Before & After Photos
Miami Dental Crowns Dentist
The role of dental crowns in restorative dentistry is to reestablish the function, look and feel of damaged teeth or to replace missing teeth. At Miami Sedation and Cosmetic Dentistry, Dr. Ramon Bana uses the most innovative dental treatments and procedures available to eliminate the pain, visible irregularities and loss of function resulting from tooth damage and missing teeth.
Do Miami Dental Crowns Look Natural?
Yes. Using the most innovative dental technology, Chairside Economical Restoration of Esthetic Ceramics (CEREC®), the team at Dr. Bana’s onsite lab create custom-designed porcelain crowns that match the shape, size and color of the patient’s surrounding teeth. In addition, Dr. Ramon Bana’s experienced lab specialists ensure that the patient’s crown fits over the remaining portion of a natural tooth, the remaining part of the tooth with an added post or the dental implant perfectly.
Patients Are Benefiting From State-of-the-art Treatment at Miami Sedation and Cosmetic Dentistry
Since Dr. Bana dedicates himself to providing each patient with the highest quality dental care and service possible, he and his team use CAD/CAM technology. With this revolutionary technology, digital imaging and an onsite milling machine allow Dr. Ramon Bana to create custom-designed dental appliances for his patients, including porcelain crowns.
By having this onsite lab, Dr. Bana’s patients do not need to wear a temporary crown as they wait a couple of weeks for their permanent crown to arrive from an off-site lab. Instead, with CEREC same-day dentistry, most of Dr. Ramon Bana’s patients receive permanent dental crowns during a single appointment.
When Does Dr. Bana Use Dental Crowns in Miami?
Reasons for the use of a crown over a natural tooth vary from severe decay to an excessive amount of damage. Dr. Ramon Bana may also use a crown to address tooth discoloration that a whitening treatment cannot improve. In addition, a dental crown can strengthen and protect a weak natural tooth.
Dr. Bana may perform a root canal and then place a crown on the remaining natural tooth.
When a tooth is already missing, Dr. Ramon Bana can replace the missing root with an implant and the visible portion of the tooth with a dental crown.
Dr. Bana prefers to use dental crowns that consist of porcelain. However, if a patient already has zirconia restorations in his or her mouth, he can provide the patient with a dental crown made using zirconia instead.
Why Does Miami Cosmetic Dentist Dr. Ramon Bana Prefer Porcelain Dental Crowns?
Dr. Bana prefers tooth-colored porcelain crowns because they closely resemble natural teeth. Furthermore, porcelain is highly durable, which means that his patients’ results will last for years.
Some benefits of porcelain crowns in Miami:
- They are easier to place than crowns that consist of other materials because porcelain crowns require less tooth preparation.
- Unlike crowns created using other materials, porcelain crowns are more comfortable for patients because they are resistant to temperature variations.
- Their size, shape and color can closely match the patient’s surrounding teeth.
Who Is a Suitable Candidate for Dental Crowns?
As time passes, poor oral hygiene, certain diseases, colorful foods and drinks, as well as tobacco negatively affect the teeth. These things can lead to permanent tooth discoloration, gum disease, chronic tooth decay and, eventually, tooth loss. Once the underlying dental problem is addressed (e.g., gum disease, tooth decay), the patient may be suitable for a porcelain crown in Miami.
A patient might be a good candidate for a dental crown if:
- There is an insufficient amount of natural tooth left.
- The patient has a large or fractured filling, especially if an inadequate amount of natural tooth remains.
- The tooth itself has a fracture.
- The patient is missing a tooth.
- Dr. Bana needs to perform a root canal.
- The patient’s tooth enamel is thinning, or there are wide interdental spaces that Dr. Ramon Bana has to cover.
- A tooth is crooked, chipped, broken or poorly shaped.
