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Posts for tag: crowns

By Phillip S. Tully III DMD
January 07, 2021
Category: Dental Procedures
Tags: crowns  
HeresWhatYouNeedToKnowAboutDentalInsuranceandChoosingaCrown

Millions of Americans rely on dental insurance to help them better afford dental care. Depending on the benefit package, an insurance policy can be useful in restoring dental health compromised by disease or injury.

But how life-like that restoration may appear is often a secondary concern with many insurance plans. For example, dental insurance will pay for a crown restoration that restores function to a tooth, but not necessarily of the highest aesthetic quality for achieving a truly life-like appearance.

To be sure, not all dental crowns are the same. Some are all metal, usually gold or silver. Some are “hybrids,” made of an interior metal shell with an outer fused porcelain shell (porcelain-fused-to-metal or PFM). In recent years all -ceramic crowns made of stronger life-like ceramics have become the most popular.

The type of crown used will depend a great deal on the type and location of the tooth. Teeth on the back of the jaw that encounter greater biting forces and are not as noticeable in the smile may do better with a metal or PFM crown. Visible side and front teeth are more likely candidates for all-ceramic. Your dentist will give you your best options as it pertains to your dental needs and appearance.

There's also a difference in crown workmanship. Dental laboratories now use milling machinery that sculpts a crown from a single block of material. Although some final handwork by skilled technicians is still necessary, milling has streamlined the process—and the cost—for producing a crown of high functioning quality.

But crowns that achieve the most natural smile appearance require more in the way of artistic craftsmanship. This in turn can increase the crown's price—beyond what many dental policies agree to cover. You may then be faced with a decision: an insurance-covered functional crown with an acceptable level of life-likeness or a more life-like crown for which you may have to pay more out-of-pocket.

Your dentist can advise you on your best options for a crown restoration, also factoring in what your insurance will cover. Ultimately, though, you'll have to weigh the kind of smile you desire with your dental situation and finances.

If you would like more information on dental crown restorations, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Porcelain Dental Crowns.”

By Phillip S. Tully III DMD
January 23, 2019
Category: Dental Procedures
Tags: cosmetic dentistry   crowns  

Dental Crowns & BridgesThinking about a crown for that tooth which has so many fillings? Avoid the hassle of gooey impressions and multiple visits to the dentist to discuss, create and fit your restoration. Ask Dr. Phillip Tully and Dr. W. Newton Sharp about what CEREC processes can do for you. Performed in just one visit to their Columbus, GA, office, CEREC crowns and partial crowns restore life, aesthetics and functionality to decayed, misshapen and otherwise damaged teeth. The results are nothing short of exceptional.

What is CEREC?

CEREC stands for Chairside Economical Restorations of Esthetic Ceramics. Translated, that long name means a patient gets a new crown, inlay, or onlay (inlays are partial crowns) in just one short visit to Dr. Tully's office in Columbus, GA. After determining that a tooth needs a crown or large filling, the dentist takes digital impressions of the tooth, inputs the information into the CEREC milling machine using CAD/CAM (computer-aided design/computer-aided manufacturing) and then creates the restoration out of a solid block of porcelain.

The milling process happens right in the treatment room in about 20 minutes. In fact, the patient can watch his or her crown being made! Then, the dentist bonds the restoration onto the prepared tooth, shading the crown to match the neighboring teeth.

CEREC crowns fit perfectly right away; so there's no need for multiple try-ons or adjustments to dental bite. Beginning to end, the process take about ninety minutes. Amazing!

Benefits of the CEREC process

The obvious benefit is a fully restored tooth which is spared from extraction. Whether you've had multiple fillings, a serious abscess, root canal therapy or need to restore a dental implant, a CEREC crown can be the right restoration for you.

