What kinds of crowns may be used for an upper premolar (fifth tooth) after root canal treatment?

Doctor's Answers 1

These are the materials that may be used for an upper premolar crown:

  1. Lithium disilicate

    A type of aesthetic and translucent porcelain that can be made with layers to mimic the appearance of a natural tooth. This material requires the greatest amount of thickness to withstand cracking and to give the best appearance.

    This material can also be used for partial crowns (onlays).

  2. Zirconia

    Another type of very dense and hard porcelain that can be used in thinner section without compromising strength. This material is also used for the blades of ceramic knives.

    Comes in a variety of opacities that also vary in strength. Generally, the lower the opacity, the weaker the zirconia.

    Zirconia can be layered with lithium disilicate or other types of weaker porcelain for a more lifelike appearance of the crown.

  3. Porcelain (lithium disilicate or feldspathic) fused to metal

    A metal base layer can be covered with porcelain for a more aesthetic finish. The metal used can be white gold alloy or a nickel chromium alloy. These crowns tend to look more opaque than pure porcelain crowns due to the opaque nature of the metal base.

  4. Full metal crowns

    These are the strongest of all crowns since metals do not chip or break easily. Gold alloy is the best performing and longest lasting metal available. These are not popular choices due to the upper premolars generally being visible when smiling.

Similar Questions

How long does root canal treatment at a dental clinic usually last? (photo)

It depends on what you mean by "last". If you mean how likely it is that the root canal treatment will have a successful long term outcome, then there are studies showing that root canal treatment in teeth with areas of bone loss around the root tips are about 70-80% successful over the long term. This is because teeth with this sort of radiographic appearance tend to have a much higher load of bacteria in the root canal spaces.

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Answered By

Dr Jaclyn Toh

Dentist

What is the difference between pulpectomy and root canal treatment, and can a pulpectomy be performed without root canal treatment?

A pulpectomy is the complete removal of all pulp tissue from the root canals. This is the first stage of root canal treatment. Root canal treatment normally has 3 stages. These can be performed in the same visit or over multiple visits. 1) Pulpectomy: usually done as part of emergency pain relief. A tooth may be too inflamed to numb completely and a medicated dressing is placed in the canals, if the next stage is not to be done in the same appointment. 2) Cleaning and shaping with files and irrigants to disinfect the root canal system. 3) Obturation: the root canal and cavity are filled.

Photo of Dr Jaclyn Toh

Answered By

Dr Jaclyn Toh

Dentist

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