Crowns

What are dental crowns?

Dental crowns, also known as caps, are dental restorations that are used to completely cover a damaged or weakened tooth. They are typically made of materials such as porcelain, ceramic, or metal, and are designed to look and function like a natural tooth.

Dental crowns are used to strengthen and protect teeth that have been damaged due to decay, trauma, or other issues. They can also be used to restore the shape, size, and function of a tooth that has been severely worn down or damaged.

The process of getting a dental crown typically involves two visits to the dentist. During the first visit, the dentist will prepare the tooth by removing any decay or damage and shaping it to fit the crown. An impression of the tooth will be taken, which will be used to create the crown. A temporary crown may be placed on the tooth while the permanent crown is being made.

During the second visit, the permanent crown will be placed on the tooth and cemented into place. We will check to make sure the fit and color of the crown match the surrounding teeth, and make any necessary adjustments.

Overall, dental crowns are a common and effective way to restore damaged or weakened teeth and improve the overall appearance and function of the mouth.

What is biomimetic dentistry ?

Biomimetic dentistry is an approach to restorative dentistry that focuses on preserving as much of the natural tooth structure as possible while using materials that mimic the natural properties of teeth. The word "biomimetic" means "mimicking life," and the goal of biomimetic dentistry is to restore teeth in a way that mimics the natural function, strength, and appearance of healthy teeth.

Biomimetic dentistry uses modern materials and techniques to create restorations that are strong, long-lasting, and aesthetically pleasing. For example, instead of using traditional metal fillings or crowns, biomimetic dentists may use composite resin materials that can be matched to the natural color of the tooth and bond directly to the tooth structure. This approach can help to prevent further damage to the tooth and maintain its natural strength and function.

Biomimetic dentistry also emphasizes the importance of proper diagnosis and treatment planning. Biomimetic dentists use advanced imaging and diagnostic techniques to identify the underlying causes of dental problems and develop a customized treatment plan that addresses the root cause of the issue.

Overall, biomimetic dentistry is a conservative and minimally invasive approach to restorative dentistry that seeks to preserve the natural tooth structure while creating restorations that are strong, durable, and aesthetically pleasing.

What are the alternatives to dental crowns?

There are several alternatives to dental crowns, depending on the specific dental issue and the patient's needs. Here are some of the most common alternatives:

Dental fillings: Dental fillings are a common alternative to crowns for minor cavities or damage to the tooth. They are typically made of composite resin or amalgam and can be color-matched to the natural tooth color.
Inlays or onlays: Inlays or onlays are used to repair more extensive damage to the tooth, such as large cavities or cracks. They are custom-made to fit into the damaged area of the tooth and can be made of materials such as porcelain or composite resin.
Veneers: Veneers are a cosmetic alternative to dental crowns that can be used to improve the appearance of teeth that are discolored, misshapen, or have minor damage. They are typically made of porcelain or composite resin and are bonded to the front surface of the tooth.
Dental bonding: Dental bonding is a quick and easy alternative to crowns that can be used to repair minor chips or cracks in the teeth. It involves applying a tooth-colored composite resin to the damaged area of the tooth and bonding it in place with a special light.
Root canal therapy: In cases where a tooth is severely damaged or infected, root canal therapy may be necessary to save the tooth. This involves removing the damaged or infected tissue from inside the tooth and filling it with a dental material to prevent further damage.

Overall, the best alternative to dental crowns will depend on the specific dental issue and the patient's individual needs and preferences. It's important to consult with a dentist to determine the best treatment option.

What types of dental crowns are there?

There are several types of dental crowns, each with their own advantages and disadvantages. The most common types of dental crowns include:

Porcelain-fused-to-metal (PFM) crowns: These crowns have a metal base that is covered with a layer of porcelain to give the crown a natural appearance. PFM crowns are durable and can withstand biting and chewing forces well, but the metal base can sometimes be visible as a dark line at the gum line.
Ceramic or porcelain crowns: These crowns are made entirely of ceramic or porcelain material, which gives them a very natural appearance. Ceramic or porcelain crowns are a good option for people with metal allergies or those who prefer a metal-free restoration.
Gold alloy crowns: These crowns are made of a combination of gold, copper, and other metals. Gold alloy crowns are very strong and durable, and they do not wear down the natural tooth structure as much as other types of crowns. However, they are not as aesthetically pleasing as porcelain or ceramic crowns.
Zirconia crowns: Zirconia crowns are made of a strong, biocompatible material that is similar in color to natural teeth. Zirconia crowns are durable, long-lasting, and can withstand biting and chewing forces well.

Overall, the type of dental crown that is best for you will depend on several factors, including the location of the tooth, the extent of the damage, and your personal preferences. We help you determine which type of crown is right for you.

What different materials are used in dental crowns and what are the advantages and disadvantages of each?

