Archive for the ‘Dental Crowns’ Category

What to Know About the Dental Crown Process

Posted on: June 5th, 2019 by Sam Khammar

A dental crown is a protective cap a dentist places on the tooth to either mask physical impairments and improve its aesthetics or protect and restore the tooth’s function after significant structural damages. The process of getting a dental crown is simple, but there may be certain adjustments based on the patient’s preferences.

Getting a dental crown

Before getting a dental crown, the dentist will examine the teeth to know if a crown is necessary. Sometimes a tooth may be overly damaged to hold a crown. In other cases, additional treatment such a root canal may be required first.

During the initial consultation, the dentist will allow the patient to choose from different dental crown materials – typically metal, ceramic, amalgam, zirconia, porcelain-fused metal, and composite resin. All these materials have their advantages and drawbacks.

Placing the crown

The first process is to prepare the tooth for a crown. The dentist will start by numbing the tooth and surrounding tissues. This is not often needed, especially if the tooth has undergone a root canal to remove the nerves, but it makes the treatment more comfortable.

After applying local anesthesia, the dentist will use gingival retraction chords to separate the gums from the tooth. This is to prevent damages to the gum and allow them to trim the tooth enough. After using the retraction chords, the dental expert will start shaving down the tooth. The reason is that crowns are usually thick to ensure strength. The type of material to be used will determine how much trimming will be done on the teeth. Metal crowns are slightly thinner than porcelain crowns, which means less trimming is required.

The trimming will ensure that the crown fits appropriately. Often, they may need to build up the teeth, especially in cases of severe decay. The dentist will apply a filling material to ensure the tooth has enough structure to support the crown.

Taking an impression

After shaving down the tooth, the dentist will take an impression of the upper and lower teeth. This impression, along with the preferred color, will be forwarded to the dental lab where the lab technician will create the crown. The dentist may also use optical impression, where a camera will be used to scan the teeth to obtain digital information to produce a 3D dental crown.

Placing the crown

While the dental lab is making the permanent crown, the dentist will place a temporary crown (usually made from composite resin or metal) over the teeth to protect the area. The temporary crown is less strong and will be removed as soon as the permanent crown is ready.

Making a permanent crown takes about 10 days, after which the patient will return to the dental office. The dentist will remove the temporary crown and check the fit of the permanent crown. They will place the crown on the tooth and make any necessary adjustment until the fit is perfect. After that, the dentist will cement the crown into place.

Final note

Mild discomfort is common after getting a dental crown, but that should disappear in no time. If any issue arises, inform your dentist immediately.

Request an appointment here: https://www.samkhammardds.com or call Sam Khammar DDS at (609) 242-3464 for an appointment in our Forked River office.

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Visit Our Restorative Dentistry Office If You Damage Your Dental Crown

Posted on: September 16th, 2017 by Sam Khammar

Dental CrownAs a restorative dentistry office, we treat teeth that have been damaged in an accident or due to infection. We can also repair dental restorations that have become loose, cracked, or chipped. If you have received a dental crown in the past, it can last for 15 years or longer. However, they are not immune to becoming damaged. Just like your natural tooth, your crown can become chipped if hit by a fastball, a steering wheel, etc. Your crown could even become damaged if you bite on ice. If this happens, give us a call at (609) 242-3464.

Signs you should visit our restorative dentistry office.

When an individual runs his or her tongue along the teeth, feel if there are any rough edges or obvious signs of a crack or chip. If one of these signs is on a front tooth, then the individual will be able to see the damage in a mirror. The back teeth can be more difficult to diagnose, so the individual has to rely on the feel of the teeth to notice anything. Patients should also watch for a crown that feels loose. This can actually be more urgent than one that is chipped because a loose crown can fall off and the individual can swallow it while sleeping.

How we can help you in our restorative dentistry office.

When visiting Sam Khammar DDS, we will examine a patient’s teeth and damaged crown to determine the extent of the problem. We will probably take X-rays to determine if the damage is to the crown, the tooth underneath, or both. The treatment plan will depend on the location of the damage. If the patient only slightly damages the crown, we might be able to smooth it out and correct the damage with a bonding material. When the crown is beyond repair, we have to replace it.

