What Is a Dental Crown and  Why Do You Need One?

What Is a Dental Crown and Why Do You Need One?

Posted Dec. 31, 2024 by Haresh Savani

What is a Dental Crown?

One can easily snap off an apple while trying to get on a work call or a meeting. This could lead to a tooth snapping as well, and further, if a meeting is so important, it can result in a visit to the dentist only to find out that a dental crown locket was required. A dental crown always sits on a cracked tooth or tooth that requires repairing most aptly.

To put it simply, a dental crown is a type of prosthesis that is cemented into the base of a tooth. To be more descriptive, it completely encases the entire tooth surface over the gum line, which makes it look more or less like a cap but also protects the tooth. Hence, joy would be restored as the tooth would be able to function normally without the threat of any kind of damage putting it at risk.

  • Porcelain Crowns: The composition of crowns differs and this is retaining the very purpose they were created for. The composition most commonly used porosity includes porcelain. This composition would be suited for all the front teeth as it encases them beautifully. Hence, a natural look is maintained and blends in perfectly with the existing smile set.
  • Ceramic Crowns: Ceramic crowns are on par with porcelain crowns in durability and aesthetics. These are used on the front teeth as well.
  • Metal Crowns: Metal crowns are usually made from some alloys such as gold or silver. These crowns are very strong and durable. However, they are pretty visible and hence are only used on molars and other non-aesthetic teeth.
  • Resin Crowns: The cheaper ones can become brittle over time and are prone to breaking more than other types like porcelain or metal ones.

The significant benefit of dental crowns is recovering the lost beauty, apart from regaining the lost function, in order to facilitate normal chewing and speaking activities.

Reasons You May Need a Dental Crown

Imagine you have just been told that you require a dental crown. You may wonder, Why do I need this? Here are some common reasons for requiring a dental crown:

A large cavity in a tooth cannot be filled; this is where a dental crown comes in, restoring the strength and function of the tooth. The tooth may break down or worsen without the crown.

Damaged Cracked or Broken Tooth

A damaged, cracked, or broken tooth is due to several instances of injury or years of decay-a badly cracked or broken tooth. Because of pain or infection due to pain, it can crack with break. Crowning it protects the tooth from further damage.

  • Weak or Eroded Teeth: If, due to extensive dental processes, grinding, or some other factors, a couple of teeth become weak, extra support will be given from crowns to these or prevent them from cracking from breaking.
  • Cosmesis: If the cosmetic part of your tooth is flawed, either in coloration, its shape, or damaged seriously, to create a significant aesthetic compromise. When you have a crowned dental unit, you can smile once more for the world.
  • When Tooth Has Had a Root Canal: A tooth is left pretty brittle after a root canal. A crown provides excellent protection to the remaining functional tooth structure.

A crown addresses the issue at hand but also prevents future complications, restoring your tooth to its original function and protecting it from further harm.

How Are Dental Crowns Made?

The process of making a dental crown is a combination of artistry and precision. A crown needs to fit perfectly on your tooth while blending seamlessly with your other teeth. Here’s a breakdown of how dental crowns are made:

  • Initial Assessment: During your first visit, your dentist will examine the affected tooth. X-rays may be taken to assess the tooth’s health and ensure there’s no underlying issue like an infection.
  • Tooth Preparation: To make room for the crown, the dentist will first reshape the tooth by removing a layer of enamel. If there’s any decay, it will also be removed. The goal is to leave enough healthy tooth structure for the crown to fit securely.
  • Impressions or Scans: Once the tooth is prepped, your dentist will take an impression. Traditionally, this involves a mold, but many dental offices now use digital impressions, which are quicker and more comfortable. These impressions help create a custom crown that fits your tooth perfectly.
  • Temporary Crown: While your custom crown is being made, you will typically be given a temporary crown to wear. This protects your teeth and allows you to go about your day-to-day activities.
  • Fabrication of the Crown: Once the impression is taken, the crown is crafted. The process can take a few days if the crown is being made in a dental lab. However, in some modern dental offices, crowns can be created on-site using CAD/CAM technology (Computer-Aided Design and Computer-Aided Manufacturing). This technology allows for a crown to be designed and fitted on the same day.
  • Fitting the Crown: When your crown is ready, you’ll return to the dentist for a fitting. The dentist will place the crown on your tooth, check its fit, and make sure it feels natural. Once the fit is perfect, the crown will be cemented into place.

By the end of the process, you’ll have a fully restored tooth that looks, feels, and functions just like your natural teeth.

 

What Does the Procedure Involve?

Getting a dental crown is typically a two-step process, although some patients may be able to complete the procedure in just one visit with modern technology. Here’s what you can expect when you go to the dentist:

  • Step 1: Tooth Preparation

        The dentist will begin by numbing the area around the affected tooth to ensure you're comfortable. Once you're numb, they will reshape the tooth by removing any decayed or damaged areas. If necessary,         they will add material to build up a weak tooth to provide a solid foundation for the crown. This step is crucial to make sure the crown fits securely and comfortably.

  • Step 2: Taking Impressions or Scans

        After your tooth is prepped, the dentist will take an impression of your tooth using either traditional molding material or a digital scanner. This impression ensures that your crown will match the exact shape of         your tooth. The impression is then sent to a dental laboratory (or used on-site if your dentist has the technology) to create your custom crown.

  • Step 3: Fitting a Temporary Crown

        While the permanent crown is being made, you will be fitted with a temporary crown to protect your tooth. It may not be as durable or aesthetically pleasing as the final one, but it will keep your tooth safe until         your next visit.

  • Step 4: Cementing the Permanent Crown

        When your custom crown is ready, you’ll return to the dentist’s office. The dentist will remove the temporary crown, check the fit of the permanent crown, and make any necessary adjustments. Once              everything is perfect, the crown will be securely cemented onto your tooth. They will ensure that your bite feels natural so you’re able to eat and speak comfortably.

