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If you have a dark line around your crown, it sounds like you have a metal crown that is coated with porcelain. If this is the case, it is impossible to remove that line without replacing the crown. I would recommend getting a full porcelain emax crown on this tooth to get rid of this line and have a natural looking tooth. Some dentist still use metal crowns, so make sure you emphasize that you would like an all porcelain crown. Good luck and I hope this helps. Follow me if you have more questions.Sarah Thompson, DMD
First, I'm assuming you are referring to a line around your gum area, not at the edge of the tooth where you bite into things.Most likely you have a porcelain-fused-to-metal crown, the most common type of porcelain crowns done for the past thirty or more years. It has an inner thimble of metal, most likely a white gold. Then, on top of the metal the porcelain is fused onto it. The reason that the porcelain had to have metal under it was that the older porcelains were not very strong or fit that well without the underlying metal to support it. It is the edge of the metal thimble that you most likely see.However, today there are several types of tooth colored porcelain crowns that are strong, well fitting, and last a long time without needing the underlying thimble of metal. Today my favorite material is Emax porcelain!Back to the "dark line" you see. You ask, can it be hidden? There are two ways that it could be done. One is to have a gum graft that covers over the metal line. You would most likely have that done by a periodontist (a gum specialist). In only a few cases can that successfully be done, so you would need to consult with a peridontist to determine the prognosis of such a procedure.The other way is to drill away the metal and replace that area with a tooth colored filling. Now, what might be best to overcome the black line problem. Replacing it altogether with an all porcelain (with no underlying metal) crown would give you the best results.There are many advantages to having crowns made with the newer porcelains and techniques. First, they can be bonded onto the tooth. This is a much better technique that just cementing it as porcelain-fused-to-metal crowns are done. Another advantage is the esthetics of the all-ceramic crown are much more natural, mimic real teeth in a much more realistic way. The porcelain-fused-to-metal crowns oftentimes look opaque and unnatural, while all ceramic crowns have some partial translucency that resembles natural enamel. And a commonly looked advantage to all ceramic crowns to porcelain-fused-to-metal crowns is that some people are actually sensitive or allergic to the underlying metal, and that may result in an ongoing chronic gingival irritation (bleeding, swelling, darker, more redish colored gums). All porcelain crowns are very bio-compatible and accepted much better, oftentimes resulting in much healthier gums. For some examples of how the unsightly black line problem is solved, I refer you to the web link below.
In general, most dentist do not guarantee crowns for more than a few months, so I would not expect your dentist to cover crowns that are 4 years old. However, at my office, we guaranty our crowns will not crack, chip or full off for at least 10 years, but we expect our crowns to last 20-30...
If you were a patient in my office, I'm sure my lab would not mind making the switch. The full crown would likely cost you more because in would contain a lot more gold. I am amazed that you decided to go with a gold inlay/onlay, because most cosmetic dentists place bruxzir (full...
Based on the photo that you've provided, it appears that your husband may very well need a crown. Not having dental insurance should not be a huge barrier, because dental insurance usually doesn't pay more than 50% of the cost of crowns anyway and no more than $1,000 to $2,000 per year....