September 9, 2013

Dentistry: All About Dental Crowns


By Arthur Kezian

You have probably heard people talking about dental crowns, or know someone who is about to get one. If you aren’t familiar with and want to know about the basics of a crown, you have come to the right place. A crown is basically a cap that is placed over a tooth for structural support. It can improve a tooth’s strength as well as its looks. Crowns may be used to protect a weak tooth, to restore a broken tooth, to cover a tooth that doesn’t have enough tooth structure because it had a big filling and can not be re-filled, and to cover a tooth with a root-canal, bridge, or implant. There are a few types of crowns that are mostly used nowadays. Keep reading on to find out about different crown types and crown procedures done by a local dentist.

All Metal Crowns:


Metal crowns are usually made of alloys such as gold, palladium, nickel, or other base-metals. If a metal crown is used, less tooth structure needs to be taken out as compared to other types of crowns. Metal crowns are very strong and can take biting and chewing forces well. In regards to wearing down, metal crowns probably last the longest of all crowns, and they very rarely break or have a chip. The only problem with metal crowns is the appearance because they have a dark color to them. They are usually used for back molars because those teeth are not as visible.  

Porcelain Fused to Metal:


  • Unlike the metal crowns, porcelain fused to metal crowns can be matched to your exact tooth shade. These crowns are self-explanatory. They are porcelain crowns but they are fused to metal – the inside layer is metal while the outside layer is porcelain. As far as looks go, porcelain fused to metal crowns are commonly used because they look more esthetically pleasing. Although these crowns look nicer than all metal crowns, they have a higher chance or breaking or chipping because the outer layer (porcelain) is not as sturdy as the metal crowns. Even though there is a chance of breakage, it rarely occurs. One concern patients might have about porcelain fused to metal crowns is that over time the metal underneath the crown might show through as a dark line, or show around the gum line if the gum line recedes. Other than this, porcelain fused to metal crowns are a great option. You and your dentist can discuss which crown is best suitable for you and your budget.

All Porcelain Crowns:


All porcelain crowns are also self-explanatory; they are made of porcelain and do not have any metals. For looks, these are probably the best crowns. They look very natural and blend in with your smile. They can be matched to your exact tooth shade just like porcelain fused to metal crowns, except these crowns won’t leave dark lines around your gums because they do not have metal on the inside. These crowns would be best for patients who have allergies to types of metals. Although they look great, they are not as strong as crowns with metals. You can have a discussion with your dentist to see if all porcelain crowns are suitable for your teeth. Most patients nowadays opt for porcelain crowns because they look the most natural. If you want to have a natural looking smile, make sure you ask your dental office about the types of crows they work with.

Crowns can be done is two appointments, the first being the preparation of the crown, and the second being the seating of the crown.  Ask your dental professional to describe the steps he/she uses for a crown procedure. It is best to know exactly what is going on during the procedure. This makes you more aware which in turn makes your more relaxed. Many patients have had satisfactory crown procedures done. If you need a crown, then don’t hesitate to call your dentist. Your case can be the next satisfactory crown case!

Dr. Arthur A. Kezian DDS 443 N. Larchmont Blvd Los Angeles, CA 90004 (323) 467-2777 http://www.drkezian.com


-N.S.

Los Angeles Dentist - Root Canal


By Arthur Kezian

You are feeling an ache around your jaw, you can’t sleep at nights, your teeth are causing a throbbing and pulsating type of pain, and you can’t bite down or chew on anything without a twinge – all of these are symptoms of a root canal. This is when you need to make an appointment with a reliable and experienced dentist. Dr. Arthur A. Kezian has been completing root canal procedures for over thirty years now and is more than experienced in the field. His office takes emergency appointments so you can be sure you will be out of pain in no time. Dr. Kezian will use all his skills and advanced equipment to get you out of pain as quickly as possible.

What is a Root Canal?


  • A root canal treatment is a procedure done by a dentist, usually an endodontist, to save a tooth that has an infection or has decay into the nerve.
  • Many people fear root canals and make the procedure sound worse than it really is. Patients associate a root canal procedure to the pain they feel prior to the procedure. Teeth that need root canals can be very painful, but the procedure itself is not; in fact, it feels no different than a filling since you are numb.
  • Since the only function of the nerve of a tooth is to provide sensation, then taking it out has no harmful effect to the tooth. This is the gist of a root canal – the action of taking the root (nerve) out of its canal.
What to Expect during the Procedure:
  • Before starting a root canal your dentist must confirm that the tooth has a possibility of being saved and doesn’t necessarily need to be taken out. For this, an X-Ray will be taken of your tooth for your dentist to evaluate.
  • After confirming and treatment planning, you are given local anesthesia to make sure you do not feel anything during the procedure.
  • Following the anesthesia, your dentist will create access to the nerve by drilling into the tooth. Keep in mind, you won’t be feeling a thing. The bacteria are then cleaned out from the tooth using different files and drills. Once the tooth is cleaned, it is ready to be closed again. Depending on the dentist and how the procedure is done the tooth will either be temporarily sealed until the next appointment or the root canal will be finished in one appointment. Your endodontist will decide this.
  • Depending on your tooth, you may or may not need a crown after the root canal. Most cases need a crown after a root canal because the decay was either too deep making the tooth weak, or there was a big filling prior to the procedure that can’t be replaced because of its size.
What to Expect after the Procedure:
  • After your root canal treatment is complete, your dentist will probably provide you with a prescription for a pain killer. This can be necessary because for the first few days following your procedure, your tooth might feel sensitive due to inflammation. Pain killers such as Motrin or Advil can ease the sensitivity you might feel. Sometimes, depending on how large your infection was, your dentist might prescribe you something stronger such as Tylenol 3 with codeine.
  • Although there are complications at times, most root canals are satisfactory. After your root canal treatment you can go about your normal activities. If you have a crown over your root canal it is recommended to be extra cautious on keeping it clean – this means brushing and flossing habitually.
There is no need to fear a root canal; after all, it is what saves you from a whole lot of pain. If you have any questions regarding the treatment of a root canal then don’t hesitate to call Dr. Arthur A. Kezian DDS and Staff.

Dr. Arthur A. Kezian DDS 443 N. Larchmont Blvd Los Angeles, CA 90004 (323) 467-2777 http://www.drkezian.com


-N.S.