However, if the damage is to the tooth underneath, we will most likely need to remove the crown and address the tooth. This will involve removing the infected portion of the tooth. When the tooth is beyond saving, we will recommend extracting it and replacing it with either a dental bridge or a dental implant.

Different approaches for effective results

These two procedures can both replace the tooth, but they are drastically different in their approach. A dental bridge is a non-surgical procedure that requires two healthy teeth to be on either side of the missing one. A dental crown is placed on these two teeth to serve as an anchor to hold a new bridge and tooth in place. The result is a durable replacement tooth that looks natural. A dental implant, however, is the most durable tooth replacement option, because we surgically replace the root system as well.

A titanium post is implanted under the gums and secured to the jawbone. The bone and metal fuse together through the process of osseointegration. Once complete, a new tooth will be secured to it for a restoration that is incredibly durable. Many dental implants also come with a lifetime warranty, giving you the confidence you need to proceed.

Regardless of how your dental crown is damaged or what solution is best for you, we can help.


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Get the Facts About Dental Crowns in Forked River

Posted on: August 1st, 2017 by Sam Khammar

Dental CrownsDental crowns can help restore both the functionality and appearance of a smile. At Sam Khammar DDS, we understand that some people may be wondering what a dental crown is and how we place them on patient’s teeth. While the internet can offer possible answers, certain sources may not have all the facts straight. Here are necessary and accurate facts about dental crowns.

What is a dental crown?

A dental crown is a prosthetic device placed over a damaged tooth. Also known as a dental cap, or just a cap for short, the dental crown is one of the most powerful tools a dentist has in their tool belt. When a tooth is beyond traditional treatment methods, we can use the cap or dental crown to cover up the damage and save the tooth. While this may not sound incredibly exciting, the fact that we can prevent the spread of infection, minimize damage, and even help a tooth function like normal is a major win for dentists and their patients everywhere.

Who needs dental crowns?

This is a very important question because dental crowns are one of the most versatile tools a dentist has. Teeth that have severe damage can be excellent candidates for dental crowns. For example, a tooth that has decay can benefit from a dental crown. Similarly, teeth that experience some level of trauma can all use the restorative, strengthening, and protective covering of a dental crown.

When we cannot repair a tooth with a typical filling or runs too high of a risk of infection, we will look to dental crowns as a possible option. In other cases, the tooth may have been lost altogether, in which case, we can replace it with a dental crown in conjunction with a dental implant. Consisting of a variety of materials, dental crowns look and feel like a real tooth. A dental crown will fit in seamlessly with the rest of the teeth, leaving no trace that it is actually ceramic or porcelain.

What is the process for placing dental crowns?

We place dental crowns over the course of two separate appointments. The first appointment is where we measure the mouth, shave down the enamel to make way for the dental crowns, and create a perfect implant of the teeth. We will then send these measurements to the laboratory, which will manufacture a perfect set of dental crowns The patient will then leave the first visit with a set of temporary crowns. On the second visit, we will place the permanent crowns, ensure that they fit perfectly, and cement them in place.


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The Versatile Role of Dental Crowns

Posted on: February 1st, 2017 by Sam Khammar

Dental CrownsWe provide dental crowns in Forked River so that our patients can have a healthy and beautiful smile.  Many people are unaware of the role that dental crowns play in modern day dentistry, thinking only of amalgam crowns.  If you think of a mouth full of metal or currently have one, there is a better solution for you now.  We offer natural looking ceramic crowns that resemble your teeth.  They do not stand out in any way.  In fact, they blend in seamlessly to give you a beautiful smile regardless of whether you need a restoration, a protective barrier or a cosmetic solution.

