2nd Opinions Sought: Even American Legends Need Counsel, Yo.


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Jan 18, 2012 - 12:10pm PT

Bachars gold tooth was his front upper incisor.

When John first arrived in the Valley, Pettigrew always asked "who's that guy with gold tooth?"

John later had it removed for some reason.

I can't remember why.

dont make me come over there
Jan 18, 2012 - 08:00pm PT
Bob, if yer gonna get the teeth replaced, do us a favor and get the whole face replaced - youre not exactly easy on the eyes ya know.

And whats this!? You cant see yourself in another relationship?! Geez after that long, cold bivy at santee i thot we had something special, but now i see you were only after my chalk....


Gym climber
not sure
Jan 18, 2012 - 08:02pm PT
Veneers, Bob, find a good dentist, handy with a drill.

I got all the metal removed from my mouth.

Trad climber
Jan 18, 2012 - 08:25pm PT

I recommend pressed ceramic, like eMax, like Micronut says for the front tooth most the time. Problem is, a lot of dentists do not have experience with it yet. It gets the fine fit like gold, so you don't have as much space to fill in with glue, which washes out and fills with food, then starts cavities in. Gold is soft, you can burnish it over the edges and voila, lifetime restoration.

The other stronger option is full zirconia. Like all other options but gold, the hardness is much higher than enamel, so it will wear your bottom teeth down if your dentist has to adjust the bite.

What I do in this case is use the best lab I can in Canada. They make the thing perfect, and so polished (2000 degree heat melts it smooth) that it no longer acts like sandpaper against the opposing teeth. I have only once had to adjust the bite after I delivered it, and so I had the lab re-finish the crown before delivering it.

And then I warranty the work for my patients. My lab warranties everything they do for me, implants and abutments included. Now days, our materials have evolved to the point that there is no reason why we shouldn't have warranties for crowns. Providing, of course, that you come in regularly for cleanings and check ups, and that you do not host decay in your mouth that could spread to my work. Skipping an appointment voids that warranty as well!

Social climber
flagstaff arizona
Topic Author's Reply - Jan 18, 2012 - 08:47pm PT
I've located a crown specialist and will be seeing him on Friday. He called me on the phone today (! how often does a dentist to that?) and we talked for about twenty minutes. He wants to try to figure out what it is about my teef that results in such frequent crown meltdowns before he offers any recommendations or remedies. The digital x-rays from my previous dentist got e-mailed to his office today.

According to several independent sources this guy is the bomb. He's spendy, but I view this as a long-term investment.

Still want that gold bling, though! I think. Maybe. Maybe not. Maybe. Oh, what would Jesus do!?

Got some outstanding feedback from some lurker dentists here on the Taco (Thanks guys! that will help me have an informed discussion with this guy. One of 'em has a classic story regarding crown work he did for a Golden-age type back in the day, but I'm sworn to secrecy...

Trad climber
East Wenatchee, WA
Jan 18, 2012 - 10:51pm PT
Bottom line, you need a great dentist. The newer dental ceramics are awesome in the right hands. If you pay more up front for excellent work it will be a fantastic value in the long run. Personally I use a CEREC machine to mill crowns right in my office. This is one way to achieve outstanding results.

Sorry, I don't know any dentists in Flagstaff to recommend. I have had patients move elsewhere and want to find a new dentist; one suggestion is to look at the website for the American Academy of Cosmetic Dentistry:


This is an excellent organization, I know not a perfect way to find a dentist but hard to imagine being a member without being WAY into being a honed dentist!

Or for a CEREC dentist:


Sounds like you may have found someone, pretty awesome that he spoke with you on the phone. Best of luck!

Tom K. Michael, D.D.S.


Gym climber
not sure
Jan 18, 2012 - 10:57pm PT
What kind of dentist calls and talks for twenty minutes, a desperate one without any patients, who needs cash.

I know a very good dentist, but he's in LA, if you're interested.

Social climber
flagstaff arizona
Topic Author's Reply - Jan 18, 2012 - 11:27pm PT
No, this guy has a pretty full plate. I got onto him through personal connections (family friend of close co-worker) so I consider myself lucky. I felt like I was being interviewed, to see if he'd take me on. Getting in to see the top docs in their fields can be a real chore, if not impossible.
Patrick Sawyer

Originally California now Ireland
Jan 19, 2012 - 03:57am PT
Gold and porcelain/ceramic mix perhaps? Something like that. I see my dentist tomorrow (dentists in the Republic of Ireland are very expensive, a lot of people go to Northern Ireland where it can be up to half as expensive, or 'dental holidays' to Budapest are also very popular - cheap flights, discounts on hotels and less expensive treatment).

