I hate dental crowns and caps ... this statement may surprise you coming from dentist with more than 25 years experience (15 of those years as a holistic dentist). After all, most dentists love to cap teeth. Dental crowns are put on a pedestal as being the most permanent of all dental restorations. So why am I telling you to never let a dentist cap your tooth?
This scenario may sound familiar to many of you:
* Your trusty tooth has a cavity
* The dentist repairs the cavity with a filling … dental amalgam or maybe composite resin
* Eventually the restoration fails or maybe the tooth cracks
* Your tooth will finally be capped with metal, ceramic or porcelain fused to gold
* The procedure of crowning your tooth kills the nerve
* The end result will be a tooth ache along with the need to have a root canal or perhaps an extraction
The tooth nerve often dies as a consequence of the traumatic and aggressive crown procedure. To crown a tooth, the dentist must grind away all of the enamel and a significant amount of the dentin that makes up the inner tooth core. Studies have shown that as many as 15% of crowned teeth will experience complications serious enough to kill the tooth nerve. If you're lucky enough to dodge the root canal / extraction bullet, you may think you've won the battle.
Most people assume that once you have a crown, that tooth will never need to be treated again. After all, a crown costs a bunch of money and you were told it is "the definitive dental restoration". Then 5 to 10 years down the road, your dentist breaks the bad news ... your crown is decayed and the only solution is have it replaced. You're confused. Your mind starts racing ... what exactly do you mean when you say the crown is bad? Crowns aren't real, how can they decay? Wasn't the crown supposed to be the permanent solution for this tooth? Many patients are under the impression that once a tooth is capped, that tooth will not ever require treatment ever again. The dentist explained the alternatives for dealing with the broken down tooth and introduced a cap as being the most permanent alternative. And so most people are alarmed when several years down the line they find out the crown has gone bad and needs to be replaced. When a crown has gone bad, it implies that decay has formed at the space in between the tooth and the cap. About now most patients are confused ... how does a crown get a cavity?
When attempting to explain why your tooth must be worked on all over again, the dentist may perhaps express things such as: "nothing lasts forever" or maybe "the mouth is a really hostile environment". He / She could even pass the blame over to you by hinting that poor oral hygiene and bacterial plaque along the gum line caused the crown the fail. The problem with this conclusion is this: assuming poor oral cleanliness were to blame, every one of your teeth would be decayed ... not only the single capped tooth.
Unfortunately, the bio-mechanics of crowned teeth essentially guarantee their eventual failure. I won't bore you with all the technical details, but the bottom line is that natural teeth are designed to flex under biting pressure. The problem is that crowns are made from inflexible materials, such as metal or ceramic, and wrap the tooth from top to bottom and side to side. Every time you bite or chew, your tooth attempts to bend, the stiff crown does not.
So anytime you chew, the ensuing battle generates stress and strain at the gum-line, encouraging the seal between your tooth and cap to break down. In the absence of a good seal, bacteria can get between your tooth and crown--creating a cavity. The dentist may refer to this as a leaky crown. You call it an absolute bummer!
And so, what is the remedy for the issue of leaky crowns? Would it not make sense to restore your teeth with techniques that duplicate like they function naturally? That is the precise objective of the division of dental science often called biomimetic dentistry. This is achieved by simply not placing caps on teeth and only using bendable substances along the gum line. By producing restored teeth that mimic mother nature, the dental restorations aren't fated to leak plus unpredicted root canals end up being essentially eliminated.
Biomimetic dental techniques are perfect alternatives to crowns, mimic the natural teeth under function, deliver long-lasting dental restorations and significantly lessen the requirement for root canals.