There are several materials used in dental crowns, and each material has its own advantages and disadvantages. Here are some of the most common materials used in dental crowns:

Porcelain-fused-to-metal (PFM) crowns: PFM crowns have a metal base covered with a layer of porcelain to give them a natural appearance. The metal base provides strength and durability, while the porcelain layer gives the crown a natural-looking finish. Advantages of PFM crowns include durability and a natural appearance. However, the metal base may be visible as a dark line at the gum line, and they may not be as aesthetically pleasing as all-porcelain or ceramic crowns.
Ceramic or porcelain crowns: These crowns are made entirely of ceramic or porcelain material, which gives them a natural appearance. Advantages of ceramic or porcelain crowns include a natural-looking finish and biocompatibility. However, they may not be as durable as other types of crowns, and they can be more prone to chipping or cracking.
Gold alloy crowns: Gold alloy crowns are made of a combination of gold, copper, and other metals. Advantages of gold alloy crowns include strength, durability, and resistance to wear. However, they are not as aesthetically pleasing as other types of crowns, and they can be more expensive.
Zirconia crowns: Zirconia crowns are made of a strong, biocompatible material that is similar in color to natural teeth. Advantages of zirconia crowns include durability, biocompatibility, and a natural-looking finish. However, they can be more expensive than other types of crowns.

Is a dental crown necessary after root canal treatment?

In many cases, a dental crown is necessary after a root canal treatment. A root canal involves removing the infected or damaged pulp inside the tooth and replacing it with a filling material. This can weaken the tooth, making it more susceptible to cracking or breaking.

A dental crown can help to protect the tooth and restore its strength and function. The crown is placed over the remaining part of the tooth after the root canal treatment is complete. It covers the tooth like a cap, providing additional strength and protection.

It is important to follow your dentist's recommendations after a root canal to ensure the best possible outcome and long-term success of the treatment.

Dental crown procedure

Evaluation and preparation: The first step in the dental crown procedure is an evaluation by a dentist. The dentist will examine the tooth and surrounding tissues to determine if a crown is necessary and which type of crown is appropriate.
Tooth preparation: If a crown is deemed necessary, the dentist will begin preparing the tooth. This involves removing any decay or damage and shaping the remaining tooth structure to accommodate the crown.
Impressions: Once the tooth is prepared, the dentist will take impressions of the tooth and surrounding teeth. These impressions will be used to create a custom-made crown that fits perfectly over the tooth.
Temporary crown: While the permanent crown is being fabricated, the dentist will place a temporary crown over the prepared tooth to protect it.
Crown placement: When the permanent crown is ready, the dentist will remove the temporary crown and place the permanent crown over the prepared tooth. The fit and color of the crown will be checked and adjusted as necessary.
Final adjustments: Once the crown is in place, the dentist will make any final adjustments to ensure that it fits comfortably and securely.

The dental crown procedure typically requires two or more visits to the dentist. The entire process can take 1-2 weeks, as the permanent crown is custom-made in a dental laboratory. With proper care, dental crowns can last for many years and provide a long-lasting solution for damaged or decayed teeth.

Does the dental crown placement hurt?

During the dental crown placement procedure, the tooth and surrounding area will be numbed with a local anesthetic to minimize any discomfort or pain. Therefore, most patients do not feel any pain during the procedure itself.

However, it is common to experience some sensitivity or discomfort in the days following the procedure as the anesthesia wears off and the tooth adjusts to the new crown. This is normal and can be managed with over-the-counter pain relievers and avoiding biting down on hard or crunchy foods for a few days.

If you experience significant pain or discomfort after the crown placement procedure, it is important to contact your dentist as this could be a sign of a problem with the crown or underlying tooth structure. In general, the dental crown placement procedure is well-tolerated and is considered a relatively low-risk and routine dental procedure.

Are there any consequences for getting a tooth crown?

While dental crowns are a common and effective dental treatment, there are some potential consequences or risks to consider, including:

Sensitivity: After a dental crown is placed, some patients may experience temporary sensitivity or discomfort in the surrounding teeth or gums.
Decay: While dental crowns can protect against decay, the area around the crown can still be susceptible to decay if proper oral hygiene is not maintained. It is important to brush and floss regularly and visit the dentist for routine checkups and cleanings.
Allergic reactions: In rare cases, a patient may experience an allergic reaction to the materials used in the crown, such as metal or porcelain. It is very rare scenario but sometime it can happen .
Discomfort or irritation: A dental crown may feel bulky or uncomfortable at first, but most patients adjust to the new sensation within a few days.

We can discuss the risks and benefits of dental crowns with you before undergoing the procedure to ensure that it is the best treatment option for your specific needs and circumstances.

Is it worth putting children's teeth in crowns?

We do not typically recommend crowns in children. Dental crowns may be recommended for children in certain situations, such as when a baby tooth is severely decayed or damaged and needs to be saved until the permanent tooth grows in. In these cases, placing a crown on the affected tooth can help protect it and preserve it until it naturally falls out.

However, the decision to place a dental crown on a child's tooth should be made on a case-by-case basis and should involve a discussion between the dentist, the child, and the child's parents or guardians. Other treatment options, such as fillings or extractions, may be considered depending on the severity and location of the decay or damage.

