Porcelain Fused To Metal Dental Crown
What Is a Porcelain Fused to Metal Crown?
A Porcelain Fused to Metal Crown, also known as a PFM crown, is a type of dental restoration that combines the strength of a metal substructure with the natural appearance of layered feldspathic porcelain. It is a versatile and widely-used dental crown option that provides both durability and aesthetic benefits. PFM crowns are designed to mimic the appearance of your natural teeth while providing exceptional strength and reliability.
Before you deciding on whether A Porcelain Fused To Metal Crown is right for you, there are some things you should know:
- Who Needs A Porcelain Fused To Metal Crown?
- What Are The Advantages Of A Porcelain Fused To Metal Crown?
- What Are The Alternatives To A Porcelain Fused To Metal Crown?
- How Much Does A Porcelain Fused To Metal Crown Cost?
- What Are The Steps In The Porcelain Fused To Metal Crown Procedure?
- Can I Have A Porcelain Fused To Metal Crown If I Am Pregnant?
- How Long Does A Porcelain Fused To Metal Crown Last?
- What Are Common Problems with A Porcelain Fused To Metal Crown?
If you have any further questions about A Porcelain Fused To Metal Crown or other dental services offered at Atlas Dental, please contact us.
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Who Needs a Porcelain Fused to Metal Crown?
When it comes to dental restorations, Porcelain Fused to Metal (PFM) crowns can be an ideal solution for various dental conditions:
- Damaged or Decayed Teeth: Individuals with teeth that have significant damage or decay can benefit from PFM crowns. These crowns provide strength and durability, restoring the function and appearance of the affected teeth.
- Fractured or Cracked Teeth: Teeth that have suffered fractures or cracks can be effectively restored with PFM crowns. The metal substructure provides stability and support, while the porcelain overlay restores the tooth’s natural appearance.
- Teeth with Large Fillings: Teeth with large fillings that need to be replaced or reinforced can benefit from PFM crowns. The crowns cover the entire tooth, providing added strength and protecting against further damage.
- Severely Worn Down Teeth: Teeth that have been extensively worn down due to grinding or other factors can regain their function and aesthetics with PFM crowns. The crowns restore the tooth’s original shape and protect it from further wear.
- Root Canal Treated Teeth: Teeth that have undergone root canal treatment often require additional support and protection. PFM crowns can strengthen and seal the treated tooth, preventing any future infections.
- Misshapen or Discolored Teeth: PFM crowns are an excellent option for individuals with misshapen or severely discolored teeth that do not respond to traditional whitening methods. The crowns can create a uniform and natural-looking smile.
- Esthetic Concerns: PFM crowns can address esthetic concerns, such as gaps between teeth or asymmetrical smiles. By customizing the color and shape of the porcelain overlay, the crowns can enhance the overall appearance of the smile.
It’s important to note that the specific treatment recommendation will depend on an individual’s unique dental condition. Consulting with a qualified dentist is crucial to determine if a Porcelain Fused to Metal Crown is the best option for you. If you have further questions about Porcelain Fused To Metal Crowns, please contact us.
What Are the Advantages of a Porcelain Fused to Metal Crown?
Porcelain fused to metal (PFM) crowns have fallen out of style with the invention of newer, stronger and less expensive options such as zirconia crowns. However, PFM crowns still offer several advantages that make them a popular choice for dental restorations:
- Enhanced Aesthetics: PFM crowns offer superior aesthetics, as the porcelain layer can mimic the natural appearance of teeth with lifelike translucency and color matching.
- Proven Durability: PFM crowns have a long-standing track record of durability and strength, making them a reliable choice for restoring damaged or compromised teeth.
- Compatibility with Different Preparations: PFM crowns can be used in various types of tooth preparations, making them versatile and suitable for different clinical scenarios.
By considering these advantages, you can make an informed decision about whether a Porcelain Fused to Metal Crown is the right choice for your dental restoration needs. If you have further questions about the benefits of a Porcelain Fused To Metal Crown, please contact us.
What Are the Alternatives to a Porcelain Fused to Metal Crown?
While Porcelain Fused to Metal (PFM) crowns are a popular choice, there are alternative dental restoration options available. Here are some alternatives to consider:
- Zirconia Crowns: Zirconia crowns are the newest type of all-ceramic crown known for their exceptional strength and durability. Made from a translucent and biocompatible material called zirconium oxide, these crowns offer excellent aesthetics, resistance to chipping, and compatibility with individuals who may have metal allergies.
- All-Ceramic Crowns: All-ceramic crowns, including Lithium Disilicate Crowns, are made entirely of ceramic material, eliminating the metal substructure found in PFM crowns. These crowns provide excellent aesthetics, mimicking the natural appearance of teeth, and are a suitable choice for individuals with metal allergies or those seeking metal-free restorations.
