QUESTION: My dentist told me that due to my heavy clenching I could only have gold crowns on my molars. Are there any alternatives?
David Wilhite says:
BruxZir crowns are a brand of crowns made from zirconium. These are excellent crowns for people who clench and grind their teeth.
Prior to these crowns, the best material that we had for a patient who clenches and grinds their teeth was gold. Many patients did not like any metal showing in their mouths and wanted a strong and esthetic alternative.
Until 5 years ago, the only alternative was a porcelain fused to metal crown (PFM). The problem with these crowns is that the porcelain could chip off the underlying metal and the metal would be exposed.
When zirconium crowns first came out, they were very strong but very light colored and did not meet patient expectations. As improvements were made, as more different shades became available, the aesthetics greatly improved to the point where they match the natural teeth very well.
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