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Crowns Escondido

older woman sitting on couch smilingRestore the appearance of your smile with dental crowns. At our practice, we use all-porcelain crowns that resemble your natural teeth. They are designed to match the size, shape and color of your teeth, giving you a natural, long-lasting beautiful smile. All- porcelain crowns are an excellent solution for improving upon unattractive natural teeth. The crowns also can be used to replace unnatural-looking traditional metal-based porcelain crowns, which have been used for a number of years.

The new porcelain materials used in all-porcelain crowns are stronger than traditional porcelain material and therefore, do not require metal backing for support.

In one case Dr. Malone replaced the upper metal-based porcelain crowns with all porcelain crowns. The results were stunning and look very natural. The patient subsequently replaced all the older lower crowns with all-porcelain crowns.

The new upper crowns look very natural and the dark gum lines have been eliminated. The teeth are more proportionate in size and her smile is greatly improved.

A More Natural Alternative

The photos at right show a comparison of traditional metal-supported porcelain crowns and all-porcelain crowns when a strong light is allowed to pass through.

The crowns on the top have a metal foundation underneath the layers of porcelain. The metal “framework” is used to strengthen the traditional type of porcelain layers. The metal layer will not allow light to pass through it. Therefore, the crowns do not appear translucent (like a natural tooth).

The all-porcelain crowns on the bottom allow light to pass through them like natural teeth and will appear more lifelike.

Light shining behind older porcelain crowns

Traditional Metal/Porcelain Crowns

Light shining behind all porcelain crowns

All Porcelain Crowns

All Porcelain Crown Case - Before

Before (Crowns with Metal Edge)

All Porcelain Crown Case -  After

After (All Porcelain Crowns)

An Aesthetically Pleasing Appearance

Older technology, metal-based crowns, receding gums and improper technique all can lead to a dark line at the gum line area of teeth with crowns. The use of all-porcelain crowns will prevent this from occurring in almost all cases. It should be noted that there are still circumstances in which metal-supported crowns cannot be avoided. However, no metal is used at the edge of the crown.

Metal-based porcelain crowns (porcelain fused to metal) can be replaced with highly aesthetic all-porcelain crowns. Removing existing crowns is easily accomplished in just a minute or two. The teeth are then prepared to accept the new all-porcelain crowns.

Crowns or permanent bridges can occasionally come loose or come off your tooth. It is important to call Robert J Malone, DDS in Escondido as soon as possible to determine what treatment will be necessary.

Self-Care Tips

Click here for some simple self-care tips you can follow until your appointment:

  • If your crown or bridge is loose, but not completely off, hold it between your fingers and try to remove it and to make sure it is secure enough so that it will not dislodge while you are talking, eating or sleeping. It is important that it is not swallowed or aspirated into your lung. If the crown comes off easily, do not sleep with it in your mouth.
  • If your crown or bridge is completely off, inspect the inside surface. If it appears hollow, then none of your tooth has come out with the crown. Occasionally, part of the tooth or filling underneath the crown becomes dislodged with the crown. This would make it more difficult to seat the crown back on the tooth.
  • Gently clean the inside of the crown with a toothbrush and a toothpick to remove any debris or cement. Completely dry the inside of the crown or bridge. If the crown is able to be temporarily seated back and feels snug, it may be okay to use it during the day only. Do not chew directly on the crown, however.
  • Please note that the crown or bridge will only fit one way on the tooth. If it will not seat easily, then do not replace it.
  • As an aid in retaining the crown temporarily, Vaseline or denture adhesive (e.g., Fixodent) may be placed inside the crown before seating it in the right direction. Make sure you bite all the way together to make sure the crown seats all the way down. Otherwise, your bite may be “high,” which could make the tooth sore over time.
  • Please note that some crowns that have been placed on teeth that have had a root canal may have a post that was placed in the root of the tooth for strength and retention of the crown. It is possible that the post can be bent, preventing the crown from seating back on the tooth.
  • There are temporary over-the-counter cements available. Caution should be used with these since some of them are too thick to allow the crown to seat properly. Also, the cements may set quickly, making them difficult to work with.
  • Do not use any super glues or household glues to put the crown back on your tooth. These products are toxic and will damage your tooth and nerve.
  • It is important to get the crown reseated as soon as you can to avoid any movement of the adjacent teeth. This would cause your crown to no longer fit.

Loose Crown

It is possible that the crown has been loose before you became aware of it. The longer a crown is loose, the more likely the tooth underneath will start to decay. It is also possible that tooth decay under the crown is the reason it came loose in the first place. A loose bridge is more challenging, especially if only one of the anchors is loose. It is likely that the other anchor(s) are holding tight. In this case, the bridge will have to be removed to determine if it can be reused.

It is important to call our office as soon as possible if your crown is loose. The crown will be examined and an X-ray will be taken to find the reason the crown came loose. It is possible that the crown came dislodged by eating sticky food or candy. Most of the time, the crown can be successfully removed and recemented. The most common reason a crown becomes loose is the presence of tooth decay underneath the crown. If this is the case, it is essential to remove the crown to clean away the decay to prevent further damage to the tooth underneath.

Crown Came Off

If your crown comes completely off, it may be ok to leave it off for a short period until you can come to our office. This approach is especially true if the tooth is not sensitive or painful. Many times the tooth may be sensitive for a short period of time right after the crown comes off, but then settles down.

Book an Appointment

Contact us today to book a consultation to discuss crowns Escondido. Dr. Malone will evaluate your mouth, learn what you like and don’t like about your smile, and help determine a treatment plan that makes sense for your lifestyle.


Dental Crowns Escondido | (760) 746-2559