- Gold Crowns: For individuals who prioritize durability and strength over aesthetics, metal crowns, such as gold crowns, can be an alternative. Gold crowns are known for their longevity and resistance to wear, making them suitable for restoring molars or teeth in the back of the mouth where aesthetics are less critical (unless you prefer the gold tooth look!).
It’s important to consult with your dentist to determine the most suitable alternative for your specific dental needs. They will consider factors such as the location of the restoration, your oral health, aesthetic goals, and budget to recommend the best option for you. If you have further questions about crown options including Porcelain Fused To Metal Crowns, please contact us.
Cost of Dental Crown
The cost of a Dental Crown include the dentist’s professional fee ($1140), plus the dental laboratory’s fee ( approximately $200-500) in making the crown. The codes relevant to dental crowns in the Ontario Dental Association’s Suggested Fee Guide appear as follows:
Crowns, Porcelain/Ceramic/Polymer Glass
- 27201 – Crown, Porcelain/Ceramic/Polymer Glass: $1140 + Dental Lab Fee ($200-500)
There are a variety of dental crown materials to choose from. Some are more expensive than others. The three most common dental crown types listed in order from least expensive to most expensive are:
- All Ceramic crowns including Zirconia crowns and Lithium disilicate crowns
- Porcelain fused to metal crowns
- Full metal crowns, including Gold crowns
The Ontario Dental Association’s Suggested Fee Guide is a proposed fee structure that dentists in Ontario may or may not follow. Please consult with your dentist about fees before going ahead with treatment.
Dental crowns are considered a major restorative service under all dental insurance plans and may or may not be covered by your dental insurance. Be sure to find out from your dental insurance plan provider how much you are eligible for before going ahead with dental treatment. Your dentist can help you submit an predetermination to your dental insurance.
For patients without dental insurance, Atlas Dental is pleased to offer dental financing through Dentalcard. Affordable payment plans start at 7.95% for terms of 6 months to 6 years. To learn more about Dentalcard dental treatment financing, follow this link.
What Are the Steps in the Porcelain Fused to Metal Crown Procedure?
A Porcelain Fused To Metal Crown typically is done in two visits:
First Appointment:
- Consultation and Examination: Your dentist will assess the structural integrity of the tooth in question, take necessary dental x-rays, discuss your treatment goals, and determine if a PFM crown is the right option for you. Please review these pre-operative instructions before your visit.
- Tooth Preparation: The tooth receiving the crown will be prepared by removing a thin layer of enamel to accommodate the crown’s thickness. Up to 2mm of the outer surface is removed for a PFM crown.
- Impressions: Precise impressions of your prepared tooth and neighboring teeth will be taken to create a custom-fit PFM crown. Impressions can be taken either digitally with an intraoral computer scanner or with traditional polyvinylsiloxane impression materials.
- Temporary Crown Placement: A temporary crown will be placed on the prepared tooth to protect it while your permanent PFM crown is being fabricated.
Second Appointment:
- Removal of Temporary Crown: The temporary crown will be carefully removed, and the underlying tooth will be cleaned and prepared for the permanent crown.
- Crown Fit and Adjustments: Your dentist will check the fit and appearance of the PFM crown. Adjustments may be made to ensure proper alignment, bite, and esthetics.
- Crown Bonding: Once the perfect fit is achieved, your dentist will bond the PFM crown securely to your tooth using dental cement or adhesive.
- Final Polish and Bite Evaluation: The PFM crown will be polished to give it a natural shine. Your dentist will also evaluate your bite to ensure proper occlusion and make any necessary adjustments. Please review these post-operative instructions to ensure proper care for your new dental crown.
The first appointment usually takes 1 hour to accomplish, and the second appointment can take up to 30 minutes. If you have further questions about how we make your PFM crown, please contact us.
Can I Have a Porcelain Fused to Metal Crown If I Am Pregnant?
During pregnancy, many dental treatments can be safely performed, including the placement of a PFM crown. However, it is essential to consider certain factors and precautions to ensure the well-being of both the mother and the baby. Here are some key points to keep in mind:
- Consult Your Obstetrician: Before undergoing any dental procedure, including receiving a PFM crown, it is crucial to consult with your obstetrician. They can provide specific guidance based on your unique health condition and the stage of your pregnancy.
- Timing: Ideally, elective dental treatments, such as cosmetic procedures, are best deferred until after pregnancy. However, if the need for a PFM crown is urgent, it may be considered during pregnancy after consulting with your healthcare providers.
- Local Anesthetics: Local anesthesia, which is commonly used during dental procedures, is generally safe during pregnancy. Your dentist will choose an appropriate anesthetic with minimal systemic absorption to ensure the safety of both you and your baby.
