Westfield's Dental Department

Posts for: June, 2016

By Kenneth Krause, DMD
June 17, 2016
Category: Dental Procedures
Tags: crowns  

All crowns are designed to restore functionality to a damaged tooth. But crowns can differ from one another in their appearance, in the material they’re made from, and how they blend with other teeth.

A crown is a metal or porcelain artifice that’s bonded permanently over a decayed or damaged tooth. Every crown process begins with preparation of the tooth so the crown will fit over it. Afterward, we make an impression of the prepared tooth digitally or with an elastic material that most often is sent to a dental laboratory to create the new crown.

It’s at this point where crown composition and design can diverge. Most of the first known crowns were made of metal (usually gold or silver), which is still a component in some crowns today. A few decades ago dental porcelain, a form of ceramic that could provide a tooth-like appearance, began to emerge as a crown material. The first types of porcelain could match a real tooth’s color or texture, but were brittle and didn’t hold up well to biting forces. Dentists developed a crown with a metal interior for strength and a fused outside layer of porcelain for appearance.

This hybrid became the crown design of choice up until the last decade. It is being overtaken, though, by all-ceramic crowns made with new forms of more durable porcelain, some strengthened with a material known as Lucite. Today, only about 40% of crowns installed annually are the metal-porcelain hybrid, while all-porcelain crowns are growing in popularity.

Of course, these newer porcelain crowns and the attention to the artistic detail they require are often more expensive than more traditional crowns. If you depend on dental insurance to help with your dental care costs, you may find your policy maximum benefit for these newer type crowns won’t cover the costs.

If you want the most affordable price and are satisfied primarily with restored function, a basic crown is still a viable choice. If, however, you would like a crown that does the most for your smile, you may want to consider one with newer, stronger porcelain and made with greater artistic detail by the dental technician. In either case, the crown you receive will restore lost function and provide some degree of improvement to the appearance of a damaged tooth.

If you would like more information on porcelain crown, please contact us or schedule an appointment for a consultation.

By Kenneth Krause, DMD
June 14, 2016
Category: Oral Health
Tags: Sedation Dentistry  

The procedures and technology associated with dental care have improved exponentially over the years, but concern about pain and sedation dentistryother factors keep many people far away from the dental chair. This dental anxiety can lead to major oral health problems, some of which may become emergencies if left untreated. Fortunately, dentists like Dr. Kenneth Krause and Dr. Katie Krause in Westfield, Indiana offer sedation dentistry, a safe and comfortable way to relax during dental procedures so your teeth can receive the care they need. Learn more about sedation dentistry here:

What is dental anxiety?

Stomach aches, sweaty palms, shortness of breath, racing thoughts - if these symptoms describe you before or during a dental appointment, you're probably dealing with dental anxiety. It's been estimated that 30 to 40 million Americans avoid their dentist because they fear the associated pain, loss of control in the dental chair or are recalling a negative prior experience with a dentist. Some people feel uneasiness at the smell of the office or the sight of dental instruments. Your Westfield dentist understands these concerns, and is happy to offer sedation dentistry as a way of making your visits easier.

How can sedation dentistry help my dental anxiety?

There are several ways that your Westfield dentist uses sedation dentistry to calm his patients' nerves. For those with mild dental anxiety, inhaling nitrous oxide - or "laughing" gas - can be enough to set someone's mind at ease. Others may respond well to oral sedation. This comes in the form of a pill that is taken an hour before the appointment and is designed to make you drowsy but still awake. Intravenous, or IV, sedation has a similar effect. Consulting with your Westfield dentist, Dr. Krause, prior to your appointment will help determine the level of sedation you need to feel comfortable.

Don't let your dental anxiety affect your smile. Contact Krause Dental in Westfield, Indiana to discuss your options for a comfortable dental experience today!

By Kenneth Krause, DMD
June 02, 2016
Category: Dental Procedures
Tags: celebrity smiles   Bonding  

So you’re tearing up the dance floor at a friend’s wedding, when all of a sudden one of your pals lands an accidental blow to your face — chipping out part of your front tooth, which lands right on the floorboards! Meanwhile, your wife (who is nine months pregnant) is expecting you home in one piece, and you may have to pose for a picture with the baby at any moment. What will you do now?

Take a tip from Prince William of England. According to the British tabloid The Daily Mail, the future king found himself in just this situation in 2013. His solution: Pay a late-night visit to a discreet dentist and get it fixed up — then stay calm and carry on!

Actually, dental emergencies of this type are fairly common. While nobody at the palace is saying exactly what was done for the damaged tooth, there are several ways to remedy this dental dilemma.

If the broken part is relatively small, chances are the tooth can be repaired by bonding with composite resin. In this process, tooth-colored material is used to replace the damaged, chipped or discolored region. Composite resin is a super-strong mixture of plastic and glass components that not only looks quite natural, but bonds tightly to the natural tooth structure. Best of all, the bonding procedure can usually be accomplished in just one visit to the dental office — there’s no lab work involved. And while it won’t last forever, a bonded tooth should hold up well for at least several years with only routine dental care.

If a larger piece of the tooth is broken off and recovered, it is sometimes possible to reattach it via bonding. However, for more serious damage — like a severely fractured or broken tooth — a crown (cap) may be required. In this restoration process, the entire visible portion of the tooth may be capped with a sturdy covering made of porcelain, gold, or porcelain fused to a gold metal alloy.

A crown restoration is more involved than bonding. It begins with making a 3-D model of the damaged tooth and its neighbors. From this model, a tooth replica will be fabricated by a skilled technician; it will match the existing teeth closely and fit into the bite perfectly. Next, the damaged tooth will be prepared, and the crown will be securely attached to it. Crown restorations are strong, lifelike and permanent.

Was the future king “crowned” — or was his tooth bonded? We may never know for sure. But it’s good to know that even if we’ll never be royals, we still have several options for fixing a damaged tooth. If you would like more information, please contact us or schedule an appointment for a consultation. You can learn more by reading the Dear Doctor magazine articles “Repairing Chipped Teeth” and “Crowns and Bridgework.”