Dentist says DO NOT CROWN YOUR TEETH! – Proves it with a Clinical example!

Dentist says DO NOT CROWN YOUR TEETH! – Proves it with a Clinical example!


– What’s up guys? This is Dr. O from Innovative Dental, and pleasure to have you here today. Man, I hope you’re smiling,
keep smiling right? Anybody like that cheesy
line I give at the end? No, stupid? Okay, well, I’ll have to rethink it because I liked it. Dang it. Hope you’re tuned in and
gonna listen a little bit, learn about dentistry, because I’m super passionate about it. Hopefully you get that from the video. We’re gonna talk about, why you shouldn’t crown your front teeth, and I’m gonna give you a clinical example. My first video I created
was Do Not Crown Your Teeth. And I explained why front
teeth hardly ever need crowns. There’s a lot of questions from that. Even some dentists have some questions of why that’s my thought, and questioning my reasoning
behind creating the video. And I wanna help bring
some clarity to that so, I’m gonna use a clinical example, and then after that I’m gonna give you maybe three or four reasons why a crown may be necessary
on your front teeth, so you can maybe go okay, those are really the three or four that I might need a crown. First, let’s look at
this clinical example. I want to use this one because it’s pretty impressive, right? You look at this, and
you look at that photo and you go, man, that looks
like extractions, right? Can we even save those teeth? Probably gonna need some root canals, definitely gonna need some crowns, maybe even extractions
if they’re even saveable. And if you look what we did here, we went ahead and, first
let’s remove all the decay. So in this photo you’ll
see decay is removed. We wanna just see what
the tooth structure’s left after decay is gone. And you’ll notice, we didn’t
get into any of the nerves. So, all of the nerves
were healthy and vital. No root canals were needed here. So, pretty cool, right? Saved the guy let’s say, four root canals, 4,000 dollars roughly in our area. Next you’ll see that we restored
the teeth with composite. So we reshaped the tooth structures so that a way of veneer could be created and bonded to the tooth. And so you’ll see, we reshape it. By the way, the blue dye that you see is purely to show any amount of decay that’s left on the tooth. And we use that to make
certain we get everything. We don’t wanna leave any decay behind. One of the cheesy sayings I love is, no bugs left behind. That’s kinda dumb, no
bugs left, ah, you get it? Bacteria, bugs? No bugs left, it’s stupid, alright. Well anyways, so, we definitely didn’t
wanna leave any decay. Then we build it back up, and then we image with
our machine and create, and you can see some of the
machines behind me here. Those are CEREC machines, those allow us to image in our office and create veneers right in
our practice, single visit. So this smile was completed
in under four hours, without any root canals, all veneers. And matter of fact, if you
would have crowned these teeth, there’s no way you could have saved them. And the reason you
couldn’t have saved them is because you would have cut
all the enamel off the back, and you would have had hardly
any tooth structure left after crowning these teeth. Many dentists would maybe want to take and do root canals electively, and put pins inside the tooth. We chose not to do that
because I feel like teeth are healthier when they don’t have these pins inside of them. I feel like they’re
stronger, gonna last longer. By the way, this treatment, I know there might be some that go, well how long does that last? Did you do that last week? This guy has been, I fixed
this smile five years ago. So this is a smile five years
ago, still smiling today. Comes in, awesome guy. Here’s the before of his smile
and kind of how he looked, and his confidence, and
then look at him now. And yeah, that chubby
guy next to him is me. But that was five years ago,
after we fixed his smile. Pretty fun to share that story. Hopefully that clinical
example helps you go ah-ha, I understand what you mean when you say, teeth don’t really need
crowns, in the front at least. There’s a lot of benefit to a veneer, we save all that enamel. And if you want more on that, definitely go to the video link here, I’ll pry put it right here. Link to that, and watch the video of how I explain why crowns are probably not necessary for you on your front teeth. Now let’s get to the four reasons why you may wanna crown your front teeth. So these are the exceptions to that rule. The first one would be, an existing crown. I started realizing that
man, hardly any teeth, I don’t crown hardly anything unless it’s an existing crown I’m repairing. So, you know, existing crowns,
you have to crown them. The damage has already been done. The amount of tooth structure
has already been removed, or the decay is already so much that the crown was
necessary to begin with. And so a crown is necessary to replace it. Can’t go backwards, right? You can’t go to a crown, and
then go back to a veneer. So, once it’s crowned it
