585 Main St.
Chatham, NJ 07928
Phone: (973) 701-7777
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Keeping Our Patients Safe

Dear Friends:
I am excited to announce that we are accepting new patients again. To insure that our patients and staff stay safe myself and the full staff have received the Covid-19 vaccination . We would like to ease your concerns about coming to the office.

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© All photographs on this site are of Dr. Allyson K. hurley's patients and represent her work and her photography.
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Archives for October 2018

October 26, 2018 by

I need a root canal on a front tooth and I received different recommendations from two top dentists on how to handle the tooth after the root canal. One dentist said she recommends placing a veneer over the tooth and the other dentist says that a crown is best because, from his experience, the tooth might dry out and turn dark. My niece is a dental hygienist and she said it could go either way. She suggested that I get a third opinion, but I don’t want to have to see another dentist about this. Which is the right option – a crown or a veneer? And why would I get two different answers from the dentists? Thanks. Jamison

Jamison – Dental school teaches dentists to protect a tooth with a dental crown after root canal treatment. Your natural tooth must be prepared by grinding it down enough for the crown to completely cover it without irritating it. The crown will be bonded or cemented to your tooth.

Top Dentist Recommendations – Crown or Veneer for Front Tooth?

Front and back teeth have different functions. Back teeth are used for chewing and grinding. The pressure on them from chewing food is much more significant than the occasional pressure on front teeth, as when you first bite an apple.

Back teeth

A crown covers the entire tooth—from the gumline to the chewing surfaces and cusps. So it protects back teeth from breaking or splitting under pressure. A dental crown is definitely needed to protect a back tooth after root canal treatment.

Front teeth

Front teeth don’t have a chewing surface. When you bite with them, the upper teeth push backward on the lower teeth, and the lower teeth push forward on the upper teeth. If a front tooth is prepared for a crown, it will weaken the tooth and make it difficult to resist future impact. A skilled cosmetic dentist can use a porcelain veneer to protect your front tooth after root canal treatment.

The photographs below show a front tooth prepared for a crown (left) and two front teeth prepared for veneers (right). Although the crown preparation was more conservative than usual, the teeth that were prepared for veneers have much more of the natural tooth structure intact. Generally, when a tooth is prepared for a porcelain veneer, only .5 millimeter of tooth enamel is removed from the front of the tooth only.

Side-by-side photos of upper front teeth for information on tooth preparation for a dental crown vs. a porcelain veneer; from the office of NJ top dentist Dr. Allyson Hurley.

Which Top Dentist Should You Choose?

It’s also good to note that in most cases, tooth discoloration results from root canal filling materials—not from the tooth drying out. An alternative is to use a white fiberglass post to strengthen the tooth and to seal the opening with a dental composite. This process delays discoloration for years and enables a skilled cosmetic dentist to use a porcelain veneer to protect a front tooth.

If one of the top dentists you’ve seen is recommending a porcelain veneer for your front tooth, she likely has experience and skill in this area.

What Should You Do?

  • Ask the dentist how many front teeth she has restored with porcelain veneers after root canal treatment.
  • Ask to see actual patient before-and-after photos of her work.
  • After your conversation with the dentist, if you’re still uneasy, we suggest that you schedule an in-person third opinion with an accredited cosmetic dentist.

The post is sponsored by Chatham, NJ cosmetic dentist Dr. Allyson Hurley. For 11 consecutive times, Dr. Hurley has been named a top dentist by NJ Monthly magazine.

Filed Under: Top Dentist Tagged With: front tooth root canal crown, front tooth root canal veneer, NJ top dentist, porcelain veneer front tooth

October 14, 2018 by

Photo of three kids, one standing behind another. First is a dark-haired girl, followed by a blonde girl, and a blonde boy; for information on Chatham NJ pediatric dentistry.I hope you can provide me with some information before I take my daughter to her pediatric dentist. She is 11 years old and fell off her bike and chipped her front tooth almost in half. It’s her permanent tooth so I’m wondering if a porcelain veneer or a crown would be best. I want it to look natural so she doesn’t get teased in school. My sister is a dental hygienist and she said that because my daughter is so young, her pediatric dentist isn’t going to recommend either a veneer or a crown that is made of porcelain. Is this true? Thanks. Sivan

Sivan – Your daughter’s pediatric dentist will first test the tooth and check for damage to the nerve in it. Depending on the health of the tooth, there are different ways to treat it.

Crowns or Veneers for Children?

Porcelain crowns and veneers are a challenge to stay in place as a child’s teeth and jawbone are still developing. The restoration would need to be periodically replaced as your daughter grows and develops. A single porcelain veneer can be costly. A dental crown is also an investment that you should weigh carefully. Porcelain restorations are more expensive than other options.

Dental Bonding Repairs Chips in Teeth

Most pediatric dentists suggest replacing the broken portion of a tooth with dental bonding. Dental bonding is a mixture of quartz or silica with dental resin. It is applied to the tooth in the dentist’s office using the following steps:

  • The affected tooth will be roughened and etched.
  • Dental bonding will be selected and blended to match your daughter’s tooth shade.
  • The bonding will be applied, shaped, hardened and polished.

Although some pediatric dentists offer the service, a skilled cosmetic dentist has the tools and composite materials needed to ensure the bonding matches your daughter’s teeth. Usually, it only takes one appointment to restore the appearance of the tooth.

Although it can be costly to replace porcelain veneers or crowns as children develop, dental bonding can be touched up and polished or replaced if necessary.

Schedule a consultation with a cosmetic dentist who enjoys having children as patients.

This post is sponsored by Chatham, NJ accredited cosmetic dentist Dr. Allyson Hurley

Filed Under: Pediatric Dentistry Tagged With: Chatham NJ pediatric dentist, child chipped tooth, pediatric dentist chipped tooth

Recent Posts

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Allyson K. Hurley, DDS

585 Main St.

Chatham, NJ 07928

Phone: (973) 701-7777

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