Blog Post

Should You Choose a Dental Crown or a Dental Implant?

Admin • Aug 03, 2020
Two Teen Smiling — Sarasota, FL — Gregory S. Rutherford, DDS, PA
Enamel is extremely hard. That is why your teeth can last a lifetime if you take care of them. But, thanks to modern dentistry, even if you break a tooth badly, you can save that tooth or even replace it. The two most common and reliable techniques to treat a badly broken tooth are dental crowns and dental implants. But how do you choose between them?

First, understand th at while dental crowns restore badly damaged teeth, dental implants replace badly damaged teeth. So you need to decide if your tooth can be saved or not.

If you are not sure whether you should restore your tooth with a crown or replace it with an implant, use the following advice as a guide.

Dental Crowns Need Tooth Structure
The first thing to look for when deciding between a crown and a dental implant is remaining tooth structure. Dental crowns attach to what is left of broken teeth. Although crowns essentially sit over the top of broken teeth, they still require some remaining tooth structure to keep them stable and sturdy.

This means that if your tooth is broken to the gumline or very little tooth remains above the gumline, a dental crown will have very little structure to hold onto. Retaining the dental crown, in this case, will be difficult.

Dental Crowns Need Intact Roots
Dental crowns also require that the root of a broken tooth be intact. Sometimes, teeth can break below the gumline, with the damage extending into the root. A dentist will be able to determine if this is so via an X-ray. A stable and intact root will provide a solid foundation for a dental crown. But if the root is cracked, it will weaken over time. As such, root damage rules out dental crowns.

Dental Crowns Take Less Time to Prepare and Place
If you do have enough tooth structure and intact root remaining, then a dental crown is a good choice. Keeping your natural root will ensure that your jawbone remains strong. And one clear advantage of dental crowns is that they only take about three weeks to prepare, with usually only two dental visits.

As such, if you need to restore your tooth quickly, then a dental crown is a good option, provided you have enough tooth structure and the root is intact.

But if your tooth is too badly damaged, a dental implant is the best option.

Dental Implants Need Sufficient Bone
Dental implants are similar to natural teeth in that they have a root. The roots of dental implants are titanium, a metal biocompatible with the human body. But because the titanium posts screw into your jawbone, you need to have enough remaining bone available to accommodate them. If you have enough bone, your dental implant should heal within a short time.

Sometimes, if a tooth is in poor condition due to damage or decay, the bone surrounding the tooth begins to deteriorate. This spells the end for the tooth, but this also means that you do not have enough bone for a dental implant. In this case, you will need a bone graft before a prosthodontist can place the implant.

A bone graft will add several months onto your healing time, but once complete, your jawbone will be strong enough to accommodate an implant.  

Do you need to repair or replace your broken tooth? Then you need an experienced and reliable dentist who specializes in crowns and dental implants. Call Gregory S. Rutherford, DDS, PA, and we will help you decide whether a crown or dental implant is the best option for your broken tooth.

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If your dentures aren't fitting like they used to, it may be time to consider denture relining. Denture relining is a process that your dentist can use to provide a new, more comfortable fit for your existing dentures without replacing them. Here is an overview of denture relining so that you know what to expect from the procedure and can have an informed conversation with your dentist. Relining Procedure Denture relining is usually a simple procedure that can be completed in less than an hour. When you visit your dentist, he or she will first examine your mouth to assess the level of irritation that is present. If significant sores or swelling is present from the poorly fitting dentures, the dentist may recommend a temporary reline while your mouth heals and allow you to return later for the permanent reline. To perform a permanent reline, your dentist will first clean your dentures and sand away a small amount of material on the denture plate. After removing material in areas that are causing uncomfortable contact with your mouth, the dentist will then apply the soft or hard relining resin to the dentures. You will place the dentures back in your mouth and bite down gently to make an impression in the resin. Once the resin hardens, the reline is complete. Soft Relining Soft relining resin is one of two optional materials for use in denture relining. This resin is made of silicone and creates a softer, more comfortable base for the denture. Soft relining is the best choice for people with thin or especially sensitive gums, as there is less chance that irritation will develop in the future. The downside of soft relining is that because the material is softer, it is also less durable than the original denture or hard relining resin. This means that you will require more frequent visits for relining than if you choose to use hard resin. Soft relines are a better choice for older patients who usually have thinner gums and more advanced recession of the gums and other tissues in the mouth. Hard Relining Hard relining is the standard for denture relining, as it is both long-lasting and comfortable for all but the most sensitive gums. Hard relining resin is made from acrylic that is similar in composition to the original acrylic of your dentures. With hard denture relines, you shouldn't expect to need your dentures relined more often than every one to two years. The only potential drawback of hard denture relines is that they cannot always be completed on the day of your visit. While your dentist may be able to apply the reline, take an impression of your mouth, and harden the relining putty in one sitting, he or she may choose to send the impression to a dental laboratory for development. This will leave you without your dentures for a few days but is sometimes necessary to ensure the hard resin fits perfectly. Relining Benefits Denture relining resolves a number of issues that you may think would require replacement of your dentures. Sores, irritation, and general discomfort are the primary reasons that many patients consider relining. You may find that it is easier to chew with your relined dentures, and relining can also resolve slurs, lisps, and other speech difficulties caused by improper denture fit. Relining is also less expensive than an entirely new set of dentures. Even if you maintain a perfect oral health routine, the shape of your mouth will change over time. Denture relining is the best way to update an old set of dentures so that they fit comfortably throughout your life. If your dentures don't fit like they used to, Gregory S. Rutherford, DDS, PA can provide denture relining that will make them fit like new again!
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