Tag Archives: crown

Is a cracked porcelain crown an emergency?

My front teeth have had porcelain crowns for many years. The left one has had a small imperfection on it all this time, but is was not visible to the eye. However, I am now beginning to see it and am able to feel it. I worry that the crown will soon break and I will lose it. If replacing the crown is necessary, I’ll go that route, but want to be sure this is not something for which I should see an emergency dentist.

Thank you,

Dear Eric,

While this is not an emergency, it would be a good idea to find an experienced cosmetic dentist and have the crown replaced. If not, you are correct, you will chance it completely breaking.

You mentioned that, while your crown has always had a slight imperfection, you were unable to see it or feel it. This is called a craze line. Teeth and porcelain have these and they are typically no reason for concern. However, you mentioned that you are now able to see the defect, as well as feel it. This indicates there has been movement which has resulted in the now visible difference in the surface of the crown.

Once a cosmetic dentist has the opportunity to assess the crowns, he or she may suggest replacing all of them, due to their age, or just the one. If just the one crown is replaced, the color-matching skill of the dentist will need to be excellent, in order to ensure the new crown matches the original ones. Do be cautious if you are told that the only way to ensure a perfect color match is to replace all of the crowns. That is a clear sign that the dentist does not have the skill-set to match the new crown to the original one.

This post is sponsored by Phoenix emergency dentist, Dr. Hillary Peck.

An affordable dentist experimented on my tooth

I am embarrassed to admit that I answered an ad for an affordable dentist for a crown procedure at a reduced rate. The dentist claimed he recently got a machine that would make the crowns in-house. He wanted some patients with whom he could try out his machine. I’ve been in need of a crown procedure for quite some time, but couldn’t afford the cost I’d been quoted from other dentists. The low cost appealed to me and I answered the ad. During the five hours I was in his office the dentist had several issues with his machine, not to mention the crowns would not fit right. After he made some adjustments with my tooth, and the machine, the crown finally fit.

This procedure took place two days ago and my entire mouth is in pain, in particular, my tooth. Is it possible that the dentist caused permanent damage? If so, will I have to eat the cost, since he disclosed that this was a learning procedure up front?

Thank you,

Dear Jason,

You’ve had quite the experience. Regardless, you should be sure the dentist knows you are in pain. When teeth are manipulated as much as yours were, they experience irritation. If it’s just a basic irritation, the pain should subside in a few days. An over-the-counter anti-inflammatory, like ibuprofen, should help you with the pain.

If the pain does not subside and improve on its own, it could mean the decay grew, in which case you would need a root canal as soon as possible. This could also be the case if your tooth experienced trauma during the procedure.

Regardless of the dentist claiming to be an affordable dentist, or saying that he was using the procedure to learn, he is responsible. If he is an ethical dental professional, he will want to be aware of the problems you are experiencing and fix them. If he refuses to fix the situation, you will need to see another dental professional about the issues you are having.

For future dental procedures, you may want to seek out dentists who provide quality care, and then look for financing options that fit into your budget, like spreading out treatment costs, utilizing insurance benefits, or financing treatment.

Good luck to you!

This blog post is provided by Phoenix affordable dentist, Dr. Hillary Peck.

Can a Pediatric Dentist Whiten My Son’s Tooth?

I don’t know what is going on with my son’s teeth. His top two teeth are turning dark. The rest of them are okay. Can a pediatric dentist whiten them?


Dear Laura,

A child holding a teddy bear at the pediatric dentists office

If just his front teeth are turning dark and not the others, it’s not a staining issue. Is it possible your son has suffered some trauma to those teeth recently? Could he have been hit in the mouth with something?

When a tooth is turning dark it means the tooth is either dead or dying. He’ll need a root canal treatment. You didn’t mention how old he is so depending on his age a pulpotomy might be more appropriate. It’s like a root canal for children.

You’ll need to see your pediatric dentist and have his tooth evaluated. It’s important to figure out if there’s any other damage. If he still has adult teeth underneath you’ll need to make sure they aren’t damaged as well.

Teeth Whitening and Pediatrics

Professional teeth whitening only works on natural tooth structure that has been stained. It doesn’t work on dead teeth. It also won’t work on any dental work that’s been done, such as fillings or crowns.

Most children don’t need any whitening because regular brushing keeps their teeth white. It’s us old folks who’ve accumulated years of stains on their teeth from things like coffee or tea, cigarettes, staining foods, etc.

There are some medicines which can stain teeth. Tetracycline is the worst of these. In those cases, then some cosmetic work may be warranted.

I’m assuming you’re son is under the regular care of a pediatric or family dentist. Please don’t put off getting this looked at. The last thing you want is for this to turn into a dental emergency. Not only are they dangerous and can turn life-threatening, but it’s important children have positive dental experiences. We want pleasant instead of painful memories of their dental care.

This blog is brought to you by Drs. Kevin and Hillary Peck.