Dental crowns are a cornerstone in restorative dentistry, often recommended to protect, cover, and restore the shape of your teeth when fillings don't solve the problem. If you're considering this treatment, it's natural to have questions. Here, we dive deep into the most common inquiries about dental crowns to help you make informed decisions about your oral health.

Do I Really Need a Crown?

The decision to get a dental crown is not taken lightly and hinges on a variety of dental conditions. Crowns are not just a cosmetic enhancement; they are a fundamental treatment in restorative dentistry, primarily recommended under several specific circumstances.

Significant Decay: If a tooth has decay that is too extensive for a simple filling to be effective, a crown becomes necessary. When decay compromises a large portion of the original tooth, a crown is used to restore its shape, functionality, and appearance, safeguarding against further decay.

Severe Cracks or Breaks: For a tooth that is severely cracked or broken, a crown acts as a support system, holding the tooth together and preventing further damage. Without a crown, the tooth could eventually break down completely, leading to more severe dental issues, including tooth loss.

Following Root Canal Therapy: After a root canal treatment, teeth tend to become brittle and are more susceptible to fracture. Crowning these teeth protects them from future breakage while restoring their full functionality.

Excessive Wear: Teeth that are excessively worn down, whether from teeth grinding (bruxism) or just general wear, can benefit significantly from crowns. These restorations help in rebuilding the tooth to its original size, aiding in proper chewing and maintaining a healthy bite alignment.

Dental Implants: Crowns are an integral part of the dental implant process. After an implant has been placed and integrated with the bone, a crown is installed atop the implant to act as a functional, aesthetically pleasing tooth.

Aesthetic Enhancement: Beyond restorative needs, crowns are also employed to enhance the aesthetics of your smile. They are custom-made to match the color, size, and shape of your natural teeth, thus improving the overall appearance of your smile. They can be used to make cosmetic adjustments to teeth that are misshapen, uneven, or discolored, providing a long-lasting and attractive solution.

When your dentist suggests a crown, it is typically because the structural integrity of your tooth is at risk. The crown serves to fortify and protect this structure, preventing a weak tooth from breaking or holding together parts of a cracked tooth. It is a functional necessity that not only improves the longevity of your tooth but also preserves your overall oral health by maintaining proper alignment of your teeth, which can prevent further dental issues. Crowns, therefore, play a critical role in both preventive and restorative dental health strategies, making them an essential component of dental care for many patients.

What Happens When You Get a Crown?

Getting a crown usually requires at least two visits to the dentist, with each visit focusing on different stages of the crown placement process. Here's a more detailed step-by-step overview to help you understand what to expect:

• Examination and Preparation: Your journey toward getting a crown starts with a thorough examination of your tooth. Your dentist needs to ensure the tooth's foundation is strong enough to support a crown. This involves checking for any signs of tooth decay, infection, or injury. Once suitability is confirmed, your dentist begins the preparation process. This typically involves reshaping your tooth to make sure the crown will fit properly. Depending on the condition of your tooth, this could mean removing a portion of your tooth's outer layer or building up the tooth if it's too worn down. This step is crucial as it ensures that the crown will be able to fully encapsulate the tooth and fit seamlessly with your bite.
• Impressions: After reshaping, the next step is taking an impression of your tooth. This impression is critical as it will serve as the blueprint from which your custom crown will be crafted. Depending on your dentist's technology, the impression might be taken digitally with a scanner that creates a precise 3D model of your teeth, or it may be done the traditional way, using a dental putty that you bite into to leave an imprint of your reshaped tooth. Both methods aim to capture an exact replica for the perfect custom fit.
• Temporary Crown: Given that the fabrication of your permanent crown can take a few weeks, your dentist will fit a temporary crown during the interim. This temporary crown is made from a lighter, less durable material and is secured using temporary cement. It serves a critical purpose: to protect the prepared tooth and preserve its new shape, prevent shifting of surrounding teeth, and maintain the functionality of your bite. You will be advised to avoid sticky or hard foods and to be cautious while brushing around the temporary crown to prevent it from dislodging.
• Permanent Crown Placement: On your follow-up visit, once your permanent crown is ready, your dentist will remove the temporary crown and clean the tooth to prepare it for the new crown. The permanent crown will then be carefully placed to check the fit and color, ensuring that it matches your other teeth and fits comfortably against adjacent teeth and opposite tooth. Adjustments might be made to perfect the bite and fit before the crown is finally cemented into place. This cementation process is crucial as it secures the crown firmly to your tooth, allowing it to function like a natural tooth.
• Follow-Up: After the placement of the crown, your dentist may schedule a follow-up visit. This visit is an opportunity to ensure that the crown is fitting well, there are no bite issues, and you are comfortable with your new crown. It’s also a chance to discuss proper care for your crown to extend its longevity.

These detailed steps involved in getting a crown highlight the meticulous care taken to restore your tooth's function and appearance. Each step is performed with precision to ensure that your final result not only looks natural but also restores full functionality to your tooth.

Why Is a Dental Crown So Expensive?

The cost of dental crowns can be a point of concern for many, but it's important to consider the value they offer. Crowns are a long-term investment in your dental health, requiring high-quality materials and precise customization. The process involves not only the direct work on your tooth but also collaboration with dental laboratories to ensure that your crown is crafted to meet your specific needs.

Materials like porcelain, ceramic, and precious metals, which are used for making crowns, are chosen for their durability and aesthetic qualities, but they do come at a higher cost. Additionally, the technology used to design and manufacture these custom prosthetics is sophisticated, contributing to the overall expense.

The expertise of the dental professionals and the necessary time spent ensuring that your crown is perfect are also factors in the cost. However, considering that a well-maintained crown can last anywhere from 10 to 30 years, it represents a significant long-term benefit for your oral health.

Conclusion: Preserve Your Smile with Confidence

Understanding the essentials about dental crowns helps you see the importance and benefits of this treatment. If you suspect you might need a crown or have been advised to consider one, don't hesitate to take the next step towards preserving your dental health and enhancing your smile.

We’re committed to providing you with personalized care and the highest quality dental solutions. Schedule your appointment with us today to discuss how we can help you maintain a healthy, beautiful smile with the help of dental crowns or any other dental needs.