Baton Rouge Dentist

What should I do if my crown broke?

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I have had a crown for a little over a year. Unfortunately, the crown has since given me several problems and, a few months ago, a significant piece of the porcelain broke off. I hated this, obviously, but especially because it was so soon after having it done. I have returned to the dentist multiple times to have things adjusted, but now that it is completely broken, I am not sure what to do. I would rather not return to the same doctor since there have been so many issues since the original crown was placed. Because I am in pain and discomfort, not to mention it looks funny, I called an emergency dentist to see if the crown issues could be addressed and I was seen right away. Unfortunately, the dentist felt the original crown needed to be replaced. This is not something I have the money for, nor do I feel like I should have to pay for another crown that has had issues since the original appointment. I understand that it’s not the responsibility of the emergency dentist to incur the expense of fixing a broken crown, but am incredibly frustrated with the entire situation.

Any suggestions?
Steve

Dear Steve,

My apologies for all of the issues you have experienced with your crown. I know all of this is very frustrating. However, I do want to be sure you know that doctors have varying opinions on how to best proceed or address issues such as this. If the crown is broken, it is possible that it cannot be repaired and will have to be replaced. If this is, in fact, the case, I would suggest returning to the dentist who originally did the crown first. Hopefully, this would decrease the out of pocket expense on your end. Although there are some general rules to follow for the time dental procedure results should last, most dentists have their own ideas on this. For example, crowns, like the one you had placed, should last for at least five years. If an issue arises which requires a repair or replacement prior to that, it would be advisable for the dentist to consider not charging the patient, or at least reducing their portion. Going to a new practice would result in a similar cost unless it would be easier on your peace of mind to go to a new dentist. As a patient, you should expect a dentist to stand behind their treatment and the work they do, just as a dentist would want you to do your part to care for and maintain your teeth and come in for regular visits.

This post is sponsored by Baton Rouge emergency dentist, Dr. Ryan Perry.

Can my dentist replace a new crown that’s the wrong color?

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Last weekend, the day before my daughter’s quincinera of course, I had a crown on one of my back teeth break. My dentist wasn’t available so I found an “emergency dentist” in town and had him fix it for me. He was able to do a same-day crown. I was so glad to get the tooth fixed quickly before the party Saturday. I didn’t notice until earlier this week, though, that the color is off on my new crown. My husband doesn’t think it’s bad, but I think the crown is obvious because it doesn’t match my other teeth. Can I just go to my regular dentist now and have him put a new one on?

Thanks,
Lupe, Sacramento

Dear Lupe,

Both emergency dentists and same-day crowns (most likely a CEREC crown) can be such a blessing, especially when you are in a time crunch. Many people think that emergency dentists only do emergency work, like ER physicians at the hospital. The truth is most emergency dentists are just general dentists. They either work extra hours or are flexible to help people with dental emergencies.

Just because a dentist is willing to help with emergencies doesn’t mean he is an expert at all aspects of dentistry. Most dentists can get a job done. It takes many hours of training and practice for dentists to become skilled at aesthetics–making it look good. Cosmetic dentistry isn’t a recognized specialty that dentists can be certified in.

While it was helpful to get your crown fixed quickly, it sounds like the emergency dentist may not have been skilled at color-matching the crown to your other teeth. Unfortunately, dentists typically set crowns to last. A well-placed crown can last 10-20 years. The only thing to do if you aren’t happy is to have it removed and replaced.

If you know the color is going to continue to bother you, try speaking to the emergency dentist and see if they will make it right. If not, either consult your regular dentist or find a cosmetic dentist in your area who can replace your crown with one you are satisfied with.

This post is sponsored by Baton Rouge Family Dentist.