same day crowns

The Greenwich Dental Group now offers E4D same day dentistry!

Using E4D Same-day Dentistry technology, Dr. Altman was able to do two same-day crowns. The patient did not have to come back for a second appointment, get a second injection or wear temporary crowns for 2 weeks.

What is E4D Same-day Dentistry technology?

E4D is a new CAD/CAM technology that takes images of your teeth and allows us to design your crown, filling or veneer while you wait.

Does that mean you won’t have to have a temporary?

That’s right. No temporary. You’ll go home with your permanent ceramic restoration the same-day.

How does it work?

Your dentist determines that your dental condition is right for a digital restoration; we take a series of digital images of your teeth while you watch the process chairside. In the past, we’d have to take impressions and send them out to a laboratory, and they’d make your restoration while you had a temporary in place. With this new technology, you’re in and out on the same-day with your permanent restoration seated in place.

How will you know if I can have this same day treatment?

We will perform a thorough examination before recommending any dental treatment. If you’re experiencing any dental problems or want to learn if E4D is right for you, let’s schedule you for an appointment.

Case Study – Replacement of Old Silver Fillings (amalgams)


While the research is still inconclusive as to whether silver/mercury amalgams are harmful to your health (via mercury leeching, we often find the problems of cracks around and cavities under amalgams more of an immediate problem to take care of).

Old silver fillings are a factor in teeth cracking, a common occurrence in people in their 40’s and 50’s. Silver fillings do not strengthen teeth at all but transfer biting forces to the surrounding tooth structure, commonly resulting in cracks and chips. Forces on molar teeth can be up to eight times the forces on the incisor teeth, resulting in damage to the tooth structure. Larger fillings also contributed to the damage. This is just such a case.

Two upper molar teeth with old silver fillings, cracks, and cavities required immediate attention. Dr. Altman saved these teeth by doing 2 all porcelain crowns. Our patient was thrilled with the results and grateful for not losing these teeth.