Name of the Procedure:

CROWN-PORCELAIN FUSED TO PREDOMINANTLY BASE METAL (D2751)

Summary

A dental crown that involves fusing a porcelain layer to a base metal frame. This procedure is used to cover or "cap" a damaged or decayed tooth, providing a strong, durable, and aesthetically pleasing finish.

Purpose

• Conditions Addressed: Severely decayed, broken, or weakened teeth.
• Goals/Outcomes: Restore the tooth’s strength, functionality, and appearance. It also helps prevent further damage or deterioration.

Indications

• Severe tooth decay or damage.
• Extensive tooth wear or cracks.
• Post-root canal treatment.
• Replacement of a large filling.
• Cosmetic enhancement.

Preparation

• Pre-Procedure Instructions: Good oral hygiene leading up to the procedure.
• Diagnostic Tests: Dental X-rays to assess the tooth’s structure and health.

Procedure Description

1. Initial Examination: A thorough dental examination and X-rays.
2. Tooth Preparation: The damaged tooth is filed down to make space for the crown.
3. Impressions: A mold of your tooth is taken to create a custom-fitted crown.
4. Temporary Crown: A temporary crown is placed while the permanent one is being made.
5. Final Placement: The custom-fitted porcelain-fused-to-metal crown is cemented onto the tooth.

Tools/Equipment: Handpieces (drills), impression materials, metal and porcelain materials.

Anesthesia/Sedation: Local anesthesia to numb the area around the affected tooth.

Duration

Approximately 2 dental visits. Each visit might take about 1-2 hours.

Setting

Typically performed in a dentist’s office or an outpatient dental clinic.

Personnel

• Dentist
• Dental Assistant
• Dental Laboratory Technician (for creating the custom crown)

Risks and Complications

• Common: Tooth sensitivity, discomfort, minor gum irritation.
• Rare: Allergic reactions, improper fit, crown dislodgement.

Benefits

• Immediate: Restores the tooth’s structure and appearance.
• Long-Term: Durability, reduced risk of further decay or damage, improved oral health.

Recovery

• Post-Procedure Care: Avoid hard or sticky foods, maintain good oral hygiene, follow-up appointments for adjustments if necessary.
• Expected Recovery Time: Immediate return to normal activities with minor adjustments over a few days.

Alternatives

• Other Options: Full metal crowns, ceramic crowns, composite resins, veneers.
• Pros and Cons: Each alternative varies in durability, cost, aesthetics, and suitability based on the specific dental condition.

Patient Experience

• During Procedure: Minimal discomfort due to local anesthesia. Some pressure or vibration sensations.
• Post-Procedure: Mild soreness or sensitivity that typically resolves within a few days. Over-the-counter pain relief can manage discomfort effectively.