Do NOT crown your teeth! - Must watch before dental work! - YouTube

What's up guys this is dr. O from innovative dental and today

I want to talk to you about why you should not get crowns on your front teeth

Chances are if you've gone to your dentist or have been concerned about having your your

front teeth addressed from tooth decay or

Even just not pleased to the way that they look you may have been advised to get crowns done on your front teeth

There's there's some reasons why I would encourage a patient not to go down that route most of the time we can avoid that first

They're too aggressive so

when you are cutting on a tooth to prepare it for a crown you have to remove almost all of the enamel and

this leaves the tooth more susceptible to

Fracture more septal to break it also would make the tooth

Likely to have more

Sensitivity and maybe even need a root canal in the future so when you crown a tooth and you cut all the enamel away

It's definitely more likely to be a problem down the road and you might ask yourself

So why in the world do we have to cut all the way around the tooth and?

one of the reasons that we do that is for decades

we've not really had another solution to

Making the tooth have some sort of temporary why the lab makes your crown

And so we have to put a temporary

plastic tooth on top of your existing

prep on them basically the tooth that we just cut down and

that plastic tooth has to have some sort of shape to hold on to and so that's why we were taught in dental school to

Cut around the tooth to prepare it in a way

That would hold the temporary so we're really treating the tooth based off of our

Necessity to put a temporary on it now fast forward right the technologies

Come a long way, and now we can actually make the crown while in one visit while you are here

And we don't require a lab to make the the restoration anymore

So since we don't need a lab you can imagine

we don't have to have a temporary and since we don't need a

Temporary we don't have to shape the tooth the same way

There's a lot of benefits to you for that because that means we only have to treat the portion of the tooth that gives you

the cosmetic benefit of

changing the shade and the shape of the tooth and

Be getting rid of the decay that's there and so most of the time we can do both of those things with something

That's much less

Aggressive crowns are just too aggressive almost always so if your dentist is recommended at crown

I would encourage you to maybe ask them

Why they feel they feel they need a crown, and if it really comes down to the fact that that you need a temporary

Or they need to send it off to a lab, then I'd be I can be concerned with that

You got to seek out a dentist that has technology because it's been around for a while that allows us to

Fix the tooth in one visit and save more of your tooth structure avoid all those challenges and problems that are listed earlier about

You know tooth pain less your tooth around I mean

I think about if you're like a 35 year old and you're getting your tooth cut on to put a crown on it that crown

Maybe lasts you 20 years, but in 20 years you're gonna need another crown and when they cut that old one off

There's gonna be even less tooth structure there so each time you're getting this tooth treatment

You're more likely to have it break hurt and have problems for you down the road so just avoid crowns if you can almost

Never need it in dental school

We were taught how to prepare teeth for crowns and not for veneers so you're gonna most of the time run into

Dentists that are really trained on crown prep and maybe not on veneer proud and so crowns you're going to basically take the burr

Reduce the tooth about a millimeter on top and cut all the way around

Essentially removing all of your enamel now if the tooth is badly damaged then

Then maybe this is necessary

But the only area that really necessitates or requires us to be that aggressive and remove the enamel all the way around the tooth

Would be if you had tooth decay on the backside of the tooth, and I was going to show that to you there

I'm a fucking focus

So on this model here you can see I'm showing you the backside of teeth very rarely

Do you get any sort of decay right where my finger is in this backside of the tooth and?

This is the area that

Is really important to maintain your natural tooth structure?

Here's why it's so important

So if you look where my fingers are at?

You can see all of this this portion of the back of the side of the front teeth

And I take this other model, which is the lower jaw and I put it together?

One thing you'll notice is where'd you chew right it's kind of hard to see maybe on this model

But there it is you chew right up against the backside of

Those those front teeth and so when you start grinding away

to do a traditional crown on the backside of these front teeth you're going to change that surface now to

be something that is going to be a

restoration that is chewing against your lower teeth that are natural and

That that sounds okay except for the fact that long term this causes your lower teeth to get more wear

And it's also likely to have

wear on the backside of your restoration or

Chipping or breaking there to the crown over time because the way that the bite connects, so hopefully that makes sense

But that's that's one reason that's really the second reason why I would avoid crowns is that it changes the bite surface of

Your natural teeth to a prosthetic and it's really not in an area that that's not super beneficial for you

Maybe even a third reason why you might want to avoid?

having a crown done on a front tooth is

You've heard of you know the reason we would typically do a crown is to make it stronger

Help hold a tooth together. That's had a lot of decay or old restorations, and we would put the crown on top

And we put it on top and you have chewing forces like this

It's going the Crown's gonna actually be giving that tooth

Additional strength the fact that that tooth doesn't have the enamel there anymore is not too damaging considering the forces this way

Now if you take a front tooth

So you have a tooth in front where you?

Your forces really are more of this this type of chewing forces where you go like that and you have a little bit of

lateral forces on the front teeth

Those lateral forces on teeth that you've taken all the enamel away are not very healthy and so I've seen a lot of

Patients who have had crowns on front teeth and their teeth are severely weakened

And they will have the tooth break

and I'm wondering if they wouldn't have broken if we would have been more conservative and

Kept the enamel on the backside of their front teeth alright, so hopefully I made it clear why I'm apparently done

Just go hang out

It's my dog Baxter you can't see me over there in the corner

Alright, so hopefully I've made the case for

What are some of the risks or challenges and maybe why you shouldn't have a crown

Done on on your front teeth so then the question is well. I've got some problems. I've got some tooth decay

I've got a fracture - yeah, you know cool

I'm glad you made me understand why I don't need a crown, but what am I supposed to do?

I believe that most dentists that are really are providing the most conservative care are going to be comfortable doing

3/4 crowns or partial crowns that don't cut down the backside of the the tooth and

They will also be able to do veneers and veneers are just maybe similar to a 3/4 crown

Maybe even a little more conservative than that in their prep. These are great ways to

Avoid long term challenges or problems with your teeth

So I would encourage you to go to a dentist who has the ability to create same-day

restorations that'll be a big benefit to you and

Go to a dentist who understands how to prepare teeth for veneers and doesn't require or recommend

Crowns when the backside of the tooth is healthy the the topic of this video came up from just just this last week I had

patient come in and

Had some concerns with their smile and wanted to improve it and they came to me and they were fairly young and they were

Recommended to have I believe it was like 20 crowns performed and prepped on their teeth and they were very young

Obviously it's a big concern to me

I advise the patient definitely don't do that go to a dentist that is going to be able to prepare the teeth

much more minimally so you have the best chance of having long-term health there and

Here at innovative dental we pride ourselves on that so hopefully this video is helpful. I'm Maya my goal

here is to just try to educate and bring some insight into what modern dentistry can do for you and

Obviously if you have questions or concerns or things that maybe came up throughout the video, please post them below

Otherwise give it a like thumbs up. Smash that thumbs up if you can with your phone and

Subscribe to the channel, I'll be uploading about every week to try to come up with new topics and ideas that might be

Beneficial for people to learn about dentistry so otherwise you have a good one we'll see you next time. What's up guys

This is dr. O and I'm excited to talk to you tonight of not tonight. That's awesome. See ya

I'm not going to be able to get this right with you here

I can just tell you that right now. Nah you just tuning me out like it rest the time, huh?

That's true you get tired of me talking yet

You ain't tired of me talking about

You tired of me talking

Are you tired of me talking?

Yeah, bitch ready to go home hang out there kids

Yes

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