He just finished an endo (root canal) and now I need a crown. He saved the gold (24 carat) overlay I had and tried to refit it but no dice, so there is a jeweler - JJ Murhy - here in Dalkey (he's not a retailer but makes his own stuff for the likes of me, but also Bono, Enya, Maeve Binchy and other local celebs, of which I am not).

So he cleaned up the gold overlay and melted it and formed it around a perfectly round opal (very rare he says) and put it in a 'cage' on a pendant. That was one of Jennie's Christmas gifts. She now wears my 'tooth', so to speak.

Trad climber
Jan 19, 2012 - 08:15am PT
Yo Coz,
Why you gotta hate on a doctor who takes the time to call back? In the words of Cosmo Cramer on Seinfeld...."You're a raging anti-dentite Jerry!"

I make personal follow up calls every afternoon/night after surgery to check on my patients. It kinda freaks them out for a minute because they are so surprised, but it really makes them feel good. I have a policy in my practice that I personally return all calls to the doctor the same day. And I'm slammed with my schedule a month out.

You're right, its not normal, but it does happen. From what I've seen, most of the finest docs out there are very available to talk on the phone. But that's typically the dentists/docs who value people over time and money. Just thought I'd give a thumbs up for that doc taking the time to chat with Bob.

Social climber
Jan 19, 2012 - 08:19am PT
Haven't read much of this thread...

But I also have a FEW capped teeth here and there...

One almost dead center for that matter, NOT gold!!!...

I've had that almost dead centered capped tooth with zero problems for MANY, MANY years...

I DO NOT regret not "Going for the GOLD!!!"...


Social climber
flagstaff arizona
Topic Author's Reply - Jan 19, 2012 - 08:45am PT
So, Locker...we all know the Chicks Dig Scars. Or so I've heard. Do they dig BlingBling 24K teefz?

I'm very curious about what this Jedi Crown Master has to say. One thing I have noted is that here in Southern California, people have this almost pathological obsession with perfect, sparkly, pearly-white Dick Clark teeth. As though they all wanted to be local affliate TV News anchors. The advertisements in the San Diego Reader seem to be about 50% cosmitic dentistry, as though teeth were a reflection of the soul.

Oddly, I believe if I were in Austin, Texas, NYC, Compton, or the Ukraine, there would be very little discusion on the matter. They'd push gold, if you could afford it. More money for them. Here, people seem aghast -- anything less than unnaturally bright Hollywood Whites are regarded with horror.

Odd how -- in this same apperance-obsessed culture -- garish, irreversable, prominently displayed tattoos are all the rage, with Women as well as Men. Gotta be a Sociology PhD thesis in there somewhere.

As for me, I'm just looking for a permanent fix that I won't have to keep patching up every five years at $1K a pop.

Social climber
Jan 19, 2012 - 08:58am PT

"As for me, I'm just looking for a permanent fix that I won't have to keep patching up every five years at $1K a pop."...

True story!!!...

I just had two teeth worked on last week...

I was given the choice of extraction, CAP or a somewhat TEMPORARY repair...

My answer to her came QUICK!!!...

"I'm 57yrs old, have bad Arteriosclerosis, am turning Type 2 Diabetic, and probably will be dead within FIVE... Go with the QUICK FIX!!!"...

She laughed...

I saved some BIG bucks...

HOPEFULLY I am wrong and will outlive my "temp fix"...



I DO actually have ONE gold TOOF...

But it's in the BACK...

NOT front and center!!!...

Patrick Sawyer

Originally California now Ireland
Jan 20, 2012 - 11:40am PT
BVB, I just was fitted with crown (first molar upper left) that had a gold 'inside' with a porcelain outside. Not cheap, but then, I just won 2,000 ($2,576.96) on the EuroMillions. Not the 50m I was hoping for, but better than a kick in the... teeth. So the winnings will pay for the dental cost, and then some. (The most I ever won before was 42 on a ticket.)

Aridzona for now Denver.... here I come...
Jan 20, 2012 - 12:26pm PT
micronut spent a fair amount of time with me on the phone and I never even did visit his office!

Trad climber
the cats
Jan 20, 2012 - 03:15pm PT
Well, as someone who has also had a porcelain crown crack, I am fond of the gold. BUT! I wouldn't do gold on a front/visible tooth. There is far less pressure exerted on your front teeth, so if you aren't a huge apple chomper, etc., a non-gold crown should last you just fine. It sounds kind of fun to do a front gold tooth, but for me, I am just vain enough that the novelty would wear off quickly, and then I'd be embarrassed to smile at people. It would be a bummer to have to edit how you express yourself if the gold tooth isn't really you. If you are questioning the gold at all, and it sounds like you are on the fence for whatever the reason(s),then I'd go for something else first.

Oh--and my brother has had a non-gold crown on his front tooth since high school. Has had it changed out once. He's 51.
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