needs to be crowned again. The other one would be a root canal, if you had a root canal, and
it’s quite a bit of decay, and it needs a crown or
something to cover up the decay, I might wrap around and cover the access. On the backside of the tooth, there might be a little hole where the root canal was performed. I would cover that with the crown. I would not grind all the way
down to the gum line though, like a traditional crown which is really just more
tooth removal than necessary. So, that’s how I would
treat a root canal tooth. The other one would be severe decay, but man, it’s hard to have decay that actually goes around
the backside of the tooth. It just doesn’t happen very often. Every once in a while you’ll see it if somebody has like an enamel defect or a groove in the backside of the tooth, and it’s
pretty significant decay. At that point, definitely, a
crown would be a good option for that patient in that scenario. The other one I had somebody ask me is, I had some questions like
a chipped tooth, right? What do you do with a chipped tooth? I can’t see any reason why a chipped tooth should ever need a crown. It’s a really common mistake maybe I would say in diagnosing. Chipped teeth, veneers,
or just resin fillings. If the fillings keep failing, which in this gentleman’s story, that’s what was happening with him. I recommended, I said hey, you oughta encourage the dentist to maybe be able to do a veneer
for you rather than a crown if you just keep having a
filling that’s chipping. That way you save more
of your tooth structure. The other example would be, severe wear. Now, if you have severe
wear on your teeth, have kept wearing each
other down, like this, then what’s happening is over time, you’re filing down the
backside of your top teeth. If you go and crown those teeth,
you’re gonna have to remove the amount of porcelain thickness from the backside of your top teeth. So, crowning initially, would be a mistake and not a good recommendation
for tooth wear. So you don’t wanna crown initially, what you wanna do is you wanna
use some sort of technique, whether it’s Invisalign or
braces to create separation. So create space. So we wanna take what’s no space, and what’s ground away in your tooth, create some space, now we can rebuild the tooth structure there. And I can make a video
that maybe helps better clarify that but, don’t go in with tons of tooth wear and expect to get crowns unless
they’re gonna open the bite and change the vertical dimension. Otherwise you’re getting too much grinding into a tooth that’s already worn. What that is likely to
do is actually lead to a root canal or tooth pain from the fact that you just
drilled so far into the tooth that was already worn
away by your lower teeth. So, tooth wear, definitely
gonna need a crown maybe down the road, but create
the separation first with maybe like Invisalign or braces, then choose to crown the tooth. Alright, so, hopefully that helps with a clinical example of why you should not
crown your front teeth, and showing you that hey look, we can take a smile that
almost looks like dentures, and we can restore it with technology that is readily available, and techniques that don’t
require so much removal of the tooth structure. And then I gave you the four reasons why you wanna maybe consider
a crown if it’s necessary. One being that you have a existing crown, the other one being that
there might be a root canal, the third being that there’s severe decay the covers the backside of the surface, and then the fourth one
would be severe wear after you get some sort of alignment or separation created from
braces, maybe Invisalign, before you would then
have those teeth crowned so they’re fixed and not
have to be ground into, like they would if you didn’t
get that separation done. So, I hope that helps
make sense of a video that seems to get a lot of attention. And hopefully it’s helping
people understand stuff. Obviously the whole point of the channel is to take, what I fell has been not a lot of innovation in the way that we’ve
done things in dentistry. And helping to think through
why we do what we do, and provide the latest for our patients. And so, one of those would be rethinking and retooling our brain to go, we should be conservative, and let’s save as much
tooth structure as possible. And let’s make things last
longer for our patients. Rather than being so
aggressive with the hand piece. So, hopefully you’ll like
this video, it makes sense, and you know what, if
you stuck around till now and you found this useful, definitely I’ll give you a second, hit the subscribe button. Like it, share it with your friends. And it would be helpful to them. Obviously, I would love, and
our team would absolutely love to see you at Innovative Dental, if you would love to make the
trip or have thought about it, don’t hesitate to check out our
Smiles Within Reach Program. You can give us a call at 889-4746. Also, you can head over
to idspringfield.com, and you can learn more there. I look forward to seeing
you guys in the next video. And you know what, you
have an awesome day. And keep smiling.

