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Crown questions rule dental hotline

The number one question consumers asked dentists during the Academy of General Dentistry's SmileLine, conducted on July 9th and 10th, 1998, focused on crowns, a restoration that covers a tooth to restore it to its normal shape and size.

"We're seeing a trend in restorative and esthetic dentistry," says Barbara Rich, DDS, FAGD, coordinator of this year's toll-free dental hotline. "Preventative dental procedures have helped people keep their teeth longer and now these teeth may need some repairs."

Crowns may be placed for a number of restorative reasons: protect weak teeth from breakage; restore cracked teeth; stabilize a tooth that is unable to hold a large filling; support a bridge and cover a badly shaped or discolored tooth.

Typically, two dental visits are needed for a crown placement. The first visit consists of preparing the tooth for the crown by removing the outer portion of the tooth, taking an impression for the new crown and placement of the temporary crown. The dentist uses the second visit to place the permanent crown on the tooth and make additional adjustments.

There is now another option for a crown treatment that lessens the time required to compete the treatment and may ease financial cost, according to a study in the Sept./Oct. issue of General Dentistry, the clinical journal of the Academy of General Dentistry. A single-appointment prefabricated post and composite crown offers an excellent temporary in certain situations, is a conservative approach and minimizes reduction of tooth structure. For some patients, it may be an alternative to an extraction and the elaborate process of crown lengthening, buildup and cast crown.

"Learning about new techniques and time-saving procedures help patients continue to be well-educated about the importance of keeping their natural teeth," says Dr. Rich. "Every year during the SmileLine, our dentists continue to field more consumer calls about restorative and esthetic questions."

Top 10 consumer questions

  1. Crowns
  2. Bleaching
  3. Periodontal
  4. Endodontics
  5. Dentures
  6. Implants
  7. Pediatric dentistry
  8. Bonding
  9. Sensitive teeth
  10. Oral Surgery & Orthodontics (tie)
Source: Academy of General Dentistry's 1998 SmileLine results