It is also important to consider the potential risks and benefits of placing a crown on a child's tooth, as well as the child's ability to tolerate the procedure and maintain good oral hygiene habits. In some cases, a temporary or provisional crown may be recommended instead of a permanent crown, as children's teeth are still growing and changing.

Overall, the decision to place a crown on a child's tooth should be made in consultation with a qualified dentist who has experience working with children and can provide individualized care and treatment recommendations.

Do crowns look like normal teeth?

Modern dental crowns are designed to look and function like natural teeth. The color and shape of the crown can be customized to match the color, shape, and size of the surrounding teeth, creating a natural and seamless appearance.

The material used to create the crown can also impact how natural it looks. For example, porcelain or ceramic crowns are often used for front teeth because they closely mimic the appearance of natural teeth. Other materials, such as gold or metal alloys, may be used for back teeth where they are less visible.

The dental crown will be custom-made to fit over the prepared tooth, and it will be designed to blend in with the surrounding teeth in terms of color, shape, and size. In some cases, the dentist may need to make some adjustments to the crown to ensure that it fits comfortably and looks natural.

Overall, with proper design, materials, and placement, dental crowns can be made to look very similar to natural teeth, restoring both the function and appearance of a damaged or decayed tooth.

Can you get cavities on crowned teeth?

Yes, it is possible to get cavities on crowned teeth if proper oral hygiene is not maintained. Although a dental crown can protect the underlying tooth structure, the area around the crown can still be susceptible to decay if bacteria are allowed to accumulate.

It is important to practice good oral hygiene habits, such as brushing twice a day, flossing daily, and visiting the dentist regularly for checkups and cleanings, to help prevent decay and other dental problems. Your dentist may also recommend using an antibacterial mouthwash or fluoride treatment to help protect your teeth and dental restorations, including crowns.

If you notice any signs of tooth decay, such as sensitivity, pain, or discoloration around a dental crown, it is important to contact your dentist right away.

Early intervention can help prevent the decay from spreading and potentially causing more serious dental problems.
In summary, while dental crowns can protect against decay, it is still important to maintain good oral hygiene habits and visit the dentist regularly to help prevent cavities and other dental problems.

How should I take care of my dental crown?

Taking care of your dental crown is important to ensure its longevity and to prevent future dental problems. Here are some tips for caring for your dental crown:

Practice good oral hygiene: Brush your teeth twice a day with fluoride toothpaste and floss daily to help prevent decay and gum disease. Be sure to clean around your dental crown as well, using a soft-bristled toothbrush.
Avoid hard or sticky foods: Avoid biting down on hard or sticky foods, which can cause your dental crown to crack or come loose. Instead, opt for softer foods that are easier to chew.
Wear a mouthguard: If you play sports or grind your teeth at night, wear a mouthguard to protect your dental crown from damage.
Visit your dentist regularly: Visit your dentist for regular checkups and cleanings to ensure that your dental crown is in good condition and to identify any potential issues before they become more serious.
Be aware of any changes: If you notice any changes in your dental crown, such as sensitivity, pain, or discoloration, contact your dentist right away. These could be signs of decay, damage, or other dental problems that require prompt attention.

By following these tips and taking good care of your dental crown, you can help ensure that it remains strong and functional for many years to come.

How long will a dental crown last?

The lifespan of a dental crown can vary depending on several factors, including the type of material used, the location of the crown in the mouth, and how well it is cared for. Generally, dental crowns can last anywhere from 5 to 15 years or longer with proper care and maintenance.

Here are some factors that can impact the lifespan of a dental crown:

Material: Different materials have different lifespans.
Location: Crowns on back teeth tend to experience more wear and tear from chewing and grinding, which can cause them to wear down faster than those on front teeth.
Oral hygiene: Good oral hygiene habits, such as brushing and flossing regularly, can help prevent decay and other dental problems that can affect the lifespan of a crown.
Grinding or clenching: People who grind or clench their teeth may put more pressure on their dental crowns, causing them to wear down faster.
Trauma or injury: Trauma or injury to the mouth can damage or dislodge a dental crown, reducing its lifespan.

If you have a dental crown, it is important to take good care of it and to visit your dentist regularly for checkups and cleanings. Your dentist can evaluate the condition of your crown and help identify any issues before they become more serious. With proper care, a dental crown can last for many years and help protect your tooth from further damage or decay.

Does insurance cover dental crowns?

Dental insurance coverage for dental crowns can vary depending on the insurance provider, the type of plan you have, and the reason for the crown placement. Some insurance plans may cover the entire cost of the crown, while others may cover only a portion of the cost.

In general, dental insurance plans may cover dental crowns if they are deemed medically necessary, such as for tooth restoration after injury or decay.

However, if the crown is placed for purely cosmetic reasons, such as to improve the appearance of a discolored tooth, insurance may not cover the cost.

It is important to review your dental insurance policy and contact your insurance provider to confirm coverage and any out-of-pocket expenses that you may be responsible for. Dr. Patel can also help you understand your insurance coverage and provide an estimate of the cost for your specific dental crown treatment plan.