Dental Crowns

by Wisteria Family Dentistry. 2024/09/18.

Dental crowns are tooth-shaped caps placed over teeth to restore their shape, size, strength, and appearance. Often employed when a tooth is severely decayed or damaged, crowns can also hold together parts of a cracked tooth, cover a dental implant, or significantly improve a tooth’s aesthetics. They serve to protect weaker teeth from breaking or to restore a tooth that has already been broken or significantly worn down.

Various types of dental crowns cater to different needs and preferences. Metal crowns, made from alloys containing gold or platinum, are highly durable and resistant to wear, making them suitable for out-of-sight molars. Porcelain-fused-to-metal crowns offer a more natural look, blending seamlessly with existing teeth, though they may show underlying metal sometimes. All-ceramic or all-porcelain crowns provide the best natural color match and are ideal for patients with metal allergies, though they are less durable than metal options. Additionally, resin crowns are less expensive but wear down over time and fracture more easily. Each type provides unique benefits and considerations, ensuring that there is a suitable option for every dental situation.

The dental crown procedure typically begins with an initial consultation and assessment, during which the dentist examines the tooth and surrounding oral structures through physical examination and X-rays. This helps determine the extent of damage or decay and whether a crown is indeed the suitable solution. Once the decision to proceed with a crown is made, the next step involves tooth preparation. In this phase, the dentist removes any decay and reshapes the tooth by filing it down to create space for the crown.

After the tooth is prepared, dental impressions are taken. Using a putty-like material or advanced digital scanning technology, the dentist captures a precise model of the prepared tooth and the surrounding teeth. These impressions are crucial for creating a custom-fit crown. While waiting for the final crown to be manufactured, a temporary crown is placed to protect the prepared tooth and maintain its function and appearance.

The final crown is typically made in a dental laboratory, a process that can take one to two weeks. Once the permanent crown is ready, the patient returns for the final placement. The temporary crown is removed, and the new crown is fitted over the prepared tooth. Adjustments are made to ensure proper fit and bite alignment, and once both the dentist and patient are satisfied, the crown is securely cemented in place. The result is a durable, natural-looking restoration that restores function and aesthetics to the compromised tooth.

After getting a dental crown, it's important to follow specific care instructions to ensure optimal healing and longevity of the crown. Initially, you may experience some discomfort or sensitivity. Over-the-counter pain relievers like ibuprofen can help manage mild pain. Avoid chewing hard or sticky foods on the side of the mouth where the crown is placed for the first few days to allow proper setting. Consuming soft foods and avoiding extreme temperatures in food and drinks can also help mitigate sensitivity.

In the long term, maintaining good oral hygiene is crucial. Brush your teeth twice daily with a non-abrasive fluoride toothpaste and floss carefully around the crown to prevent plaque buildup. Consider using an antibacterial mouthwash to further reduce the risk of infection or decay around the crowned tooth. Regular dental checkups and professional cleanings are essential to monitor the condition of the crown and your overall oral health.

Be vigilant about recognizing potential problems such as persistent pain, unusual sensitivity, or the crown feeling loose. If you notice any of these issues, contact your dentist promptly. Regular follow-up visits, usually every six months, allow your dentist to assess the crown’s integrity and catch any issues early. By adhering to these after-care guidelines, you can ensure that your dental crown remains functional and looks great for many years.

Dental crowns offer several advantages, including restoring function and aesthetics to damaged teeth. They provide durable protection for teeth that have undergone significant decay or trauma, preventing further deterioration. Additionally, crowns are custom-made to match the color and shape of natural teeth, enhancing the overall appearance of one's smile. They can also improve chewing ability and help maintain the alignment of adjacent teeth.

However, there are potential risks and considerations to bear in mind. Some individuals may experience sensitivity or discomfort after the procedure, especially if the underlying tooth is not properly sealed. In rare cases, crowns can chip or become loose. Cost is another important factor; crowns can be expensive, particularly if made from high-quality materials like porcelain or gold. Comparing crowns to other dental restorations, such as fillings or veneers, crowns are generally more durable but also more invasive and costly. Veneers may be a preferable option for minor cosmetic adjustments, whereas fillings are suitable for smaller areas of decay. Consulting with a dental professional can help determine the most appropriate solution based on individual needs and budget.