I don’t understand my dentist’s attitude. I need two dental crowns on my front teeth. I want CEREC crowns. My dentist says no, even though he has a CEREC machine. I’ve heard all-porcelain is the best for front teeth. CEREC are all-porcelain, so what’s the problem? It’s my teeth. Shouldn’t I choose?
Ben M. – Texas
I understand your frustration. And I see your point of view. I’m sure you’ll be able to find a dentist who will happily give you CEREC crowns on your front teeth. However, before you make a decision, I want you to understand your dentist’s reasons for saying no. Then, when you have all the information you can make a fully informed decision.
Your dentist likely is also a skilled cosmetic dentist. He’s looking out for your appearance. Yes, you’re right that they are made of all porcelain. The difference is unlike a traditionally made all-porcelain crown, their CEREC crown counterparts are milled from a single block of porcelain. They’ll still be beautiful, but not nearly as beautiful as those teeth that were taken from different blocks of porcelain.
Our teeth are not uniform. The centers are more milky and the color gradually gets more translucent as you move down toward the bottom edges. Having different blocks of porcelain helps mimic those minute changes. It will give you a more natural look. With most teeth the difference is hardly discernible, but front teeth are different. They’re so visible, that those minute changes in porcelain make a huge difference.
It sounds to me that your dentist wasn’t trying to boss you around. Instead, he wants to make sure you have the best care possible. It would have been nice for him to explain that to you instead of just making a proclamation. Sometimes dentists, with the best of intentions, forget what it’s like to be a patient.
The thing to ask yourself before deciding is if one-appointment is worth you not having your teeth as gorgeous and natural-looking as possible. The biggest issue is that they’re your front teeth, not that CEREC-crowns are a lesser treatment.
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