An Initial Consultation at Miami Sedation and Cosmetic Dentistry
During the initial consultation, Dr. Bana examines the patient’s mouth to determine which dental treatments will meet his or her needs. For Dr. Ramon Bana to make this determination, it is essential that the patient candidly discuss the dental problems he or she is experiencing. In addition, Dr. Bana wants to know what aesthetic improvements he or she wishes to accomplish.
As part of the patient’s examination, he may also perform a Carestream Dental CBCT Scan®. This revolutionary device helps determine which treatments or procedures, including dental crowns, can solve the patient’s functional and aesthetic issues.
Once the examination is complete, Dr. Bana recommends the treatments and procedures he believes will solve the patient’s dental issues, as well as accomplish his or her aesthetic goals.
Dr. Bana Creates Personalized Treatment Plans in Miami
Once he makes his recommendations and the patient decides which treatment or procedure to have, Dr. Ramon Bana creates the patient’s personalized treatment plan. Depending on the circumstances, this plan may include a porcelain dental crown.
At Miami Sedation and Cosmetic Dentistry, Patients Receive CEREC Same-day Dental Crowns
Since most patients receive permanent dental crowns during a single appointment, people frequently refer to CEREC crowns as Same-day Crowns. Using computer-aided design/computer-aided manufacturing (CAD/CAM), Dr. Ramon Bana and his team can create highly accurate and complex restorations quicker than ever before. At Dr. Bana’s office in Miami, his team creates custom-designed porcelain dental crowns using CAD/CAM technology.
Does It Hurt When Miami Cosmetic Dentist Dr. Ramon Bana Places Porcelain Crowns?
No. The patient receives local anesthesia to ensure he or she remains comfortable during the tooth preparation and crown placement procedure.
What Happens When a Patient Receives a Dental Crown?
The issues that Dr. Bana is addressing determine a patient’s procedure steps. For example, a patient with an infected tooth may need antibiotics, followed by an extraction and implant prior to dental crown placement.
What Determines if a Tooth Is Healthy Enough To Restore?
A tooth that is firmly in its socket with at least 2 mm of healthy hard tissue above the gums is usually strong enough for restoration with a dental crown.
The Dental Crown Placement Procedure in Miami
If the tooth root is intact and the patient only needs to protect a weak natural tooth, he or she may be able to have a dental crown placed during one appointment.
Procedure steps for placing dental crowns:
1. Patients Receive Local Anesthesia
Before beginning the tooth preparation process, patients receive a local anesthetic to numb the area.
2. Preparing the Tooth
Dr. Ramon Bana prepares the site by removing plaque, decay or the structurally unsound parts of the tooth.
3. Dr. Bana Creates a Digital Impression
Using an optical scanner, Dr. Bana digitally captures images of the previously prepared site and its surrounding teeth, creating a 3D digital impression of the patient’s mouth.
4. CAD Software Provides Restoration Designs
Using these 3D images, the CAD software designs the patient’s porcelain dental crown.
5. CAM Software Uses CAD’s Designs to Create Porcelain Dental Crowns
Using CAM software, the milling machine creates the patient’s custom-tailored dental crown.
6. Sintering and Polishing Dental Crowns
Before polishing the crown, the specialist stains or glazes it. The sintering process ensures that the crown looks natural.
7. Affixing the Crown
Using strong dental cement, Dr. Bana permanently affixes the crown on top of the remaining natural tooth.
With proper at-home care and regularly scheduled preventative treatment, this restoration can last up to 15 years.
This entire process can take from 45 minutes to a couple of hours. However, patients who require a root canal and those receiving a dental implant may need more than one appointment to place their dental crowns.
When Does a Tooth Require a Root Canal?
Although the outer surface of a tooth is hard and solid, the inner core is not. This softer inner core is the pulp. When the hard outer surface of a tooth (i.e., the enamel) and the layer of dentin, which is the softer enamel lying beneath, becomes compromised, the pulp is exposed, putting it at risk of developing an infection.
What Is the Pulp For?