Author: Kevin Mason

100 thoughts on “Dentist says DO NOT CROWN YOUR TEETH! – Proves it with a Clinical example!

  1. I have crown on my front teeth and I'm struggling with bad smell coming from under neath the the crown and I'm embrassed to talk or communicate with people and it's stressing me out. Please doctor what do I do advise me please. Thank you 😭

  2. what about crowns on your back teeth my top part of my molar is almost all fillingwith a crack on the right side down to to the gum with healthy nerves many dentists want to do a root canal my dentist wants to do a crown I am 20 what do you think

  3. This is definitely making me rethink things. My dentist wants to do crowns on my four front teeth and the two canines. The reason for the front is because I’ve had the fillings redone a number of times and he says there is not much tooth to work with and the existing fillings are leaking. There is absolutely no reason to crown the canine teeth. The dentist prior to him suggested a bridge on the front. I’ve been in and out of dentist chairs since the age of 17 when I saved money and took myself to the dentist. I’d like to keep as many of my teeth as possible. I’m concerned.

  4. i have 2 questions.
    1: What s the most easiest way to take out a tooth?
    2: well my tooth is wobbly, and it hurts so I don't want it off yet. My mom says that that it's turning black, and then she says that when it's all black, it falls off. Also another tooth is growing(so I need braces 🙁 ) and idk if it will call after time.

  5. I am so sad after watching this. I chipped a tooth at 12 and kept getting it filled and filled until one point where I needed a root canal and crown at 17. Now I have a crown on #7 that will soon need to be replaced. I wish I would have know this before hand

  6. This video can be misleading. What is shown in this video is crowning some/many of teeth and instead of just veenering. Full coverage or 3/4 coverages are considered crowns once they are to restore more significant amount of missing tooth. Facial veener procedure code set by the American Dental Association is meant to replace a thin layer of mostly in the enamel. Most of the teeth in your video have decay deep in the dentin layer. ADA procedure code guidelines are set by American Dental Association Dental for a reason. Crowns are typically covered by insurance companies unlike Veeners. Most veeners are not covered or have much higher patient's out-of-pocket costs. Some/many teeth in your video should be defined as 3/4 crowns instead of veeners. American Dental Association created these code guidelines so DENTISTS will define and bill the normal standard of care hence the patients are protected. Without these guidelines, dentists can call and bill what they selectively define. Billing veeners instead of 3/4 crowns will most likely give a patient much less dental insurance coverage hence benefiting the treating doctor when services are not covered. Videos like this is suggesting your dental colleagues are doing something out of standard of care and dishonest which is not fair. Please don't play with the dental terminology and misguide and scare the general public. A better video is to give your audience the ADA definitions of crowns and veeners and the indications of each. If you did so, many of your audiences will see that what you defined as porcelain veeners are actually 3/4 porcelain crowns which is mis-coding. I would love to see the State dental board and insurance companies review this video decide which tooth received 3/4 crowns and which ones are veenered. Also a final note, while I hate to see teeth get root canals, what percent of these large/deep restorations don't ended up with a dental root pathology/infection at a later time which patients may ended up needing root canals or even worst root canal surgeries. Now they have delayed it for years and hence may have higher root canal failure rate because the infection has gotten larger or worst. Claiming "DO NOT CROWN YOUR TEETH!" and not defining the ADA code differences between 3/4 crowns and veeners in this video is very irresponsible and misleading from a dental health care provider.

  7. What do you recommend for front cracked tooth? I was told it's only a hairline but I cant guarantee it will last. What is the best treatment option for this?

  8. Da Almeidas
    Hope this wasn’t already asked. So many comments. What are your thoughts about a broken front tooth? Roughly bottom half is missing. Happened approximately 7 years ago. Tooth started to discolor and had to be bleached from inside. And I think the root is dying.

  9. The tip/pointy part of my crowned tooth broke off(my actual tooth). The dentist i went to said she couldn’t build on it.. she was able to put the crown back on, but said I’d eventually need an implant. I don’t want an implant if it’s not absolutely necessary. Do you think it’s possible to build on my tooth? It looks similar to a tooth on this video(but healthy). Thanks!!

  10. My dental insurance is not as strong as my health insurance. Got quoted $2000 for a root canal. During my yearly trip to south India (visiting folks and relatives), I got a root canal done for 3000 Rupees (under $50)!

  11. I got a filling like 3-4 days ago and my tooth is very sore still, I can’t eat anything on the left side of my mouth, also when I clench my teeth it’s so sore

  12. Hello,Dr.Dentist .I'm Trisha and I'm 15 years old I have a dental question and I know that my teeth is already permanent because I'm already teen and I accidentally broke my front teeth while I'm eating and There's only one quarter left in it is there possibility to pasta it or fixing it without pulling it?…my english is so bad but i did my best I-m a filipino but I live here in Canada and I have a dentist appointment on wednesday and they gonna put pasta in it but I'm so nervous for my teeth because it broke and only quarter left..

