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I Hate My Smile Because My Emax Crowns Are Too Thick

Posted by AllSmiles

My new emax crowns are too thick. I hate my smile now. My dentist said they are thicker than usual because my gums are thick. I don’t like bulky teeth. They feel bulky, too. I complained about it, so now my dentist recommends trimming my gums. Why now instead of before? I’m nervous. Does her recommendation sound weird, or am I overreacting? – Thanks. Bristol from IN

 

Bristol,

You are not overreacting. Your concerns are valid.

When dental crowns are too thick, particularly where they meet the natural tooth, they can create an environment detrimental to gum health. The excess bulk allows harmful bacteria to flourish. Microscopic food particles become trapped, and thorough cleaning is often impossible, resulting in gum inflammation and disease.

It’s a misconception that thicker gums require thicker crowns. However, this is not a recognized aesthetic or clinical principle. Instead, a dentist must achieve a natural emergence angle for the crown, ensuring a smooth, straight contour from the tooth’s root onto the crown itself. There should be no bulges when a dental instrument is traced along this path.

Addressing e.max Crowns and Ensuring Quality Outcomes

Removing e.max crowns made from lithium disilicate, grinding them off with a series of diamond burs. A dentist familiar with this process can remove the crowns without damaging your existing teeth.

Furthermore, a key aspect of quality cosmetic dentistry involves ensuring patient satisfaction before final treatment decisions. Experienced cosmetic dentists provide a preview. This might be through a temporary plastic mock-up of the new smile or by temporarily cementing the crowns, allowing you to evaluate and approve the new look before permanent bonding.

We recommend looking for cosmetic dentists with extensive post-graduate training and credentials. Schedule consultations with two cosmetic dentists to discuss your treatment options.

Dr. Thaddeus Michalski, a Rocky Hill, Connecticut dentist sponsors this post.

Full-mouth rehab with dental crowns
Full-mouth rehabilitation with dental crowns by Dr. Michalski of Rocky Hill, CT