The pulp keeps the dentin healthy by providing the nutrition it requires. Furthermore, the pulp contains connective tissue, specialized cells, and a network of blood vessels and nerves, which is why an infection that affects the pulp is so painful.
Dr. Bana can clear up this infection. However, if the enamel and dentin remain compromised, the patient will eventually develop another infection.
Since the tooth can survive without the pulp, while performing a root canal, the dentist removes the pulp and replaces it with gutta-percha. Gutta-percha is a thermoplastic filling material that dentists use to permanently fill pulp chambers and repair the natural teeth during root canal procedures. Patients who have root canals may also receive dental crowns.
The Root Canal Procedure
After using local anesthesia to numb the area around the treatment site, Dr. Ramon Bana begins the root canal procedure.
He drills a small opening in the affected tooth.
The location of this opening depends on which tooth he is treating:
- If the tooth receiving treatment is in the back of the patient’s mouth, Dr. Ramon Bana creates the opening on top of the tooth.
- When the tooth is in the front, he creates the opening in the back of the patient’s tooth.
Through this opening, Dr. Bana removes the pulp, disinfects and then shapes the canals.
Dr. Ramon Bana fills the pulp chamber with gutta-percha. He uses heat to compress the gutta-percha, which makes it conform to the shape of the patient’s tooth and pulp chamber.
He uses adhesive cement to seal the canal and then repairs the patient’s remaining natural tooth.
What if the Patient Has an Active Infection?
When a patient has an active infection in the pulp, Dr. Ramon Bana removes the infected pulp, cleans the canals and then coats them with medicine. This medicine remains in the canals and on the patient’s tooth until his or her next dental visit. At this point, he completes the patient’s root canal procedure and tooth repair. Some patients also receive dental crowns during this appointment.
When Does Dr. Bana Use a Post With a Root Canal?
When he has to remove more than 50% of the patient’s natural tooth, Dr. Ramon Bana places a post in the canal to retain the dental crown and core.
What Are Inlays and Onlays?
Inlays are also known as three-quarter crowns. A patient may receive a porcelain inlay to fill the part of the tooth that Dr. Bana removes in between the cusps. Inlays are similar to fillings, but these are custom-made restorations. He uses an inlay when a patient’s cavity is too large for a traditional filling.
An onlay is frequently referred to as a partial crown. This is not a filling, but a restoration created for placement on top of a weak or fractured tooth. An onlay differs from an inlay in that it covers at least one of a tooth’s cusps. Onlays that cover all of the cusps on a tooth and its entire surface are officially dental crowns.
A Dental Implant Procedure Using CAD/CAM Technology in Miami
Patients needing a tooth extraction and those already missing a tooth may choose to have a dental implant placed. As a cosmetic dentist in Miami, Dr. Ramon Bana performs dental implant surgery on a regular basis.
Using CAD/CAM technology, Dr. Bana creates a 3D image of the patient’s oral cavity and sinuses. With this imaging, he can determine whether the patient needs an additional procedure (e.g., bone grafting, a sinus lift) before he places the dental implant.
During the dental implant procedure, to ensure the patient remains comfortable, Dr. Ramon Bana provides the patient with anesthesia. Some patients receive their implant and crown on the same day. However, the process for implant and crown placement depends specifically on the patient’s oral health, as well as his or her need for additional treatments to prepare the mouth for implant surgery.
Before CEREC Technology, What Was the Process for Having Dental Crowns Placed?
Prior to CEREC, after their initial consultation, patients needed at least two appointments to have their dental crowns created and placed.
The first appointment for traditional dental crown creation involves preparing the tooth and then creating a physical impression using alginate:
- At the first appointment, the dentist prepares the tooth receiving the crown.
- A dental assistant creates a physical impression of the prepared site and the surrounding teeth.
- The patient’s impression was created using alginate, which is a thick, gooey material.
- The dental assistant places a tray filled with alginate into the patient’s mouth. He or she bites down on the tray until the alginate sets, which takes several minutes.
