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When teeth have had a large filling placed, or an old filling is breaking
down or when the tooth has had a Root Canal Treatment,
a crown (sometimes called a "cap") is the ideal way for returning the
tooth to proper function. Another reason for placing a crown on a tooth is when
the tooth has fracture lines on it.
There is wide choice of materials which can be used for the fabrication of a
crown.
Gold crowns have been around for a long time
although they are declining in popularity due to obvious esthetic reason.
Their use is limited to
teeth in the back of the mouth (unless you are a boxer who enjoys bearing your "gold tooth" to your
opponent).
A more esthetically oriented crown is fabricated with
Porcelain which is fused to a metal substructure. The metal portion is in
immediate contact with the tooth (forming a very thin shell for the tooth) while
Porcelain is baked onto the metal and masking its presence. This crown is better
suited to the teeth a little closer to the front of the mouth that may be too
visible if a gold crown is placed on them, or when someone has a big smile.
The most esthetic crowns are those that are made strictly out of a resin
reinforced material or combination of porcelain and ceramic substrate.
With today's technological advances in dentistry, it is possible to have a
metal-free crown and not be concerned about the crown fracturing, especially in
the back parts of the mouth.
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