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Reconstructive Restorative Crown Dentistry

Ceramics - Restorative and Reconstructive Applications

Dental crowns are one of the most popular and most frequently used component for modifying a tooth structure or completely replacing it.

Best Crown Choices Long Island For individual applications, crowns are routinely used to improve a tooth that perhaps has deficient tooth structure due to excessive decay, trauma, cracks or even being undersized. They are also used in implant dentistry ... replacing Mother Nature's handiwork, including the root (titanium implant) and unparalleled dental function.

These porcelain restorations are also the product of choice for creating custom bridgework that serves to replace missing tooth structures in a short span (3 unit bridge) or long span (7 to 10 units).

The new Lava porcelain product line (from 3M Espe) enables Dr. Koeppel, like other restorative and reconstructive dentists, the ability to reconstruct an upper or lower arch that seemingly surpasses what Mother Nature provides us.

Discriminating patients seeking to avoid the use of metal in bridgework can now choose a Lava bridge that is constructed from zirconium oxide that has the appearance of natural Dentin and can be used in anterior and posterior areas of the jaw.

A Crown is a Crown

Not so..... A well tenured cosmetic or reconstructive dentist typically uses "crown technology" for developing a treatment plan but may have these components created with different properties depending upon the placement of the crown and the properties of other existing tooth structures... especially opposing teeth.

Posterior teeth (rear teeth, molars), for example, endure extreme forces when we chew and grind our food. Anterior teeth (front) are not used in the same fashion. Restoration products for these 2 different areas of the jaw necessarily then, should have different properties.

Porcelain properties of crowns differ, as well as any special porcelain to metal fusing scheme. Some crowns are bonded to nickel... others may be bonded to gold. In certain applications, the crown may be 100% porcelain.

Again.... a well tenured dentist can be expected to have the skills and specific product knowledge required for creating a perfect or ideal match of crown component properties and actual treatment need (location of crown, implant versus bridge, etc). Crown product failures usually occur when the wrong type of crown is used in a particular location.

In Dr. Koeppel's office, patients are provided a choice of treatment products that can create any degree of cosmetic or dental function desired. Depending upon the interests of the patient, products from resources including Procera, Lava, Nobel Biocare and Ivoclar/Vivadent (IPS Empress) may be offered.

Determining which porcelain product offers the best balance in dental cosmetics and long term endurance is usually a function of treatment experience and technical knowledge of the dentist.

Like Dr. Koeppel, many dentists have participated in advanced post graduate training provided by dentistry training centers (e.g., LVI, AACD, AGD, PAC-Live) and specialized workshops that focus on adaptations of cutting edge technologies (Lava metal-free bridgework).

Crown replacements are a common procedure to retreat old, worn out porcelain products. For many patients, nonetheless, retreating a previously crowned tooth does require a brief technical study to assure that the new crown preparation addresses all of the factors that caused the crown to fail. Patients seeking the best advantages of porcelain based reconstructive dentistry are encouraged by Dr.Koeppel to ask questions about crown treatments (especially with cutting edge technologies) and ask to see representative photography of actual work performed.

Popular Crown Failures

Early crown failures are more frequently... or in an unusual sense, routinely caused by bonding failures or misapplication of an advanced technology. Crowns can also fail due to normal wear and tear and, in some instances, can accelerate the wear and tear on opposing natural tooth structures. Read our Crown Failure page for more descriptive details.


Call us at 631-689-1800 or use our convenient on-line Consultation Request form to arrange a meeting with Dr. Koeppel to learn more about the unique treatment opportunities that exist with today's new choices in porcelain crowns.

Patients with specific questions about the uses of different types of dental crowns for different locations in the jaw (e.g., molar versus front anterior) are invited to contact Dr. Koeppel directly with our Ask The Dentist form. Dr. Koeppel will respond to you directly with the answers or information you are seeking.

Visit our local photo gallery and our other photo gallery at Dr. Koeppel's Smile Dream Maker website to see several examples of how our Manhattan and Long Island patients have changed their smiles back to what they once had.... or achieved a cosmetic goal they never thought was possible.

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New York Reconstructive Dentist
Ira Koeppel, D.D.S.
126 Gnarled Hollow Road
East Setauket Long Island New York NY 11733
Nassau - Suffolk County Spa Dentistry