Insurance for Crowns

I need to get three crowns. I told my dentist I want an all porcelain crowns. He preferred porcelain with metal bases, but said he’d be willing to do an Empress crown.  My insurance says it will pay $350/crown.– for the crowns, but my dentist said it will be over $1000.– per crown. Is this correct?!

Dana S.- Austin, TX


Yes, your dentist is giving you a reasonable price quote. In fact, $1000.00 per crown is on the low end of a crown fee.  Dental insurance does not work like medical insurance. Generally, with medical insurance, the higher the cost of the procedure, the more the insurance is helpful to you. With dental insurance it is different. They are in business to make money. The more the procedure costs, the more you’ll have to pay.

I would like to address one other thing. You mentioned you told your dentist you would like all-porcelain crowns, but he preferred the porcelain-fused-to-metal crowns. While you have a right to have the type of crown you prefer, it may be wiser for you to go to another dentist  for the procedure. You’re taking a huge chance pushing your dentist into a procedure he is not comfortable doing. All-porcelain crowns require very sophisticated bonding techniques that if not done properly will cause you a lot of problems.

It doesn’t mean you cannot go to your dentist for other procedures that he is qualified to do. But, you need to go somewhere else for the crowns  you want.

This blog is brought to you by Boston Cosmetic Dentist Dr. Randall Burba.

Medications causing teeth grinding

I was just told by someone that my parkinsons medication could be causing me to grind my teeth. Is this true? If so, how would I know if I’m doing it?

Brandon L.- Lubbock, TX


Yes, some Parkinson’s medications can lead to teeth grinding.  Are you taking Sinement CR Oral, Atapryl, Carbex, or Selegiline? These are some of the culprits. There are also some anti-depression and dementia medications that can cause the same problem. However, by far, the largest contributor to teeth grinding are stress, anxiety, or anger.

Symptoms of Teeth Grinding:

  • Aches in your jaw
  • Breaking or Cracking Teeth
  • Teeth Wear
  • A clicking sound in your jaw
  • Gum Recession
  • Headaches/migraines
  • Ear Aches
  • Teeth that are worn down

If you have any of these symptoms, I would look for a dentist who has experience treating TMJ disorder. He can design a custom fitting night guard for you that will protect you from the effects of grinding your teeth.

This blog is brought to you by Boston Cosmetic Dentist Dr. Randall Burba.