- Stress and Discomfort: Dental treatments can be stressful and uncomfortable, especially during pregnancy. Inform your dentist about your pregnancy so that they can provide additional support, such as breaks during the procedure, to ensure your comfort.
- Oral Hygiene: Maintaining good oral hygiene is crucial during pregnancy. This includes regular brushing, flossing, and attending dental check-ups. Proper oral care can help prevent or manage dental issues and reduce the need for extensive treatments, including PFM crowns.
Always communicate openly with your dentist about your pregnancy and any concerns you may have. They will work closely with you and your healthcare providers to ensure the best possible care while considering the safety of you and your baby. If you have further questions about having a PFM crown made during pregnancy, please contact us.
How Long Does a Porcelain Fused to Metal Crown Last?
PFM crowns are known for their exceptional durability and longevity. Under normal circumstances and with routine care, PFM crowns can last between 10 to 15 years or even longer with proper care and maintenance. Several factors can influence the lifespan of a PFM crown. Here are some key points to consider:
- Material Quality: High-quality PFM crowns, fabricated using advanced manufacturing techniques and quality materials, tend to have a longer lifespan. Opting for a reputable dental laboratory and working with an experienced dentist can contribute to the longevity of your PFM crown.
- Oral Hygiene Practices: Proper oral hygiene plays a vital role in the longevity of any dental restoration, including PFM crowns. Maintaining regular brushing, flossing, and attending dental check-ups will help prevent plaque buildup and minimize the risk of decay or gum disease around the crown.
- Bite Forces and Habits: Excessive teeth grinding or teeth clenching, also known as bruxism, can put excessive stress on PFM crowns. It is important to manage any teeth grinding habits and consider using a nightguard if necessary to protect the crown and prolong its lifespan.
- Diet and Lifestyle: Certain dietary habits, such as consuming hard or sticky foods, can potentially damage PFM crowns. Avoid biting on hard objects or chewing on ice to prevent fractures or chipping. Additionally, practicing a healthy lifestyle, such as avoiding smoking or excessive alcohol consumption, can contribute to the longevity of your crown.
- Regular Dental Check-ups: Routine dental visits allow your dentist to assess the condition of your PFM crown and detect any potential issues early on. Regular professional cleanings help maintain the health of the surrounding teeth and gums, further supporting the longevity of the crown.
It is important to note that individual experiences may vary depending on the factors mentioned above. Regular monitoring and maintenance by your dentist will ensure the optimal lifespan of your PFM crown. If you have further questions about the longevity of your PFM crown, please contact us.
What Are Common Problems with a Porcelain Fused to Metal Crown?
While Porcelain Fused to Metal (PFM) crowns are highly durable, there are some common issues that can arise over time. Here are a few problems associated with PFM crowns:
- Crown Dislodgement: In rare cases, a PFM crown may become dislodged due to improper bonding or excessive force. If this occurs, it is important to contact your dentist immediately to have the crown repositioned and bonded back in place.
- Porcelain Fractures: Despite their strength, the porcelain component of a PFM crown can sometimes develop fractures. These fractures may occur due to excessive force, teeth grinding, or biting on hard objects. If a fracture is minor, it may be possible to repair the crown, but more severe fractures may require crown replacement.
- Marginal Leakage: Marginal leakage refers to the formation of gaps or spaces between the PFM crown and the underlying tooth structure. This can allow bacteria and food debris to accumulate, leading to potential decay or gum problems. Regular dental check-ups are important to detect and address any marginal leakage issues.
- Sensitivity: Some individuals may experience temporary sensitivity to hot or cold temperatures after receiving a PFM crown. This sensitivity typically subsides within a few weeks as the tooth adjusts to the new restoration. If the sensitivity persists or worsens, consult your dentist for evaluation.
- Metal Substructure Visibility: In some cases, a thin line of metal may become visible at the gumline, leading to an aesthetic concern. This issue is more prevalent in individuals with receding gums or thin gum tissue. Your dentist can evaluate the situation and recommend potential solutions, such as gingival grafting or a crown replacement with a different material.
- Allergic Reactions: Although rare, some individuals may develop an allergic reaction to the metals used in the PFM crown. Symptoms may include gum inflammation, discomfort, or even oral lesions. If you experience any signs of an allergic reaction, consult your dentist for an evaluation and potential alternative options.
- Gum Irritation: In some cases, the placement of a PFM crown may cause temporary gum irritation or inflammation. This can occur if the crown’s margin is not properly contoured or if there is an improper fit. Maintaining good oral hygiene practices and attending regular dental visits can help prevent or manage gum-related issues.
It is important to remember that not everyone will experience these problems with their PFM crowns. Regular dental check-ups and good oral hygiene practices can significantly reduce the likelihood of these issues and help identify any problems early on. If you have further questions about Porcelain Fused To Metal Crowns, please contact us.
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