I have had a problem with my dentist not being able to match the crown for my dental implant. She feels I am asking for the impossible because my tooth shade is between two shades so there isn’t a perfect match. She also said if I continue to ask her to redo the crown, I risk losing the crown. Am I being difficult? I thought it was just basic to match a tooth.
You are not being difficult. When your dentist is fashioning a dental crown, it is the most natural thing to expect it to match the adjacent teeth. Your dentist is struggling and is taking her frustrations out on you by trying to make you feel like you are the problem so she won’t get the blame.
The shades your dentist referred to are in the picture above. For back teeth, you can just use the shade guide and everything will blend in well enough. My guess is your dental implant is on a front tooth. These crowns take more advanced skills in cosmetic work than your dentist likely has. With front teeth, you have to do what is known as a color map and blend in different shades to get the right look. The color maps are provided to the lab’s ceramist to put together. Sort of like a prescription a doctor would write. Here is an example:
If A1 was the basic shade, this would show the ceramist where to add varying tints according to the instructions. Even with this, when you are talking about a front tooth, a great cosmetic dentist may end up doing two to three try-ins to get it exactly right.
A try-in is different from what your dentist has done. Based on what you’ve said, it sounds like your dentist has been bonding the crowns on before you approved the match and then having to remove the bonded crown when you wanted changes. There are ways to do a temporary try-in, but she nay not be aware of them. With a true cosmetic dentist, only when they landed on a beautiful match would the porcelain crown get permanently bonded.
Getting Your Implant Crown Done Right
I really don’t think this is going to be the best dentist for you to get this procedure done correctly. I would ask for a refund on the dental crown and have it done by someone who has the training and artistry necessary to make a single front tooth. My suggestion is for you to look on the mynewsmile.com website. They screen cosmetic dentists, who wish to be listed, for the right qualifications necessary to create stunning smiles, whether for one tooth or all of them.
This blog is brought to you by Huntsville, AL Cosmetic Dentist Dr. Steve Murphree.