Cosmetic Dentistry

If you have something that you do not like about your teeth, there is a good chance that we can correct it using one of our cosmetic dentistry solutions.  Dental crowns are a popular choice because they can be used to correct damage and improve the appearance of teeth at the same time.  As they are placed on the teeth, they can cover dark stains that were not removed with whitening, close gaps in between teeth, change the overall shape and size of teeth and even make teeth appear straighter. Since they cover your existing teeth, you do not need to have them removed in order to see the change.  Simultaneously, if you are missing any teeth, crowns can be used in the creation of a dental bridge.  In this procedure, crowns are placed on the two teeth surrounding the missing one, and they serve as an anchor.  By doing so, they hold the bridge and new tooth in place so that you can love your smile again.  All of this can be completed in our Forked River dental office under sedation so that you can remain comfortable and relaxed.

Preventative Care

In many cases, we use dental crowns to protect teeth.  One challenge that many people face with age is that the enamel on their teeth begins to erode.  This happens due to the food that you eat, brushing too aggressively, a lack of dental care and basic aging.  When it happens, eating food that is cold or too hot can cause discomfort and make eating a challenge.  Fortunately, we have a solution by way of the dental crown.  Since it is a cap, it can surround your tooth or teeth and prevent anything from touching it directly.  That way you can eat and bite down without fear of sensitivity.  This also works if your tooth is cracked or chipped or if you have had a root canal and need your tooth structure restored.  Any time that the enamel from your teeth is missing or damaged, a crown can repair it.  The only question is which type of crown you should use.  An all-ceramic crown works well on the front teeth where a ceramic-on-metal crown works well for back teeth and molars because it is stronger and more durable.

How Dental Crowns Have Improved Cosmetic Dentistry

Posted on: November 26th, 2014 by Sam Khammar
Dental CrownsWe provide dental crowns for patients that need to restore a damaged tooth or want a smile makeover.  They are incredibly versatile and an effective way for completing a variety of treatments.  They come in all-ceramic for a natural look along with ceramic-on-metal and all-metal.  Which one you select should be based on which tooth it is going on. Having options makes it possible to wear a crown on any of your teeth. In the past, most people would only get silver amalgam crowns or something similar.  This is a durable material that is still in use today and common for treating molars.  Prior to the 1980s crowns were used but ceramic crowns weren’t very common because there wasn’t a good way to bond them to teeth.  Resin cement was invented in the 80s, and it allowed dentists to bond the ceramic to natural teeth.  This made the procedure effective and durable in the long-term. Dental crowns became a reliable and frequently used option in dental restorations once bonding was commonplace.  Since ceramic crowns became effective for restoring damaged teeth, they also became a solution for improving their appearance.  A crown can cover dark stains, close gaps in teeth, make teeth look like the same size and more.  They can solve the majority of cosmetic dental issues with a simple procedure.  Since they surround a natural tooth, there is no need for dental surgery, and the recovery timeframe is reduced. In the 1990s, a dental bridge was invented by using resin cement and crowns. A bridge is created by placing a dental crown onto the two teeth surrounding the missing one.  These crowns are bonded to the teeth for stability.  They are then able to hold the bridge in place with a new tooth attached to it.  This is an ideal way to replace a missing tooth and a good alternative to wearing dentures or getting dental implants.  The bridge would not be possible without dental crowns. In essence, dental crowns have made it possible to do the following:
  • Restore a tooth that has been cracked or chipped
  • Protect a tooth after a portion of the enamel has been removed, or a root canal completed
  • Cover dark stains
  • Make teeth the same size
  • Close gaps in teeth
  • Replace a tooth using a dental bridge
  • Make teeth appear youthful again (rather than dull or yellow)
  • Strengthen teeth that appear weak or sensitive due to a loss of surface enamel
They are so versatile that there are very few issues that a crown cannot help to solve by itself or in conjunction with other dental procedures.  If you are interested in wearing crowns, come in for a consultation.  We will take an impression of your teeth that is sent to the lab for a permanent crown to be created.  In the meantime, we will prepare your tooth by removing a portion of the enamel so that the crown will fit correctly.  You will wear a temporary crown to protect your tooth until the permanent one is ready.  After around two weeks, your procedure will be complete, and your smile will look amazing.

