Crowns/Caps
When a tooth is badly damaged and beyond the repair with a regular filling, a crown is sometimes necessary to restore the tooth to its natural shape, increase esthetics, and protect the tooth from further decay. A crown is fabricated outside the mouth allowing optimal fit to the tooth, shape and color for a long lasting restoration. Fitting a crown is a two step procedure. At the first visit, decay is removed and the tooth is shaped to create an optimal design for the crown fit. An impression of the area is made to replicate the teeth and a temporary crown is fit to the tooth out of an acrylic tooth colored material.
Broken Down Tooth
The second visit the crown is placed, adjustments are made if necessary, and “cemented” to the tooth. Crowns can be fabricated out of different materials such as gold alloy, tooth colored porcelain bonded to a metal substructure, or an all porcelain crown. At Romenesko Family Dentistry Brillion, LLC, Dr. Nick Romenesko prefers to utilize all porcelain crowns when possible. It is the most natural looking crown with no metal to show through and high reduction in porcelain fracture compared to porcelain and metal crowns. Dr. Nick makes most of his crowns himself on a CAD/CAM machine allowing increased magnification during the design process and much human error is removed during fabrication due to precise CAD/CAM technology. Also, there is reduced chance of poor fit and design since there no need to send out to a third party.
Restored Tooth With Crown
The material that the CAD/CAM crowns are made out of is a type of porcelain that is very esthetic, durable, and has similar wear characteristics of natural teeth reducing damage to the opposing teeth.
