Front teeth: connected or separate crowns? Due replacing front dental crowns (upper) (x-ray provided) (Photo)

Question

My dentist was advising me in connected crowns for better bone support (avoid bone loss tissue), the ones I had in place until now are separate, so I've opted out for separate ones against her recommendation as I've read online if possible separate is better. I've had these for 10yrs, no problems other than the inside gum line was bit higher, suspecting this was due bad construction of crowns, material was porcelain cover/metal casing, now having done zirconia crowns (will that improve gumline?)

Amber Garcia, DDS · Answer

When possible, I recommend separate crowns. They are easier to maintain and keep clean. Also, you can replace one if necessary without affecting the other crowns. If they are all connected and one needs to be replaced, you may need to replace all of them. Rarely, I'll recommend crowns be connected due to that patient's situation. But you have separate crowns now, so those situations don't apply to you.Sometimes the gums will have a weird reaction to the metal of a crown and feel puffy. You don't typically have that reaction with zirconia crowns.

Kourosh Maddahi, DDS · Answer

Hi:I normally recommend separate crowns if there is no mobility or bone loss around the teeth, which in your case you have adequate bone support.  With regards to gum irritation if there is proper crown contour and hygiene the irritation should go away.Best,Dr. Maddahi

Front teeth: connected or separate crowns? Due replacing front dental crowns (upper) (x-ray provided) (Photo)

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