Why Athletes May Need Dental Crowns This Season

Posted on: September 23rd, 2014 by Sam Khammar
Dental CrownsFall sports are in full swing, and as teeth become damaged, dental crowns are a viable solution for restoring them.  As a local dentist, we see both youth and adult athletes suffer from oral injuries on a regular basis.  The American Dental Association believes that over $500 million a year is spent by people looking to restore or replace teeth that have become damaged due to a sporting accident. There are several things you can do to keep yourself or the athlete in your family, from having teeth damaged while playing sports.  It starts by keeping teeth in good oral health and preventing gum disease.  By brushing and flossing throughout the day along with having teeth professionally cleaned at least twice a year, teeth can remain cavity and infection free.  This is important because teeth that become infected or a mouth with gum disease, can lead to bone loss in teeth, making them weak and susceptible to damage. Additionally, the American Dental Association recommends wearing a mouth guard in order to prevent oral injuries.  In fact, they estimate that around 200,000 high school and college students are saved from injury every year by wearing a mouth guard.  This is not a sure bet but does make a significant reduction in how many athletes suffer as a result of a sporting accident.  For those that get their tooth cracked anyway – dental crowns can help. We use dental crowns to repair and restore teeth that have become severely cracked, damaged or have had a large portion of the tooth structure removed, as is common with a root canal.  For those that are unfamiliar with a crown, it is a cap that surrounds the tooth.  This way when you bite down on the tooth, you aren’t actually touching the damaged tooth – you are touching the crown. In order to start the process, the existing tooth is prepared by having a portion of enamel removed so that when the crown is placed it will fit without pushing teeth out of the way.  A temporary crown will be worn right away while a permanent one is created in a lab using an impression of the mouth.  The permanent crown will be made to fit perfectly, look natural, and have the perfect bite so that there is no discomfort while eating. Dental crowns can be made of several different materials.  All-metal crowns are ideal for back teeth that take a lot of abuse.  They are incredibly durable. Ceramic-on-metal crowns look natural minus a thin line that can appear after a while.  This is a good solution because the ceramic looks natural while the metal below remains durable.  All-ceramic crowns are also available and typically worn on front teeth because they have a completely natural looking appearance.  Since they are made of ceramic only, they don’t last as long as metal ones but are still an ideal solution. Athletes that have cracked a tooth, or had a large portion get knocked off, can benefit from wearing dental crowns because it provides an opportunity to save a damaged tooth.  A tooth doesn’t need to be pulled or replaced as long as a crown can be used to strengthen and restore it.

How Technology Has Improved Dental Crowns

Posted on: August 21st, 2014 by Sam Khammar
Dental CrownsThere have been advancements in dental care that have made dental crowns a more convenient solution than ever.  A crown is used for strengthening a tooth in addition to restoring it by placing a cap around the entire tooth.  It can provide the stability a damaged tooth needs for a person to be able to eat comfortably. There are many reasons why a person would need to wear a crown.  One of the most common is a root canal.  When a tooth becomes infected, the infection can spread into the center of the tooth and the roots.  Once there, a person is likely to experience severe oral pain.  The best way to treat this condition is by performing a root canal.  In this procedure the infected area of the tooth is removed entirely as are the roots.  Dr. Khammar will also remove any lingering bacteria from the area before sealing it up with a filling.  Since a portion of the tooth has been removed, a filling alone is typically not enough to restore the tooth to full strength.  This creates the need for a crown to finish the procedure. Dental crowns are also used to restore a tooth that has become cracked or damaged in an accident.  When part of the tooth breaks off it can be impossible to bite down on it in addition to hurting the appearance of the tooth.  Placing a dental crown on top can restore the appearance and functionality of the tooth so that a person can eat normally and without pain.  They are also used in cosmetic dentistry procedures.  Teeth that have become severely stained or are different lengths can have crowns placed around them so that their appearance looks uniform and beautiful. Previously, dental crowns were made of all-metal materials which made them stand out and made many people hesitant to get them.  They were traditionally reserved for the back teeth due to this reason.  Modern dental technology has improved to the point that crowns are now made of all-ceramic, ceramic-on-metal, and all-metal so that patients can choose the best option for their particular situation.  There are clear benefits to each type of material.  All-metal is still the best for back molars since they endure the most pressure during eating.  Ceramic-on-metal is an excellent hybrid solution because it provides the stability of metal with the appearance of ceramic.  The only challenge is that the ceramic won’t last as long as the metal underneath so some patients start to see a line of metal poking through the ceramic after several years.  All-ceramic looks the most natural and is ideal for front teeth.  They will need to be replaced sooner than an all-metal crown but are extremely effective at strengthening front teeth in a natural looking way. Dr. Khammar offers a variety of restorative dentistry solutions for patients.  In order to find out which options are best for you, schedule a dental exam.  He will make a recommendation based on your oral health and lifestyle goals.