  13. Great video, only misleading part is that just as you built up the prep for a veneer, it could also be built up for a crown and still prevent root canal therapy. So you justification for using veneers as apposed to crowns in this instance is a bit misleading

  14. Dr. O, my implant specialist wants to do a splinting crown for 18 and 19 implants. Will it last? How would I floss?

  15. My dentist is the worse. For many years I’ve been looking for dentist to fix my teeth due to gaps and the cracked parts of my teeth. She did bonding and she still left the gap open and they look like their pointing in different directions. Basically she made it worse. Unfortunately I can’t afford veneers. I wish someone would help me

  16. This Jon Doe has probably the worst teeth ever, but no root canal! Then there’s me, gotta get two root canals & suffering. Life’s a trip

  17. I have so many questions for my dentist now.. It was recommended that I get two crowns for the front top teeth after an accident. Maybe veneers would be better.

  18. My dentist messed my teeth up more :/ I’m 14 and I now have to get a root canal due to the damage.. but I don’t trust anymore dentist

  19. Many thanks, I been tryin to find out about "how to treat tooth cavity" for a while now, and I think this has helped. Ever heard of – Nelevi Gapify Elimination – (do a search on google ) ? Ive heard some extraordinary things about it and my m8 got cool results with it.

  20. Hey doc i have a cavity in one of my premolars it once had a cavity before when i was little i got a silver filling in that tooth currently has half silver filling like i said before it has a cavity now once again it is a in between cavity i had the other molar filled with composite filling according to the dentist i now need a cap on the one with the silver filling she said once removed most of that tooth would be gone and now will need w cap, do u think its possible to save it with just composite?

  21. Can I replace my jacket crown into veneers? I hate the dentist here who never mentioned ‘bout the veneers and she only recommended the crowns so I had no choice coz i truly trusted her

  22. I have a missing front tooth (the front tooth that is next to the 2 front teeth. The other one is severe decayed and im trying to save it. It costs $3500 to replace one tooth. I am devastated. I have become a recluse. I dont smile…it used to light a room up. Words cannot express how deeply this has killed me inside. The only affordable thing is a grill for the top front so it covers the missing tooth and stainingongoing decay. You thoughts on this?

  23. Now idk if I should get a root canal or not, I do have an infection that I've had since I was probably in 5th or 6th grade (going to 12 th) it's just been the same,I got some medication to help decrease it but I honestly don't know anymore hopefully you can reply.

  24. its all very well but why is dentistry so expensive and ridiculously so. In britain if you present to hospital emergency with an open wound in your arm or leg or whatever then you will be treated, but if you have an open wound in your mouth like a cracked tooth and exposed nerve no one seems to give shit and good luck with the dreadful nhs dentists if youre lucky enough to find one. i dont mind you guys earning a decent living but 3 quarters of your potential customer base cant even afford your services. If you charged less then more people would get the help they require and more dentists would be employed. Price it more reasonably and we will all start smiling

  25. My dentist suggested crown for my chipped teeth🙁
    I regret that dentist
    When these ppl study only about teeth still they make blunders🤦🏽‍♀️🤦🏽‍♀️🤦🏽‍♀️

  26. Hey doc some of my teeth fells weird not really a pain but it fells weird kinda uncomfortable but most of the time I barely notice it
    Please help I really don’t want cavities 😬😬

  27. So, my bottom front teeth are very crooked, because there isn't enough room. One of my teeth is pushed so far back, it seems like it may fall out soon. Would the rest of my teeth fill in the gap, or maybe even straighten up? Seems unlikely, but I have hope 😅

  28. I'll tell you why not to ever get a crown or bridge on your teeth! It's Plan and simple, your teeth will rot!!! Not right away but In 10 year or so your teeth will rot under the crown or bridge and also Veneer will rot and fall off to and there will be rot where it stuck on the tooth. The dentist get people trapped in paying crazy high prices when you get a bridge or crown if you get talked into a crown bridge cap ect. After years of paying stupid high prices wow there are some facts about dentistry that are incredibly, no dentist would ever want you to know they might not even know them selfs but the people should be aware of the truth and let them decide what they should and shouldn't do.

  29. The more I went to dentists as an adult the more teeth I lost I wish I could go here because the dentist that I went to recently told me I need 12crowns and 12root canals and other option is full dentures but I'm only 27

  30. So, I listened and didnt get a crown and now the teeth that needed a crown is dead,unsavable and needs to be removed according to every dentist Ive been to. 🙁 what now? Theyre saying I need to remove it and get an implant. I dont want an implant, I dont want a to remove any of my teeth??

