Same Day Crowns

What is same day crown E4D technology?

A tooth that has been structurally damaged by decay or trauma sometimes needs to be crowned or “capped” so that it can look good and function properly again. A crown is a durable covering that is custom-made to fit over the entire tooth from the gum line up. Crown fabrication traditionally takes place in a dental laboratory. But these days, there's a much more convenient alternative: same-day crowns made in the dental office.

Advanced dental technology known as Computer-Aided Design/Computer-Aided Manufacturing, or CAD/CAM, makes it possible to fabricate laboratory-grade crowns and other dental restorations in minutes. It's an amazing innovation when you consider that traditionally, crowns take two or three visits and just as many weeks of waiting. Now you can have a restored tooth without the wait.

Best of all, studies have shown that CAD/CAM tooth restorations are just as successful as crowns made with traditional materials and techniques. And the amazingly lifelike appearance of a same-day crown means that no one will know your tooth has been restored.

How It Works

Scanning Wand.

The process of crowning a tooth starts out the same way, whether it's a same-day crown or traditional crown: with “preparation” of the tooth. This involves removing any decay that's present, and shaping the tooth with a dental drill so that it will fit perfectly inside the crown. But the similarities end there.

If you were getting a traditional crown, the next step would be to take an impression (mold) of your teeth with a putty-like material, and use it to construct a model on which to create the crown. With a same-day crown, your teeth are simply given a light dusting of reflective powder and then a small scanning wand attached to a computer is used to take digital pictures inside your mouth. In seconds, the computer will generate a highly accurate 3D model of your teeth. But it gets even better.

Milling Machine.

Dental Crowns.With the help of the CAD/CAM software, your crown will be designed while you wait. The software can even be used to create a mirror-image twin of the same tooth on the other side of your mouth, for the most natural-looking result possible. Then a block of dental ceramic material is chosen in the shade that most closely matches your own teeth. The computer's digital design is transmitted to a milling machine that carves the crown from the ceramic block in about five minutes.

Once the crown's fit has been verified, and any necessary aesthetic enhancements have been made to the crown's surface (staining and glazing, for example), the crown will be bonded to your tooth. With a traditional crown, you would have to wear a temporary restoration for several weeks while the permanent crown was being fabricated at the lab. With a same-day crown, you walk out with the real thing.

Caring for Your Same-Day Crown

Crowned teeth require the same conscientious care as your natural teeth. Be sure to brush and floss between all of your teeth — restored and natural — every day to reduce the build-up of dental plaque. When you have crowns, it is even more important to maintain your regular schedule of professional cleanings at the dental office. Avoid using your teeth as tools (to open packages, for example). If you have a grinding habit, wearing a nightguard would be a good idea to protect your teeth and your investment. A well-cared-for same-day crown will last for years to come.

The beauty of dentistry is it has always thrived on new technologies aimed at making people look and feel good, as well as providing people with healthy alternatives.

In the past, challenges of cosmetic dentistry included the use of materials such as amalgam (mercury and silver) and other metals, which were not only harmful but were also unaesthetic. These materials also had no means of bonding to the tooth surface, thus dentists had to cut away a significant amount of tooth tissue for adequate retention of the restorative material. Even when porcelain crowns were to be used, they were fused to metallic components for strength and durability. However, these porcelain fused to metal crowns had an unnatural translucency, and in some cases, the metallic aspect could be seen at the gingival margin. This was extremely unsightly, especially for individuals with high smile lines.

E4D technology provides the use of ceramic material, which has been made to bond to tooth tissue. This greatly reduces the amount of tooth tissue that needs to be trimmed away during preparation of the tooth for a restoration. Not only that, but with crowns, the dark gingival line created by the metallic component is completely obliterated, as crown is entirely ceramic. It provides a strong, aesthetic finish with features very similar to that of the original tooth structure. The shade or color of the natural tooth can be perfectly matched with a specific color of ceramic so there is little-to-no distinction between the restored tooth and an untouched one.
E4D technology also provides the ideal material of choice for making long-lasting and beautiful veneers by some very experienced practitioners.

The most amazing fact about this technology is arguably the rapidity with which results can be obtained. Fillings, crowns and veneers are all done within a single dental visit with E4D. There is no need for uncomfortable impression trays, expensive temporary restorations or multiple visits to a dentist to have one restoration done, in the ideal E4D situation determined by the practitioner.
E4D technology saves time, and saving time saves money. In addition to this, it also provides strong teeth and a beautiful smile, with no indication of prior dental work done in a person’s mouth.

Related Articles

CAD/CAM - Dear Doctor Magazine

Creating In-Office Dental Restorations With Computers Once upon a time, dentists — and patients — needed to wait weeks for a dental laboratory to make crowns and other dental restorations. Now, with an exciting digital technology known as Computer-Aided Design/Computer-Aided Manufacturing (CAD/CAM), some dentists are fabricating high-quality restorations themselves right in their own offices — in minutes... Read Article

Crowns and Veneers - Dear Doctor Magazine

Porcelain Crowns & Veneers Dear Doctor magazine examines two innovative strategies for improving your smile. In many instances, these two restorative techniques can produce nearly identical aesthetic results, even though they are designed differently for handling different structural problems... Read Article

Crowns - Dear Doctor Magazine

Value Of Quality Care Are all crowns created equal? And why are some crowns more expensive than others? Crown fabrication costs depend upon the materials used and the time needed to create them, among other factors. Dear Doctor magazine examines these variables... Read Article

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