Dental Crowns After a Root Canal

Posted on: July 25th, 2014 by Sam Khammar
Dental CrownsIf your tooth becomes infected, a dental crown may be used to help protect it after a root canal.  Dr. Khammar is a local dentist that treats patients suffering from a variety of oral health issues.  It is important to receive ongoing preventative care to prevent cavities and gum disease.  By having your teeth cleaned twice a year, you may be able to avoid severe tooth infections and the need for procedures like a root canal. If, however, your tooth does become infected it will need to be treated right away.  This will prevent the infection from spreading and creating additional issues.  Small cavities can be treated easily by simply removing the decayed area and using a dental filling.  This is quick, easy, and typically pain free. When a tooth infection is not treated right away, the dental pulp (soft center of the tooth) may become infected.  When it does, the roots can become infected as well.  This is very painful and makes it difficult to eat or bite down, leading most people to call the dentist for an emergency appointment.  In order to treat it, Dr. Khammar will remove the infected area of the tooth and roots, clean out the debris and bacteria, and then use a filling to repair the area.  Additionally, a dental crown will typically be placed over the tooth in order to protect and strengthen it. A dental crown is an important tool for restoring a tooth that has been infected or damaged.  Since it is a full cap, it prevents bacteria and food from actually touching the tooth.  It also makes it possible to eat by providing the strength and durability that the natural tooth can no longer provide. Previously, crowns only came in metallic materials.  The most common type was a silver crown.  These are durable and long lasting but do not look good. When a person smiles, metal dental crowns are obvious and can make someone look like they have a mouth full of metal.  Fortunately, modern dentistry has evolved to the point where other materials are available. Patients can now select an all-metal, ceramic-on-metal, or all-ceramic crown to be placed onto their tooth.  The variety of options even makes it possible to have a crown placed on the patient’s front tooth without the appearance of a dental restoration. Dental crowns are used most often for teeth that have become severely damaged or infected.  They are better than dental veneers because they completely surround the tooth which provides stability.  A veneer is simply placed on the front of the tooth and better suited for minor repairs or cosmetic fixes.  Dr. Khammar will discusses both options with patients and makes recommendations based on what will work best in the long run. The only downside to a crown is that there can be some wear and tear on the surrounding teeth.  If your other teeth are damaged as well, you may need to have several crowns placed at one time in order to strengthen all of them.  To learn more, schedule an appointment with Dr. Khammar today.

