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Why do we get dental crowns?

How many times will the dentist remake anterior crowns to get the shape/color right?

  • How many times will the dentist remake anterior crowns to get the shape/color right? I have always had pretty bad teeth; they were light and straight but were crushing and chipping off all the time. Few months ago I took out a dental loan and decided to crown eight of the top anterior teeth. Everything was going according to plan, the dentist prepared them for the crowns, caped them with temps and ordered the permanent crowns from the lab. When the permanent crowns came in, they were absolutely different then my natural shape (which I requested), my dentist said that these are a lot better then my natural shape and was pushing me to cement them. I cemented 4 of them leaving the very front 4 in temps. Now the second batch came in of 4 teeth and the color is bad, it is extremely yellow, I refused to cement them. The dentist along with the whole staff were very rude, disrespectful and said that I am wasting their time. I don’t know what to do, she already charged me for the full amount, and so I can’t just leave and continue with another dentist. The dentist refuses to remake those crowns unless I pay an additional $500.00 per tooth for, as she called it, a lab fee. What should I do?

  • Answer:

    This is always a difficult situation. A dentist who is interested in keeping his patients happy and having them refer their friends and associates will go out of his/her way to be sure the patient is satisfied. Having said that, some patients are very difficult, if not impossible to satisfy. You do not seem to be that type of patient, but it is important to make your wishes known at the front end of such a momentous decision. If you bring another party into the decision process to act as an impartial observer, they might be able to help decide. It is possible that this dentist's skill set is not capable of doing this to your satisfaction. If that is the case, you may have to ask the local Dental Society to intervene. They usually have a peer review organization which can act as an impartial body to help decide such a case. In a worst case scenario, you might have to seek legal advice. In our office we try to get the patient's input before we do such a large restorative case.

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Did you accept the shade they matched on you and showed you? If you did then what they do is perfectly acceptable as long as that shade is the same. You will never get the teeth that you dreamed of, but will get the crowns that are healthy for your conditions and look nice. The dentist has to pay the lab a fee to make your crowns, so if they remade your crowns for free they would lose a lot of money (so as stated earlier if you told them the shade was fine when they matched it then you are out of luck with that). The shape of the crowns are also decided by the lab depending on your impressions, so they are fit in a way that they do not inhibit function in the mouth and will cause no damage to surrounding structure. These shapes cannot be altered too much. In my opinion you probably need to at least give these a try and you will probably grow accustomed to them, as that is what patients normally do (or pay the additional lab fee to have more crowns fabricated).

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