I’m Dr. Bob Winkler from Esthetic Family Dentistry here in Colorado Springs, and I’m here to talk to you about same day crowns versus traditional crowns, and the advantages and disadvantages of each. Same day crowns are becoming more and more the solution in many cases. Crowns are done to fix broken teeth or decayed teeth, to serve as anchors or abutments for implants and things like that, and also to change the color and shape of teeth. Traditionally crowns take at least two visits with anesthesia at each visit, and typically a one to three week wait between those two visits. Advancements in dental technology have significantly improved the process, and now it only takes an hour or two, and improving the result in most cases. This technology has been perfected over three decades. Here, everything from tooth preparation to fixing the final crowns can be done in just a single appointment to avoid the need for temporary crowns. Same day utilize a camera the size of a pen and a computer with software, and a milling machine to fabricate the crown out of a solid block of ceramic. With the help of a computer the dentist was able to 3D design this crown exactly like your existing tooth or the improvement of the shape that they want. Every little ridge, indentation, and fissure can be replicated or designed so that it fits perfectly in your mouth. This CAD/CAM 3D technology eliminates much of the chance of human error. It’s so accurate every little ridge, indentation and fissure can be replicated exactly from your original tooth. So it’ll feel like a natural tooth that you always had. Once the final design is ready, the milling unit will carve that replica out of that solid block of ceramic porcelain, and then it is so accurate that very rarely or any adjustments even needed. The benefits of same day crowns are many. First and most important is the accuracy and the result. It fits as well or better than any other method. It looks as good, especially in multiple crowns as well or better than any other method, and it’s done quicker. That quicker method is going to be better for you, because you’ll have more time in your life to do the other things that are important to you. Also, it’s more comfortable. It’s more comfortable because you don’t have the impression putty, and then the delay in time with a temporary crown, which sometimes can be more uncomfortable because they don’t fit as well. There are a couple of instances when same day crowns are not the best thing for you. It’s important to know about those first. If you’re a heavy clench-er or grinder in, in the back of our mouths, this clearance is not quite enough at some times, and we need to use a more traditional method, so that we don’t fracture these and have to do these again. Secondly, in a front tooth, especially a single front tooth, the custom shading, even if it’s done in the same way can take a couple of visits, and so we need to take our time and do those well, so that they disappear and have a beautiful result. One of the things about temporary crowns is that they can change your speech. They have to be usually be a little thicker, in order to be strong enough to hold up for the time they need to hold up. Same day crowns can be thinner, and because the fit is better, they won’t change your speech, and they won’t change your looks unless we’re trying to improve it, and therefore that saves you time and money. The cost for same day crowns and traditional crowns with multiple visits is often very similar. The reasons for those are because the equipment to fabricate the crowns, and the training in order to get good for it for the dentist to do that more conveniently and more efficiently for you is significant. Traditional crowns have a lab fee, and that lab fee keeps raising. So they’re saving you time, and having a consistent cost in the long run is going to keep those cost for that same day crown lower. Your dentist will help find the best solution of crown for you, but more and more that solution is becoming a same-day crown.