  31. I am more impressed with before and after pictures that show a single front crown or veneer that matches the existing natural teeth. You never see that. The after photo always shows all the front teeth now have crowns or veneers. It’s easy to make them match when they’re all veneers. Might as well show an after picture where the guy has dentures (whoop dee do they all match).

  32. From pakistan my doctor suggest me 4 crowns in molars i m affraid i have cavity no pain what i do i think u r intelligent doctor

  33. Im in the dentist rn tryn figure out why they think its a good idea to crown my teeth, I never had any health problems wit my teeth, they only been chipped which is already fixed

  34. Hey There my two front teeth on the bottom off them you can see through them and they are very weak. What would be your advice to improve and help reduce some of the risk.

  35. My11 year old chipped his front tooth 🙁 & starts middle school in 2 weeks. He has a Dr. 'S appt next week and they said they can "cap" his tooth. Is that the same as a crown? What do you recommend? We want him to have something permanent or as close as possible to when he eats it doesnt fall out or look un-natural . Thank you for being informative

  36. Cancer dicked up my teeth, my wife's medications dicked up her teeth and a couple Mtn Dews a day helped screw up both of ours even more. Id love to get both of our smiles back but we just lost our home and the money isn't there to get our teeth fixed. But hey, IF i ever hit the jackpot, ima fly us out there to have this fella fix us up.

  37. What is your opinion on bonding dental abfraction on multiple upper side teeth?
    Does it protect the teeth or just seal the biofilm that still exists on the teeth?

  38. Would you ever do someone's teeth for free? I know that's a stupid question but I have Medicaid and no dentist I trust and I really need help here in northern Kentucky. Like I said I have Medicaid

  39. i could easily afford a whole mouth reconstruction but im scared! i went to a dentist when i was like 8 and the hammered a peice of wood in my gum to numb it, and the wood fell out of my gum and there was blood everywhere so since then ive never went to a dentist, im 23 now and my mouth is a wreck and i have no confidence, i really want to do what i need to but i cant get over my fear of something going wrong, how can i get over this if anyone at all has an answer, im desperate cuz i cant seem to face my only fear.. . . . … .. . .. .

  40. Dr I am from South Africa, i have problems with my teeths. I thought it because i was young and did not know how to take care the teeth but when get older the problem keep on occurring. my teeths are very weak and since I like laughing hence can'nt hide it. I have a problem when meeting new people because they react differently toward my front teeths. My wish is to repair or replace my four front teeths.

  41. I have two tiny teeth and I really hope braces fix this issue. (it’s the main reason I got braces) otherwise I want to get veneers or a crown.

  42. Hello doctor 😍Thanks a lot …great information…i want to talk with u…how can i…i crowned my 4 teeth …3 years back…now i got Infection in that….,😫😪😥

  43. My dentist crowned may front upper tooth even my down teeth are pushing it. Without canal. thats why I’m suffering now. Pls give me advice what I’m going to do. Im planing to visit the dentist soon. but i have a doubt because not all dentist are smart like you..

  44. I had an implant a couple weeks ago and they put an implant that doesn’t match. How can I darken an acrylic temporary tooth? Until the implant is ready for a crown

  45. May i ask what type of luting material did you use to fix those veneers on no enamel left upper laterals and canines. It is impressive that they are still sticking after 5 years?

  46. I wish I can afford dentists like this. I'm losing my confidence in front of people because of my teeth. 😢

  47. You dentist are a RIP off you charge so much money for people to fix their mouths when the average dentist visit last only about 30 to 40 minutes you would think your building the fucking pyramids you guys charge so much stupid!

  48. Hello Dr. O. I truly appreciate your video. Very informative. I'd like to ask what shall I do with my teeth that were crowned last 2016 actually four of it (upper front teeth). One of it now is causing pain. What to do???

  49. OK so I am 17 and I have had sensitivity on the left side of my mouth to cold things and started to drink only on the right side of my mouth. I've been doing that since I was about 13 or 14 and now my very front tooth on the right side is thinner and the bottom is sort of sharp I don't necessarily know how to explain it. There is also a bit of decay on the very top near the gum. I was wondering if from my description evn though it it's pretty bad what would u think a dentist would have to do to repair this damage??

  50. Whatever camera you're using, set it to either manual focus or single focus. The continuous hunting for focus is very annoying.

  51. I’m 23 dealing with horrible teeth because my dentist crowned all my teeth at a young age and I haven’t been again since I was 15 due to family issues growing up mainly but now I’m terrified of what my consultation would look like honestly I wish I could find someone as knowledgeable as you in my area.

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