Other benefits include:

  • Less time in the dental chair (under two hours)
  • One-appointment convenience (not three or four as with old-fashioned crowns)
  • No awkward temporaries or messy impressions
  • Natural shape, texture and color
  • All processes completed by your trusted dentist right on premises--no outside lab needed
  • A beautiful and durable restoration that can last for ten years or longer with good at-home and in-office care, reports ShareCare

Learn more
If you are concerned about the health of a tooth, please don't wait. Many times, tooth loss can be avoided with placement of a realistic porcelain crown, and CEREC manufacturing with Dr. Tully and Dr. Sharp in Columbus, GA, makes it all so easy. Please call us today for a CEREC consultation. Phone (706) 323-6491.

By Phillip S. Tully III DMD
May 22, 2018
Category: Oral Health
Tags: crowns   cerec  

You can restore your smile quickly with CEREC, which makes it possible to repair damaged teeth with dental crowns in a single office visit. Dental crowns restore teeth that can no longer properly perform normal biting and chewing functions because the teeth are worn down, weak, or damaged. Dental crowns are placed over damaged teeth and function as a protective cover, strengthening the teeth and preventing further damage. In Columbus, GA, CEREC is available at the dental office of Dr. Phillip Tully III and Dr. W. Newton Sharp.

What is CEREC?

CEREC, or Chairside Economical Restoration of Esthetic Ceramics, is a machine that utilizes 3D photography and CAD/CAM technology to form digital impressions of teeth rather than making a physical mold. The digital impressions are then used by to create custom crowns that perfectly fit the damaged teeth. All of this can be done in the same day with CEREC. In the past, the physical mold would be sent to a lab where the dental work would be created, which could take several weeks. CEREC makes it possible to restore your smile quickly.

Advantages of CEREC

There are several advantages to using CEREC technology to restore your smile. The biggest advantage is the ability to restore your smile in one day. You no longer have to wait several weeks for a custom dental piece to first be created in a lab and then sent back to your dentist’s office before your smile can be restored. The CEREC machine creates a digital impression of your teeth and produces a custom dental piece made just for you in as little as one hour.

In Columbus, CEREC is regularly used to create dental crowns for restoring, strengthening, and protecting damaged teeth. An additional advantage of CEREC is that it can also be used to create other custom restorative dental pieces, such as inlays and onlays. Further, CEREC technology offers the advantage of avoiding the mess and discomfort of creating a physical mold of the teeth since everything is done digitally.

CEREC makes it possible to restore your smile quickly. Damaged teeth can be strengthened and restored in a single office visit. For CEREC in Columbus, GA, schedule an appointment with Dr. Tully or Dr. Sharp by calling the office at (706) 323-6491.

By Phillip S. Tully III DMD
May 01, 2018
Category: Dental Procedures
JimmyFallonCanrsquotCatchaBreak-ExceptinHisTooth

Want to know the exact wrong way to pry open a stubborn lid? Just ask Jimmy Fallon, host of NBC-TV’s popular “Tonight Show.” When the 40-year-old funnyman had trouble opening a tube of scar tissue repair gel with his hands, he decided to try using his teeth.

What happened next wasn’t funny: Attempting to remove the cap, Fallon chipped his front tooth, adding another medical problem to the serious finger injury he suffered a few weeks before (the same wound he was trying to take care of with the gel). If there’s a moral to this story, it might be this: Use the right tool for the job… and that tool isn’t your teeth!

Yet Fallon is hardly alone in his dilemma. According to the American Association of Endodontists, chipped teeth account for the majority of dental injuries. Fortunately, modern dentistry offers a number of great ways to restore damaged teeth.

If the chip is relatively small, it’s often possible to fix it with cosmetic bonding. In this procedure, tough, natural-looking resin is used to fill in the part of the tooth that has been lost. Built up layer by layer, the composite resin is cured with a special light until it’s hard, shiny… and difficult to tell from your natural teeth. Best of all, cosmetic bonding can often be done in one office visit, with little or no discomfort. It can last for up to ten years, so it’s great for kids who may be getting more permanent repairs later.