- The assistant removes the tray.
The dentist creates and places the temporary crown:
- The dentist uses the patient’s alginate impression to create a temporary crown.
- Using glue, the dentist secures the patient’s temporary crown atop the previously prepared tooth.
- The patient wears this crown until his or her permanent dental crown arrives from the off-site lab. The waiting time for off-site crown creation is usually a couple of weeks.
The off-site lab creates the patient’s dental crown and returns it to the dental office.
Placing the patient’s permanent dental crown:
- Once the custom crown arrives, the patient returns to have his or her temporary crown removed and the permanent dental crown placed. Since this crown is permanent, it requires the use of a very strong dental adhesive.
- With proper care, dental crowns can last for years.
Dentists can use other materials for creating impressions (e.g., silicone putty). Nonetheless, the patient still has to deal with having gooey material in his or her mouth and the dentist sends the impression to an off-site lab for crown creation.
Caring for Porcelain Dental Crowns
How people care for their dental crowns influences the appearance and longevity of these restorations. Therefore, it is crucial that patients follow the recommendations that Dr. Bana and his team provide.
Patients with porcelain dental crowns should:
1. Follow a Good Dental Hygiene Routine
This routine must include brushing with a soft-bristled toothbrush twice daily, once upon waking and once before heading to bed. Each brushing session should last two minutes.
To remove plaque that has accumulated below the gum line, be sure to angle the bristles of the brush toward the gum tissue.
2. Use Non-abrasive Toothpaste
Avoid using abrasive toothpaste. These kinds of toothpaste have ingredients like baking soda and hydrogen peroxide. Choose gel toothpaste that does not contain these harsh ingredients.
Using abrasive toothpaste leads to a loss of luster because the harsh ingredients in these kinds of toothpaste remove the glaze that covers porcelain dental crowns. This glaze is vital as it helps keep plaque and food debris from attaching to the porcelain dental crown. Therefore, its removal increases the likelihood of natural tooth decay and discoloration of the porcelain crown. Furthermore, the dental crown sustains scratches, which negatively affects its appearance.
3. Floss at Least Once a Day
Use interdental brushes or floss daily to carefully remove the debris and plaque that builds up around the dental crown, as well as between the teeth. Avoid snagging the floss or interdental brush on the edges of the crown.
4. Prevent Plaque Build-up
Removing plaque by brushing and flossing reduces the bacteria in the mouth. Therefore, it is vital that patients who have a natural tooth remaining beneath their dental crown maintain good oral health; otherwise, the tooth beneath the dental crown may begin to decay.
Furthermore, allowing the plaque to build up can lead to the development of gum disease, which could result in treatment failure.
5. Do Not Use Whitening Products
Whitening products cannot penetrate porcelain dental crowns. Therefore, patients with crowns who would like to whiten their teeth need to speak with Dr. Bana about the other options available for brightening their smile.
How Much Do Miami Dental Crowns Cost?
The cost of a dental crown in Miami varies. The only way for Dr. Ramon Bana to determine how much a potential patient’s treatment will cost is during an initial consultation.
Will Dental Insurance Cover Crowns?
Many times, dental insurance will pay a portion of the costs associated with dental crowns. Dr. Bana encourages his patients to contact their insurance companies to ask if their treatment is covered.
Why People Choose Miami Sedation and Cosmetic Dentistry To Place Their Dental Crowns
Dr. Ramon Bana and his team dedicate themselves to providing their patients with the compassionate, high-quality general, restorative and cosmetic dental care they deserve.
Using CEREC same-day dentistry, most of our patients can receive their dental crowns in a single visit. If you reside in the Miami area and would like to replace a missing tooth, enhance your smile, or need general dentistry services, contact Dr. Ramon Bana’s office today at (305) 857-3731. Miami Sedation and Cosmetic Dentistry is located at 2461 Coral Way in Miami.