Crowns Can Save Smiles (and Teeth)
A dental crown is a tooth-shaped “cap” that is placed over a tooth covering the tooth to restore its shape and size, strength, and / or to improve its appearance.
When a tooth is fractured, has a large filling, or is severely damaged by decay, we would recommend the placement of a crown or cap. Crowns strengthen and protect the remaining tooth structure and can improve the appearance of your smile.
When is a dental crown needed?
A dental crown may be needed in the following situations:
- To protect a weak tooth (for instance, from decay) from breaking or to hold together parts of a cracked tooth
- To restore an already broken tooth or a tooth that has been severely worn down
- To hold a dental bridge in place
- To cover and support a tooth with a large filling when there isn’t a lot of tooth left
- To cover a dental implant
- To cover misshapened or severely discolored teeth
What To Expect First Visit : Examine and Prepare Tooth.
At the first visit in preparation for a crown, we may take a few X-rays to check the roots of the tooth receiving the crown and surrounding bone. If the tooth has extensive decay or if there is a risk of infection or injury to the tooth’s pulp, a root canal treatment may first be performed. Before the process of making your crown is begun, our dentist will anesthetize (numb) your tooth and the gum tissue around the tooth. Next, the tooth receiving the crown is filed down along the chewing surface and sides to make room for the crown. The amount removed depends on the type of crown used (for instance, all-metal crowns are thinner, requiring less tooth structure removal than all-porcelain or porcelain-fused-to-metal ones). If, on the other hand, a large area of the tooth is missing (due to decay or damage), we may use filling material to “build up” the tooth to support the crown. After reshaping the tooth, our team will use impression paste or putty to make an impression of the tooth to receive the crown. Impressions of the teeth above and below the tooth to receive the dental crown will also be made to make sure that the crown will not affect your bite. The impressions are taken to our dental laboratory where the crown will be manufactured. If your crown is made of porcelain, our dentist will also select the shade that most closely matches the color of the neighboring teeth. During this first office visit we will make a temporary crown to cover and protect the prepared tooth while the crown is being made. Temporary crowns usually are made of acrylic and are held in place using a temporary cement.
Second Visit : Receive Permanent Crown.
At your second visit, our dentist will remove your temporary crown and check the fit and color of the permanent crown. If everything is acceptable, a local anesthetic will be used to numb the tooth and the new crown is permanently cemented in place.