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Crowns in Dentistry

Dental crowns are a fundamental solution in the world of restorative dentistry for teeth that have been significantly damaged, decayed, or compromised. They serve as a protective cover so does to say, fully encasing your tooth's entire visible portion above the gum line to be precise, thus restoring not just its shape, but size, strength, and most importantly aesthetic appeal if it is a tooth coloured one

What is Crowns

Unlike fillings, which are directly applied and shaped within the mouth, crowns are meticulously crafted in a dental laboratory under the guidance of dentists and technicians outside the mouth. This type of fabrication process of a tooth crown allows for a optimum match to the natural contours and color of your teeth, which ensure a seamless blend with your existing natural dentition aka teeth.

Materials Used in Crowns

The durability, cost, and appearance of crowns can vary a lot based on the materials used to make the crown. Common materials include porcelain, ceramic, metal alloys, gold, or a combination of these, such as porcelain fused to metal. The choice of material depends on factors like the crown’s location, the extent of the visible tooth when you smile, and your personal preferences.

Fabrication Techniques

The creation of permanent crowns can follow several pathways

This involves taking impressions of your teeth, which are then sent to a dental lab where the crown is meticulously fabricated. This method can accommodate all material types and typically requires two dental visits: one for taking impressions and placing a temporary crown, and another for fitting the permanent crown

Some dental practices are equipped with CAD/CAM systems that enable the dentist to design and manufacture crowns in the office during a single visit. While convenient, the choice of materials may be somewhat limited compared to lab-fabricated crowns, potentially influencing the crown's longevity.

Crowns for children's primary (baby/milk) teeth are distinct from adult crowns in their preparation, manufacturing process, and materials used. They play a very important role in maintaining space for permanent teeth and supporting the child's dental development.

Lifespan of Crowns

Research indicates that crowns generally last between 5 to 15 years, although this can be influenced by various factors such as wear and tear, oral hygiene practices, dietary habits, and personal behaviors like teeth grinding.

Maintenance

Contrary to some beliefs, crowned teeth require the same level of care as natural teeth. Poor oral hygiene can lead to problems at the crown's margins near the gums where the original tooth structure remains, potentially resulting in decay or crown failure.
cost-of-crowns (1)

What to Expect During The Procedure

Preparation

May involve antibiotics for certain medical conditions, a review of your health history, and potentially anti-anxiety medication for those with dental anxiety.

Anesthetic

Local anesthesia is used to numb the tooth and surrounding area.

Temporary Crown

A temporary crown is placed to protect the tooth while the permanent crown is being fabricated.

Shade Matching

Ensures the crown matches the color of your natural teeth for a seamless appearance.

Tooth Preparation

Involves reshaping the tooth and taking impressions for the crown fabrication.

Crown Placement

The permanent crown is adjusted, polished, and cemented into place.

Risk & Alternatives

Risks: Include potential damage to the tooth's nerve, the need for additional procedures like root canal therapy, and issues related to tooth structure reduction.

Alternatives: Depending on the situation, alternatives like fillings, onlays, or even tooth extraction and replacement may be considered.

Delaying Treatment: Delaying the placement of a crown can lead to further tooth deterioration, making preservation or restoration more challenging or even impossible.

This overview aims to equip you with the foundational knowledge needed to understand the role of crowns in dental health, the process involved in their fabrication and placement, and the considerations to keep in mind when discussing this treatment option with your dentist.

Have Questions About Crowns?

FAQs

A dental crown is a custom-fitted covering that encases the entire visible portion of a tooth, restoring it to its original shape, size, and function. Crowns are used to repair teeth that have been damaged, decayed, or compromised in some way.

Crowns are recommended for teeth that cannot be repaired with fillings or other types of restorations. Common reasons include protecting a weak tooth from breaking, restoring a broken tooth, covering a tooth with a large filling, holding a dental bridge in place, covering a dental implant, or improving the appearance of a tooth.

Materials can include porcelain, ceramic, metal alloys, gold, or a combination, such as porcelain fused to metal. The choice depends on the tooth’s location, aesthetic considerations, and functional requirements.

Traditionally, the crown process requires two visits: the first to prepare the tooth and place a temporary crown, and the second to place the permanent crown. However, with CAD/CAM technology, some crowns can be made and placed in a single visit.

Yes, modern crowns are designed to look very natural. Porcelain and ceramic crowns can be matched to the color of your natural teeth, making them virtually indistinguishable from your real teeth.

While crowns can last between 5 to 15 years or longer, their lifespan depends on wear and tear, oral hygiene practices, and personal habits. Proper care can extend their durability.

Yes, the tooth beneath a crown can still get a cavity. Therefore, maintaining good oral hygiene, including brushing, flossing, and regular dental check-ups, is essential.

The procedure is typically performed under local anesthesia, making it pain-free. Some sensitivity or discomfort may occur after the anesthetic wears off, but this is usually temporary.

Temporary crowns are made in the dental office and used to protect the tooth while the permanent crown is being fabricated in the lab. Permanent crowns are custom-made in a dental laboratory to precisely fit your tooth.

In some cases, alternatives like fillings, onlays, or dental bonding might be considered if the tooth structure is sufficient. Your dentist can advise on the best option based on your specific situation.

Crowns require the same level of care as your natural teeth, including brushing twice a day, flossing daily, and regular dental check-ups to monitor the crown and underlying tooth.

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