Beauty & Wellness

Good dental crown specialist in Toronto (prosthodontist) - recommendation please

  • Last Updated:
  • Jul 25th, 2017 8:48 pm
[OP]
Jr. Member
Nov 21, 2009
186 posts
5 upvotes

Good dental crown specialist in Toronto (prosthodontist) - recommendation please

I am finding myself in the unfortunate position of needing a root canal treatment and crown for a premolar.

Can someone recommend a dental crown specialist, a prosthodontist, who does really good work? The whole crowning procedure will be covered by insurance so cost is not a hindrance. It's all about quality and their chairside manner. Hopefully they will be able to make a good crown and install it properly on the first go, so no problems will arise after the permanent crown is finalized.

Anywhere in the GTA is fine as long as the prosthodontist is good. Feel free to post here publicly or PM me.

Thanks so much RFDers!
5 replies
Deal Addict
Jul 26, 2004
1933 posts
225 upvotes
I'd say spend the money/effort on finding a root canal specialist aka an endodontist. A single crown is bread and butter stuff for any general dentist . If anything you should be asking the dentist what dental lab he/she uses to fabricate the crown and what crown material is recommended in your specific case. Obviously a prosthodontist can handle a single crown case, but you better make sure your crown coverage is very high since they can charge a lot higher fees than you'd expect.
[OP]
Jr. Member
Nov 21, 2009
186 posts
5 upvotes
coilz wrote:
May 10th, 2017 1:32 am
I'd say spend the money/effort on finding a root canal specialist aka an endodontist. A single crown is bread and butter stuff for any general dentist . If anything you should be asking the dentist what dental lab he/she uses to fabricate the crown and what crown material is recommended in your specific case. Obviously a prosthodontist can handle a single crown case, but you better make sure your crown coverage is very high since they can charge a lot higher fees than you'd expect.
Thanks for the reply. Actually I've already consulted an endodontist for the root canal and he's one of the most skilled and experienced in Toronto. He teaches other dentists and endo students how to do rct, lectures internationally on rct advancements, and has an excellent bedside manner to boot. He'll also take a CBCT pre-op to make sure he knows everything that's going on inside the tooth and doesn't miss any hidden canals. Given that a premolar is not as complex as a molar, I have no doubt that the rct will be successful in his hands.

Going back to the crown:
The cost of the crown will be covered. Even in the unlikely event that I have to partially pay out-of-pocket, I'd be fine with it. The crown is going to last many years, so if you consider its cost on a yearly or daily basis, the premium charged by a prosthodontist is negligible.

A prosthodontist would operate on a higher technical level than a GP by definition. Even though single tooth crown may be simple for GPs, I think details like minimizing the amount of tooth structure removed when prepping the tooth, ensuring the crown is a perfect fit on the first go, avoiding gum recession issues caused by the crown, checking for overall bite occlusion once the crown is on, being able to remove the crown with minimal damage to the tooth just in case the need arises, etc would be better handled in the hands of a prosthodontist.

For instance, if the prosthodontist manages to save even 2mm more tooth structure than the GP when prepping, I'd consider the investment well worth it. A prosthodontist may be over-qualified for a simple single crown, but that's exactly what I want -- someone so competent that they can do it even "with their eyes closed."

Please let me know if you know any good prosthodontists in GTA :p
Deal Addict
Jul 21, 2004
1054 posts
63 upvotes
Whoever chop off 2mm more than what is need is almost malpractice. Considering the size of a molar is about 12 mm AP x 8mm width and 7mm height. Given there is a minimal amount of material needed to provide the strength of a crown (thinnest is gold), to be honest, single crown, unless you have severe attrition, bruxism, going to a prostho may be an overkill, but to each his own. Now, rebuilding occlusal height, altering vertical dimension those for sure I would be cautious going to a generalist for that and that should be done by a prosthodontist.

There is a prosthodontist in market village area (Dr. P. Chang)

There are another in Yorkville area Dr. Fava or Dr. P. Haddad
Newbie
Jul 20, 2006
32 posts
Toronto
Dr. Goth Siu! He's with Forest Hill Prosthodontists and Markham Dental Group. I got my bridge done by him. He's very much a perfectionist and I remember he went great lengths to make sure he found a solution that fit my budget, is practical for my lifestyle and cosmetically appropriate.

http://www.siuprosthodontics.com/
Deal Addict
Dec 12, 2009
2239 posts
686 upvotes
Toronto
Have you asked your dentist and endodontist? A professional opinion of someone already treating you should carry more weight than someone in the forums.

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