Custom Crowns to Repair Teeth and Restore Your Smile


Dr. Isaac Comfortes of Encino, California, will design your custom crowns in meticulous detail to make sure they blend with your smile and fully restore your oral function. He is a master of dentistry that predictably lasts and functions comfortably in the mouth. He is also a master of cosmetic dentistry, offering only the best materials for lifelike, natural appearance.

He offers a full range of restorative materials, including tooth-colored porcelain and zirconia, and the most durable of all—gold. He encourages you to participate in the planning process so that you receive a crown that meets your long-lasting cosmetic, as well as functional goals.

Because he has been providing the highest quality dentistry for over 25 years and staying on the forefront of advances in his field, some patients who came to him for a crown over twenty years ago travel long distances to still be in his care now. They know his crowns and other dental restorations will be so perfect in form, durability and appearance that they will endure and meet the highest expectations long into the future. Dr. Comfortes thinks of these patients as his “friends with Longevity Smiles.”

What are Custom Crowns?

A crown is a prosthetic covering that fully covers a damaged tooth, extending all the way down the sides to the gum line. Crowns are quite durable, and with proper care, can last decades. The advanced materials and exact fit of today’s crowns ensure your crowned tooth will look like a natural, healthy tooth. And, it will have the strength of one, too.

Among other things, Dr. Comfortes may use custom crowns to:

  • Cover a cavity that is too large for a routine dental filling
  • Repair a fractured filling
  • Restore a cracked tooth
  • Strengthen a weakened tooth
  • Build up worn teeth to improve bite alignment and reduce your risk for TMJ Disorder
  • Conceal severe stains
  • Improve the look of an irregularly shaped or disproportionately small tooth

Various Materials to Meet Your Esthetic and Health Needs

When planning for your crown, Dr. Comfortes will recommend very specific materials he knows will provide the most long-lasting results. For natural aesthetics, tooth-colored crowns are recommended for teeth that show when you smile, talk and laugh. Tooth-colored crowns can be made of:

  • Porcelain fused on an underlying metal structure to provide strength
  • All porcelain for more natural appearance but more limited strength
  • Porcelain fused on zirconia for a more natural appearance and strength
  • All zirconia for when the need for strength outweighs the desire most lifelike appearance

Zirconia is slightly translucent, so when it is used for the core of a crown with an overlay of porcelain, there is more lifelike sparkle than when the core of a crown is metal. A zirconia core costs a little more than a metal core. Porcelain-fused-on-zirconia crowns are a popular choice for longevity plus aesthetics.

Both porcelain and zirconia are available in a wide range of colors. Working closely with our partner lab, Dr. Comfortes will select the color of porcelain or zirconia for a tooth-colored crown that most resembles your natural teeth. He may recommend teeth whitening prior to restoration so your crown matches your preferred, more youthful color smile.

In the past, most crowns were made of gold. This material is incredibly durable, and is still a good choice in some circumstances. For example, you might choose a gold crown to repair a molar. Dr. Comfortes is a master in not only porcelain and zirconia restorations but also gold restorations. He will offer you the appropriate options for your mouth and discuss their functional and aesthetic benefits, as well as cost. He will help you choose the material that is most appropriate for your treatment goals and budget. Whichever material you choose, you will enjoy a beautiful smile and full dental function.

The Crowning Procedure

After planning your procedure and helping you select the right type of restoration, Dr. Comfortes will likely place your crown in two appointments. At your first crown treatment appointment, he will reshape your tooth, removing any decayed or damaged material. This process will also create room for the crown so that it will lie flat against your tooth and maintain the natural force of your bite. Dr. Comfortes will numb your tooth and surrounding soft tissue with local anesthesia. After reshaping your tooth, impressions will be made of your mouth. Upper and lower molds of your mouth will be made from the impressions. He will use these molds to make a wax-up model of the restored tooth and check the biting contacts with other teeth. From this model, he can quickly create a temporary restoration while you wait. He will place this provisional crown your mouth so you can smile and eat with relative ease.

Between this first appointment and your second one, he will send the impressions, photos of your mouth, and detailed notes to our U.S.-based dental lab that has been selected by Dr. Comfortes for its known excellence. At the lab, a Certified Dental Technician (CDT) will use these records and Dr. Comfortes’s design to fabricate a restoration that looks and feels like a natural tooth.

At your second appointment, Dr. Comfortes will remove the temporary crown and attach the permanent restoration. Before you leave the office, he will ensure that the crown does not disrupt your natural bite alignment. He will also make sure that you are happy with the look of your new tooth. He can make slight modifications to your crown in both form and color before you leave the office. If you experience a change in your bite or soreness in the days after your crown is placed, you should call us to discuss these observations. Dr. Comfortes will be happy to examine you sooner than your next scheduled appointment and make any needed adjustments.

For you dental appointments, you will be offered the NuCalm™ deep relaxation system and can experience dentistry in more relaxed comfort than you may have experienced ever before.

Implant-Supported Crowns Are the Gold Standard in Tooth Replacement

As mentioned above, a crown will typically go right on top of a damaged tooth. However, a crown also can top a dental implant to replace a missing tooth. If you are a candidate for an implant, Dr. Comfortes will have an exceptional, local dental specialist surgically place the implant in your jawbone to replace the missing tooth’s roots. Over the next four to six months, your bone and gum tissues will heal around it. When you have fully healed, Dr. Comfortes will attach a permanent dental crown. Like traditional tooth-supported crowns, your restoration will match the shape and color of your natural teeth. Implants are permanent, and they will never slip out of place. They are also the only type of dental restoration that can prevent jawbone recession.

Take the First Steps towards a Renewed Smile

Contact our office if you are looking for a dentist who cares deeply about the quality of his work and for the patients he serves. If you have had a root canal and need a crown…if you have a painful tooth…if you are concerned about the condition of your teeth and want to restore your smile…if you have delayed recommended treatment due to dental anxiety, you can be a patient of one of LA’s finest general and cosmetic dentists. Give us a call.