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In the overwhelming majority of cases when patient's present with a broken tooth or a filling that has come out, I will NOT place a crown on the tooth. Most patients have been 'conditioned' by dentists to have crowns placed on their teeth when a tooth breaks or the old filling is a significant part of the tooth. Lately, some "high tech" dentists CONVINCE their patient to have onlays placed on their teeth because they have a $125,000 Cerec machine sitting in the corner that they need to use.
For 20 years I have followed the philosophy that there is nothing that I can place on a tooth that is stronger than natural tooth structure (enamel). Years ago, I started placing onlays on teeth which were more tooth conserving than full crowns. About 10 years ago, new techniques were developed by some of the best dentists in the world and new resin materials came onto the market by manufacturers which largely made BOTH crowns and onlays not needed in the majority of situations of broken teeth and large old fillings. (Note: Crowns on back teeth are ALWAYS needed if the tooth has had a root canal).
If you select the right dentist, you can avoid having your teeth cut down for crowns.
The removal of beautiful, healthy enamel to place crowns is old fashioned dentistry.
A highly educated and trained dentist will place a well done, tooth conserving direct resin restoration. Or you can have your tooth destroyed for a crown.
Your choice!!!