For larger chips or cracks, veneers or crowns may be suggested. Veneers are wafer-thin porcelain coverings that go over the entire front surface of one or more teeth. They can be used to repair minor to moderate defects, such as chips, discolorations, or spacing irregularities. They can also give you the “Hollywood white” smile you’ve seen on many celebrities.

Veneers are generally custom-made in a lab, and require more than one office visit. Because a small amount of tooth structure must be removed in order to put them in place, veneers are considered an irreversible treatment. But durable and long-lasting veneers are the restorations of choice for many people.

Crowns (also called caps) are used when even more of the tooth structure is missing. They can replace the entire visible part of the tooth, as long as the tooth’s roots remain viable. Crowns, like veneers, are custom-fabricated to match your teeth in size, shape and color; they are generally made in a dental lab and require more than one office visit. However, teeth restored with crowns function well, look natural, and can last for many years.

So what happened to Jimmy Fallon? We aren’t sure which restoration he received… but we do know that he was back on TV the same night, flashing a big smile.

If you would like more information about tooth restorations, please contact us or schedule a consultation. You can learn more in the Dear Doctor magazine articles “Porcelain Crowns & Veneers” and “Artistic Repair Of Front Teeth With Composite Resin.”

By Phillip S. Tully III DMD
May 17, 2016
Category: Dental Procedures
AToothlessTiger

Let’s say you’re traveling to Italy to surprise your girlfriend, who is competing in an alpine ski race… and when you lower the scarf that’s covering your face, you reveal to the assembled paparazzi that one of your front teeth is missing. What will you do about this dental dilemma?

Sound far-fetched? It recently happened to one of the most recognized figures in sports — Tiger Woods. There’s still some uncertainty about exactly how this tooth was taken out: Was it a collision with a cameraman, as Woods’ agent reported… or did Woods already have some problems with the tooth, as others have speculated? We still don’t know for sure, but the big question is: What happens next?

Fortunately, contemporary dentistry offers several good solutions for the problem of missing teeth. Which one is best? It depends on each individual’s particular situation.

Let’s say that the visible part of the tooth (the crown) has been damaged by a dental trauma (such as a collision or a blow to the face), but the tooth still has healthy roots. In this case, it’s often possible to keep the roots and replace the tooth above the gum line with a crown restoration (also called a cap). Crowns are generally made to order in a dental lab, and are placed on a prepared tooth in a procedure that requires two office visits: one to prepare the tooth for restoration and to make a model of the mouth and the second to place the custom-manufactured crown and complete the restoration. However, in some cases, crowns can be made on special machinery right in the dental office, and placed during the same visit.

But what happens if the root isn’t viable — for example, if the tooth is deeply fractured, or completely knocked out and unable to be successfully re-implanted?

In that case, a dental implant is probably the best option for tooth replacement. An implant consists of a screw-like post of titanium metal that is inserted into the jawbone during a minor surgical procedure. Titanium has a unique property: It can fuse with living bone tissue, allowing it to act as a secure anchor for the replacement tooth system. The crown of the implant is similar to the one mentioned above, except that it’s made to attach to the titanium implant instead of the natural tooth.

Dental implants look, function and “feel” just like natural teeth — and with proper care, they can last a lifetime. Although they may be initially expensive, their quality and longevity makes them a good value over the long term. A less-costly alternative is traditional bridgework — but this method requires some dental work on the adjacent, healthy teeth; plus, it isn’t expected to last as long as an implant, and it may make the teeth more prone to problems down the road.

What will the acclaimed golfer do? No doubt Tiger’s dentist will help him make the right tooth-replacement decision.

If you have a gap in your grin — whatever the cause — contact us or schedule an appointment for a consultation, and find out which tooth-replacement system is right for you. You can learn more in the Dear Doctor magazine articles “Dental Implant Surgery” and “Crowns & Bridgework.”