Dental Crowns Can Strengthen Damaged Teeth

Posted on: June 23rd, 2014 by Sam Khammar
When your tooth is infected dental cDental Crownsrowns are often used to correct it after the infection has been removed.  This is        extremely common when someone has a root canal procedure performed.  After the procedure is over the tooth needs    to be protected; otherwise it will remain exposed and could become infected again.  We are able to help repair and              strengthen your teeth using modern dentistry techniques. A root canal is needed when the dental pulp in the center of your tooth becomes infected.  Your roots run through the    center of your tooth, making them susceptible to becoming infected, as well.  Once an infection has settled into your    tooth, there is a high chance of it spreading.  At first, you may not notice anything other than slight discomfort.  If     undetected and untreated a small infection will turn into a large infection and become extremely painful.  When this        happens an emergency root canal is necessary for removing the infected portion of the tooth, and roots, in order to  stop the pain and save the tooth.  Otherwise, the infection can become so severe that the tooth will start to ooze puss  and may need to be removed entirely. Once the root canal has been completed, and the infection removed, the tooth will need to heal.  Afterwards, it needs to  be protected and strengthened to ensure that you won’t need a second procedure.  Dental crowns can achieve this goal  because they surround your entire tooth.  They are in essence a protective cap over your tooth that looks natural and is extremely durable.  We recommend them for patients that need to have their teeth strengthened for a variety of reasons. Many patient have avoided dental crowns because, in the past, they used to be made of metallic materials only.  This made them stand out inside the mouth and unappealing for some people.  Now, they can be made of a variety of materials and can look completely natural.  This is great news for people that don’t like their existing crowns and want to have them replaced. Even patients that haven’t gotten a root canal may find dental crown to be beneficial.  Teeth that have been cracked, chipped, or broken can be repaired using a crown.  For patients that have bitten into something hard, only to find a piece of their tooth floating around, can find relief through this procedure. Crowns are also used when creating a bridge to replace a missing tooth.  As a local dentist, we can place a crown on the teeth on both sides of the missing one.  The synthetic tooth is then attached to it, which creates a “bridge”.  This is an ideal solution for people that are missing a tooth and want to have it replaced without undergoing a surgical, implant procedure.  It is sturdier than dentures and allows patients to eat all of their favorite foods without fear of their teeth popping out. As a cosmetic dentist, we offer a variety of ways to replace, strengthen, and restore your teeth.  During the consultation, we will discuss the various options so that you can decide which dental procedure would work with your schedule and lifestyle.

Why a Dentist Uses Dental Crowns

Posted on: June 5th, 2014 by Sam Khammar
Dental CrownsA dentist will use dental crowns in a variety of procedures in order to protect or improve a tooth.  Overtime the enamel that makes up your teeth will start to wear away.  This makes them susceptible to cavities, infection, and becoming damaged.  Bacteria left on a tooth can lead to cavities and infections that put a tooth in jeopardy of needing to be removed.  However, natural teeth can be preserved by strengthening them, and a crown is one of the ways to do so. When a tooth has become cracked, chipped, or brittle there are several ways to fix it.  Most commonly, a dentist will use a veneer or crown.  A veneer is a good option for correcting small damage, but a crown is necessary when a tooth needs to be protected and restored at the same time.  A veneer is placed on the front of the existing tooth where this surrounds the tooth, acting like a cap.  This prevents bacteria from reaching the tooth and acts as a barrier while eating. Dental crowns are often used to protect a tooth after a root canal has been performed, or when someone has had a major filling.  When a large portion of the tooth has been removed due to infection, a simple filling may not be enough to protect the tooth or to provide the durability that is needed for a patient to eat without reinjuring the area.  A crown can be placed on top of the tooth to provide the additional protection that is needed.  It can also be used to correct a tooth that is severely stained or the wrong shape. There are several types of materials that can be used when creating dental crowns and which one is right for you will depend on what is wrong with your tooth and where it is positioned. For example, metal crowns are extremely durable and have the least likely chance of chipping or breaking.  They are, however, unattractive so they are best for back molars that need to be strong and aren’t necessarily visible.  The front teeth may be better served by using an all-porcelain or all-ceramic crown.  These look natural but are not as strong or durable.  There is also a hybrid solution where porcelain is fused to metal in an attempt to provide the best of both worlds. Our dentist will go over the various options with you and discuss which type of crown is recommended for the tooth that is being worked on. When a crown is needed, it is important to work with an experienced dental professional that understands wear patterns, and how a crown will impact the surrounding teeth.  Our goal is to help patients to stay in the best possible oral health, and we work to make that a reality by providing preventative care, dental treatments, and protecting teeth with solutions like dental crowns.  To learn more about how we can improve your smile, call us and schedule an appointment for your initial dental examination.

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