better option… Bonding can chip and also become stained by certain foods.. your dentist may be able to give you an idea of what your results may look like if they have an imaging system that provides that option…

 

 

Bernard Ian Krupp, DDS
Baltimore Oral & Maxillofacial Surgeon

Why Does my Dentist Recommend Crowns Instead of Veneers? My Teeth Are Healthy

I am 46 y.o. and have many root canals and crowns (molars only). The overall appearance of my teeth is very nice and I receive compliments often on my smile. I told the dentist I am unhappy with the old molars (done by someone else, we've moved and this is a new dentist for me). The old molars are discolored and I was looking to replace them closer to uniform whiteness throughout. He immediately suggested crowning every tooth in my mouth. I saw no examples of veneers in his portfolio. Thx!

A: what is best for molar teeth?

It sounds like you have several issues..  Veneers are normally not recommended for posterior (molar) teeth.  They are just not strong enough to support the pressure of normal chewing…   

Crowns are treatment planned for any tooth that has had root canal therapy.  Root canal therapy removes the pulp chamber from the tooth.. once this is completed the tooth may become brittle.  An additional procedure, post and core, is completed followed by a crown to help support the root canal treated tooth… This, however, doesn’t guarantee the longevity of the tooth…  

Crowns are also treatment planned for a tooth that has more that ½ filling or decay to provide the same type of strength.

It is not normally recommended to simply crown molar teeth just for appearance… Better to keep healthy un-restored teeth alone …  J

 

Bernard Ian Krupp, DDS
Baltimore Oral & Maxillofacial Surgeon

Can a Bad Dental Crown Cause TMJ? Is it Permanent?

In Nov I got crown for tooth #30,was broken and doesn't have any infection(#30 was impacted by #31 now removd) I crown altered my bite and caused some pain and mild headaches which started to build up, also started to have stiff jaw. After two months I went to replace the crown. Now I'm waiting for my permanent crown but for last few days I had stiff jaw, weird feeling in my ear and can't close my jaw properly without effort. Is this TMJ? Is this going to be permanent? Please advise. Thank you.

A: TMJ problem...

TMJ is usually the result of malocclusion … This can be caused by many factors… most common is tooth loss. It can also be the result of new fillings and/or placement of  crowns or bridges…  It would be advised to have your dentist check bite in all quadrants.. and adjust areas as needed. Once your bite is correct this may solve your issue.. 

 

Bernard Ian Krupp, DDS
Baltimore Oral & Maxillofacial Surgeon
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