Gold crowns

 A lot of people believe that gold is an older material and to be honest, it was done a lot in the past. But gold crowns are still relevant, very useful and an awesome material to choose for your back teeth. Pure gold is actually a little bit too soft to place in your mouth. So typically, you are given a gold alloy, which is gold mixed with other metals, like silver palladium, platinum and things like that. And when their combined together, it becomes strong and very useful in your back teeth where you have very strong forces. It works well with your tissues and it's resistant to corrosion and oxidation.  So, some of the benefits of gold is that it is a very strong even when it's thin, which is great, because if you're designing a dental crown, you don't have to remove too much of the tooth structure to place a gold crown on top of it. It's also really gentle to your opposing team meeting that it won't wear the tooth that is hitting on too much. And the last point, which is more of a scientific point, but it has a coefficient of thermal expansion, similar to that of your tooth. Let's see if you're drinking an ice-cold coffee or you're drinking a hot beverage, or teeth, will shrink and expand by the smallest amount, in the rate of expansion is very similar to that of the tooth. This means, that it’s more likely to have strong well-sealed margins for the lifetime of the crap.  

gold dental crown

Some of the negatives of gold dental crowns.

  1. It can be very pricey. Gold right now is increasing in value and it's becoming more and more expensive to use gold. And as the price of gold increases, your gold crown will increase as well.
  2. Gold conducts heat and cold rather easily.  
  3. Color. Not a lot of patients want gold in their mouths. They would rather prefer an all-white crown and that's the number one reason that I've seen why people don't choose gold crowns.

Porcelain fused to metal crowns

This has been one of the most commonly used materials in the past. Until the advent of zirconia and emax, which is being used more and more often in dentistry. And in this type of crown, a natural white porcelain is stacked on top of a metal and it's placed in your mouth. So basically what that means is that if you look at the underside of the crown, you're going to see a metal base and then on top of the crown, you're going to see the white porcelain, which mimics the color of your natural teeth. So some of the benefits of using porcelain, is that the porcelain is white. So its way more aesthetic than if you're doing a gold crown it actually looks like your natural tooth, that looks really nice. It can be cemented rather easily by the dentist, which means that it's less technique sensitive than other crowns. In the last benefit, is that it is strong and durable and it's really good for the back teeth as well.

Negatives of the Porcelain fused to metal crown

  1. The dark metal that we talked about, that's on the base of the crown. Sometimes, you can see a metal edge if you have gum recession and that metal show through, and people may not like to see that metal line along, the gum line.
  2. If the porcelain fractures and the middle cover, has a tooth is still protected, but that can still show the metal and maybe we have patients that don't want to have any metal in their body.
  3. It doesn't really have good translucency properties in that showing that natural shade of the tooth underneath the crown.

Zirconia dental crowns

Zirconia is a white crystalline oxide made from a metal zirconia. It looks white all around the tooth. The inside, and the outside and it's actually really aesthetic and really strong. The benefits of zirconia is that it is incredibly strong, which means it is less likely to break than some of the other crowns and doesn't have that dark metal base. So it's all white all around the tooth. So even if you have recession, you won't see that dark line that we talked about earlier. It can be easily cemented on by dentist. And it can be less expensive than gold. Now, the main negative of zirconia, is that when you have a crown that's so strong that can actually be damaging to the tooth itself. So you have to make sure that your occlusion or your bite is adjusted perfectly so that you don't impose trauma, on your tooth.

smile with zirconia dental crown

Zirconia is a little bit difficult to adjust for the dentist. It's harder to cutbacks zirconia, but it needs to be adjusted perfectly. Typically, if the bite is off, you will definitely feel a painful sensation along the route of your. So that is definitely a negative that had to be consider. And as a side note, their zirconia does have translucency properties and it in a can look, really, really pretty.

Emax dental crowns

Emax crowns or the most aesthetic crowns on the market and they can really do a good job at making life, like restorations that appear to look just like your natural teeth. Emax is an all ceramic system that uses lithium disilicate glass to make a beautiful crown. The benefits of Emax is that they can be bonded to your teeth which allowed to dentist to do more conservative preparation, or it allows the dentist to work with unfavorable teeth. That maybe don't have the best prognosis and bonding on to the tooth can make it a little bit stronger. All ceramic, so there is no metal to be seen. It has great translucency and light reflective properties. And finally, it's just the best match and I typically use it for the anterior teeth, because it looks so good.

smile with emax dental crowns: before and after

Negatives of Emax crowns

  • It has a really high price point.
  • It's not really good for dark teeth, or people that have tetracycline staining, or a really dark color to their teeth. Because of the translucency properties of the emacs sometimes the underlined tooth will show through. If you don't have the appropriate thickness of the Emax, and if you're doing an Emax full coverage crown, then the dentist does have to do an aggressive preparation design. In order to have a minimum thickness of crown material to make it strong and long-lasting. Zirconia and gold don't need this aggressive preparation to allow them to make crowns that work. So that is something that you need to consider.

The average cost of a dental crown in 2022 in USA is about $1,000 per crown.

dental crowns prices in dollars

Why a $1,000 is a good average per crown cost?

 The range of prices for dental crowns is quite big. The price of a crown can start around $300 on the low end and be as high as $3,000.

Why such a big range?

A major factor has to deal with where the tooth is located, how big it is, the condition of the tooth and the type of material used for the crown.  Where you live and the experience level of your dentist, also affects what you will end up paying.

How much does a porcelain crown cost?

Porcelain crowns are generally more expensive than most other types of crowns. Cost for them will range from about $800 to $3,000.

How much do metal crowns cost?

Metal crowns are generally in the middle of the price range with cost starting around $700 and going up to $2,500.

How much do porcelain fused to metal crowns cost?

Can't decide between porcelain or metal? Do both! The average cost for these range from $500 to $1,500. If you have dental insurance, there is a chance they may pick up part of the tab for your dental crown. It depends on what you need the crown for and how nicely you ask them. Know definitely more the former than the latter.

Prices for dental crowns in Ukraine
Crown type Price, euro
Classic metal-ceramic crown, materials Germany-Japan, per one crown 70
Metal-ceramic crown of high aesthetics, materials Japan, for 1 crown 75
Crown, cast of cobalt-chrome alloy, Germany, per 1 crown 40
Metal-free zirconium oxide ceramic crown for chewing teeth, per one crown 150
Zirconium oxide metal-free ceramic crown with ceramic layering, per 1 crown 175
Ceramic crown, porcelain veneer or protective cover using E.Max technology, EU materials, one piece 175
Metal inlay for restoring the shape of a destroyed tooth before prosthetics (without an impression), for 1 inlay 35
MZP-coated pressed crown, 1 crown 22
Facet in a bridge structure, 1 crown 22
Cast tooth in a bridge structure, 1 crown 22
Semi-permanent plastic crown, 1 crown 25
Temporary plastic crown (only when fabricating ceramics with us), 1 crown 13

 


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