Not All Crowns Are Created Equal (And Why Prices Vary)

added on: January 23, 2017

Many of us are familiar with the phrase “a rose is a rose.” While the scent of a rose would be pleasant regardless of its name, this reminds us that comparisons aren’t always “apples to apples.” Roses can vary a great deal, just as crowns, bridges and other dental restorations.

As a dentist, I regularly see new patients who have aging crowns or bridges. Some of these restorations are breaking down rather soon, typically due to inferior quality or being placed improperly. For those who assume all crowns are the same, like roses, this is far from the case.

To begin, most crowns are made by a dental lab selected by the dentist and to specifications of that dentist. In order to trim expenses, the cheaper labs typically create results of lesser quality. Typically, the appearance won’t have the natural appearance that blends seamlessly with other teeth. And, the feel won’t provide the smooth finish that feels like a tooth surface. It will look and feel like a ‘fake tooth.’

Patient of Dr. Ban Barbat - Crowns That Look Natural, Of Exceptional Quality

Patient of Dr. Ban Barbat – Crowns That Look Natural, Of Exceptional Quality

In addition to a compromise in the look and feel of a crown, longevity is another area where cost cuts mean sacrifices in quality. The life of a crown is dependent on its materials (along with proper shaping and placement). Obviously, a crown made of lower grade materials won’t hold up as well over time.

Proper placement also has a tremendous effect on the life of a crown. When a tooth is prepared for a crown, the shape, shade and size of the crown is provided to the dental lab. There is no margin for error. The slightest misstep in height or shape can create conflict for the teeth above or below.

For example, a crown that is just a fraction of a millimeter too tall or short will hit incorrectly on the tooth that meets it in a bite. As a neuro-muscular dentist, I know how significant this can be on a patient’s overall oral structures. This minute disparity can result in bite misalignment that leads to headaches, migraines, sore jaw joints, ear ringing, dizziness, facial pain or pain in neck and shoulder muscles.

The same principles apply to a bridge. Bridges that look good, fit correctly, and last an exceptionally long time are worth “doing right the first time.” When a bridge is selected based on the lowest price, like anything, the repercussions of cutting corners will show up eventually.

Rather than think of a crown in terms of its cost, consider what it will provide to you for a fair price. Will it look as natural as your surrounding teeth? Will it feel like a tooth? Will it last for a long time because it was made of quality materials? Will it be placed so you avoid problems from bite misalignment in the future?

When it comes to what is spent on a smile, we all want to feel we have made a good investment. We believe our patients deserve the highest quality in crowns, bridges or veneers for a reasonable cost. Too, we want you to feel pleased with your investment long after it is made.

Let’s sit down together to discuss how you can achieve a healthy, confident smile and enjoy exceptional results in an affordable treatment plan. Call 586-739-2155 to schedule a cost-free, no-obligation consultation. We can also discuss easy payment options, some with no down payment and interest-free.


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Dr. Ban R. Barbat

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