What's a Dental Crown?

November 25th, 2019

Has your dentist told you that you need a crown? Of course you are royalty, but a dental crown is slightly different than the crowns we are used to hearing about. A dental crown is like a cap that your dentist places over your tooth to restore it to its normal appearance and function. You may need a crown depending on the amount of tooth structure that you have left remaining. For instance, if you have a cavity that becomes too big to be replaced by a filing. Or if your tooth is chipped or worn down. Also, a crown may be indicated if you are in need of a root canal. Crowns can be made from several types of materials, including  metal alloys, ceramics, porcelain, or porcelain fused to metal (PFM) for example. The best pick of material for your crown is decided taking into consideration the location of the tooth in need of the crown, the shade of the tooth, and the position of your gum tissue just to name a few factors.

The process of getting a crown include the dentist first preparing the tooth by removing the outer surface of the tooth and any decay that is present. Sometimes your tooth may require an additional filling, also known as a core buildup, to support the crown. Then, an impression is taken of the prepared tooth in order to get a model of the tooth. While the crown is being made a temporary crown will be placed on the tooth. While having a temporary crown it is important to avoid chewing gum and eating sticky foods to prevent the temporary crown from dislodging. Also, when flossing be sure to slide the floss through rather than lifting it out to avoid pulling off the temporary crown. The last step is the cementation of the crown within the mouth along with any necessary adjustments.

What's important to know is that your crown needs to be taken care of just like your natural teeth. Crowned teeth can still be subject to tooth decay and gum disease.  Like always, you still want to brush your teeth for twice a day for two minutes each time, floss at least once a day, and avoid hard candies and an excess of sugary/acidic substances. You also want to make sure you are seeing your dentist regularly to ensure that your crown is sealed properly and doing well.

Feel free to contact Drs. Ali & Ali and the caring team at Wellesley Dental Group if you have any thoughts or concerns; they will be happy to answer your questions! Contact us today at 781-237-9071 or smile@wellesleydentalgroup.com to set up an appointment.

Your little ones and teens are welcome to visit our pediatric dentist, Dr. Derek, and Dr. Emad is happy to help with your TMJ and orthodontic needs. For wisdom teeth extractions or any other oral surgery needs, Dr. Stephens would love to help, and our gum-specialist Dr. Singh can help with your gum-related concerns.








Chipped Teeth? We've got you covered!

September 9th, 2016

It's no fun when you chip your teeth, but no worries: we have your back! :) Recreating a beautiful smile is an easy and painless process. Here are some common treatment options for chipped teeth:

1. Bonding

Cosmetic bonding attaches filling material to the enamel (outer tooth layer made of tightly packed calcium crystals) and dentin (porous inner layer of the tooth and living tissue) of the original chipped tooth with little tooth reduction required.  Bonding is a popular treatment, because it is less expensive than crowns or veneers and can last just as long with proper maintenance. Dental porcelain can imitate enamel, while composite resins (a mix of plastic resin and silica filler) can mimic dentin. Together, these materials help mask the broken tooth.

2. Crowns

Porcelain dental crowns are recommended for chipped back teeth. You may want to choose this option if you want to restore both the form and the function of the broken tooth. Furthermore, crowns are suitable for teeth that were destroyed by decay, traumatic events, grinding, or enamel erosion. They repair the entire outer portion of the tooth, unlike bonding which simply covers the part that was chipped, and are thicker than veneers. Crowns are secured with a resin that hardens between the tooth and the crown with a special light .

3. Veneers

Veneers, which consist of many thin custom-made ceramic layers that are bonded to the front of the tooth with a special adhesive, are the ideal treatment for teeth that show when you smile. They help create small alternations in tooth position, size, shape, or color that repair chipped teeth or gaps. Only a minimal amount of your natural tooth needs to be altered so that the veneer can attach.

If you're interested in repairing your chipped teeth, please give our office a call so we can help you determine which treatment is the best match! We are happy to help.

Feel free to contact Drs. Ali & Ali and their newest addition to the team, Dr. Zarah Ali, if you have any thoughts or concerns. The caring team at Wellesley Dental Group will be happy to answer your questions! Contact us today at 781-237-9071 or smile@wellesleydentalgroup.com to set up an appointment and consultation.

Your little ones and teens are welcome to visit our pediatric dentist Dr. VanDr. Emad is happy to help with your orthodontic needs. For wisdom teeth extractions or any other periodontal or oral surgery needs, Dr. Ghazi would be more than willing to help.






CEREC: restoration in one visit!

April 16th, 2013

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With CEREC treatment, patients only need to make one trip to the dentist with a procedure that can be carried out within the hour. There is no need for impressions, cementations, and even time spent waiting for the crown to come back from the lab. Because a short period of time is needed, patients only need to go through one round of Novocain. CEREC also takes faster photographic images of the tooth needing the procedure, this greatly reduces the patient’s time exposed to harmful x-rays.

While it has been the standard to implement porcelain fused to metal crowns for posterior restoration that requires full-coverage, these crowns require an extensive loss of tooth structure, is proven to be an allergen for some, and also lacks in aesthetics. CEREC provides patients with beautiful porcelain moldings that bear an identical shade to that of the patient’s tooth enamel. Once these crowns are in the mouth, they are barely distinguishable from the rest of the teeth, giving a picture perfect smile. On top of that, porcelain has been shown to be completely safe and healthy in patients, and is also known to be more durable and comfortable.

If you believe a CEREC crown procedure is right for you, Drs. Ali & Ali and the caring team at Wellesley Dental Group will be happy to answer your questions about tooth restorations. Contact us today at 781-237-9071 or smile@wellesleydentalgroup.com to set up an appointment and consultation.



CEREC Online

Natural looking tooth restorations

December 1st, 2010

Most Americans are familiar with silver fillings (also known as amalgams) as they have been used for years to fill cavities.

However, as new materials and technology has come to market, there are more options available to patients, and more dentists willing to provide these options.

Without getting too technical, silver fillings can expand and contract with hot and cold, and this movement can cause cracks along the border of the filling. What this means is that tiny gaps exist between the actual tooth and filling, leaving room for bacteria to make its way beneath the filling.

Decay is not too pleasant to look at.

Fortunately,  resin based composite fillings as well as porcelain inlays, onlays, and crowns look more like our own teeth and they can be designed at the dentist in one-visit.  Dr. Ali often uses the CEREC machine to custom design a porcelain restoration that will save as much of the healthy tooth structure as possible.

Here's another example:

Porcelain is a material that gets bonded to teeth so it provides a strength that metals do not offer.  The finished product is a natural looking tooth that has been restored to its function, shape, strength, and beauty.

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