Thursday, April 16, 2009

Gold Crown or Porcelain Fuse High Noble metal for teeth #19 and #14?

Today I got a root canal and a temporary crown for tooth #19. I have the choice of selecting Gold or PFM crown. I told my dentist I want it gold, but I am having second thoughts now. I have the chance to choose PFM until tomorrow.


When I smile you bearly notice tooth #19, but when I open my mouth you would certainly notice it because the crown will be in the lower jaw. Should I get a Gold or PFM crown for #19?


Also, I will have to put a crown in #14 and an onlay (dentist said gold is preferred) on #3. I was thinking on going for PFM for #19, Gold for #14, and gold for the onlay on #3.


I have read in the internet that PFM is more propense to break, and tears down the opposite tooth more than a gold crown. On the other hand I don%26#039;t want to look like a pirate and have golden teeth throughout my mouth. I want to go for the benefits of the gold crown, but I am unsure on the look. I am 25 and the crown will be permanent.





Should I get all teeth in GOLD, all in PFM, or a mix of them?

Gold Crown or Porcelain Fuse High Noble metal for teeth #19 and #14?
If you are going for Quality and duration, get the gold. If you want Pretty, get the PFM.. Whatever you get on #19, you will need to get the same material on #14 so that the materials will be compatible. As long as there are no restorations (fillings, crowns etc.) on #30 (it opposes #3), you can choose gold or porcelain. I have been in the dental field for 20 years as an assistant and a hygienist. From experience, The gold crowns and onlays last the longest. And always get an onlay over a crown, if possible, because you are only 25 and there is a great possibility that in 20 plus years you will have to have this work redone. Every time you have a tooth worked on, you loose tooth structure and the onlay preserves more of the tooth. If you go for the PFM, request that the crown have a high noble metal margin. In layman%26#039;s terms, this means you will have a gold band at the gumline all the way around which is easier to keep clean and will be less likely to decay because it will be more flush to the tooth than porcelain can be. But you will still have the porcelain showing when you open your mouth. Good Luck.
Reply:Get porcelain. Gold is too Third Worldish.
Reply:If you%26#039;re asking me what I would choose, I would definitely pick porcelain. For some of the reasons you stated, but for another, I do not want metal in my mouth. For one thing, you could never get an MRI with gold teeth, and you may need an MRI some day.
Reply:I would pick the porcelain for all of them. Do not get an inlay! Go ahead and have that tooth crowned as well. Gold is the strongest crown that you can get but unless you are going to be chewing on rocks then you will do just fine with the PFM crowns. If you smile really wide you will be able to see the crowns if they were gold. The gold is also more expensive than the PFM.
Reply:go all white. gold teeth look, well, weird to be as polite as possible. fyi, no dental work will last FOREVER!
Reply:I%26#039;ve seen many crowns overe the years. Gold is definitely the best choice for those teeth that are not easily visible and #14 and #19 are MAJOR CHEWING teeth.


GET GOLD, IT%26#039;S THE BEST YOU%26#039;LL NEVER BE SORRY!



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