The process may vary depending on the type of crown you're getting and your dentist’s equipment, but in general, it’s a straightforward procedure that typically takes two visits. For those using same-day crowns, the entire process is done in one appointment.

 

How Long Inside This World Do Dental Crowns Endure?

Patients often ask how long dental crowns can last. The longevity of a dental crown can vary based on several factors, but statistically, crowns can last anywhere from 5 to 15 years. Here are some circumstances that may affect the durability of a crown:

  • Material: Resin crowns can last up to ten years with proper care, but they may not be as durable as crowns made from gold or metal alloys due to differences in material composition. While resin crowns are more aesthetically pleasing, they typically wear out faster because of this.
  • Oral Hygiene: Good oral hygiene is essential for maintaining both natural teeth and crowns. Regular brushing and routine visits to the dentist can help limit bacterial plaque buildup. If plaque accumulates excessively, it can lead to the premature failure of the dental crown.
  • Chewing Habits: What you chew can also impact crown durability. Chewing on solid objects, like ice or pens, may damage the crown. Using a nightguard can help protect your crown from damage, especially if you grind your teeth at night, a condition known as bruxism.
  • The Tooth's Condition: The health of the tooth beneath the crown is also crucial. If the underlying tooth is weak or compromised, the crown may not last as long. Regular check-ups with your dentist are essential to ensure that both the crown and the tooth underneath are functioning in a better way.

By taking proper care of your dental crowns and avoiding habits that can damage them, you can expect your crowns to last for many years, providing a lasting solution to tooth damage.

Cost of Dental Crowns

The cost of a dental crown can vary significantly depending on several factors, including the type of crown, where you live, and whether or not you have insurance. Here’s a breakdown to help you understand the potential costs:

  • Type of Crown:

           The material you choose for your crown plays a major role in the overall cost. For example:

  • Porcelain crowns usually cost between $800 to $3,000 per crown, depending on the complexity and the dentist's expertise.
  • Ceramic crowns tend to be in a similar range, typically costing between $800 to $2,500.
  • Metal crowns (gold or alloys) are more durable but may cost slightly less, often ranging from $600 to $2,500.
  • Resin crowns are generally more affordable, starting at around $300 to $1,500.
  • Location: Dental crown prices can vary by region. For instance, crowns in major cities or areas with a higher cost of living tend to be more expensive than in smaller towns or rural areas. Costs may also differ based on the experience and reputation of the dentist.
  • Insurance Coverage: If you have dental insurance, it may cover a portion of the cost of a dental crown, especially if it’s medically necessary (due to decay or damage). However, cosmetic crowns (for appearance purposes) may not be covered. On average, insurance will cover around 50% of the cost, though this can vary based on your plan’s terms.
  • Payment Options: Many dental offices offer financing options to help spread the cost over time. Some dentists may also provide payment plans or work with third-party lenders, making it easier to manage the expense.

While the cost of dental crowns might seem high, it’s important to remember that they are an investment in your oral health. Crowns restore the function and appearance of damaged teeth, often saving you from more costly procedures in the future, like tooth extraction or root canals.

 

Benefits of Dental Crowns

Dental crowns offer numerous benefits beyond just restoring a damaged tooth. Here are some of the key advantages:

  • Restoring Tooth Function: A crown can bring back the strength and functionality of a tooth that has been weakened by decay, damage, or previous dental procedures. This allows you to chew, bite, and speak comfortably without worrying about your tooth breaking or causing discomfort.
  • Improving Aesthetics: For teeth that are cracked, discolored, or misshapen, a crown can enhance their appearance. Porcelain and ceramic crowns, in particular, can blend in seamlessly with your natural teeth, giving you a smile that looks as good as new.
  • Preventing Further Damage: Once a tooth is weakened or cracked, it becomes more vulnerable to further damage. A crown provides protection, reducing the likelihood of the tooth breaking or experiencing more decay.
  • Durability and Longevity: Crowns, especially those made from durable materials like metal, can last many years with proper care. This makes them a long-term solution for restoring damaged teeth, saving you time and money in the future.
  • Preserving Natural Tooth Structure: Unlike tooth extraction or other procedures that require removing the entire tooth, a crown preserves much of the natural tooth. This is important for maintaining overall oral health and keeping your other teeth in their correct alignment.
  • Versatility: Dental crowns are incredibly versatile. They can be used for various reasons, whether it’s to restore a damaged tooth, cover a large filling, or improve the aesthetics of a tooth with intrinsic stains or imperfections.

In short, dental crowns are a reliable and effective solution for improving both the functionality and appearance of your teeth. They allow you to preserve your natural smile while addressing dental issues that might otherwise require more invasive treatments.

 

Possible Risks and Complications

While dental crowns are a highly effective solution for many dental issues, like any procedure, they come with potential risks and complications. Here’s what you should know:

  • Crown Sensitivity: After getting a dental crown, some patients experience mild sensitivity to hot or cold temperatures. This is usually temporary and should subside as your tooth heals. However, if the sensitivity persists, it could indicate that the crown is not fitting correctly or that the tooth underneath is still irritated.
  • Crown Loosening: Over time, a crown can become loose. This can happen if the cement used to bond it to your tooth wears down or if the tooth underneath becomes weakened. If a crown becomes loose, it should be re-cemented by your dentist as soon as possible to prevent further damage.
  • Chipping or Cracking: While dental crowns are durable, they are not invincible. Porcelain and ceramic crowns, in particular, can crack or chip if you bite down on something hard or experience trauma to the area. Metal crowns are much more resilient, but they can also wear down over time.
  • Improper Fit: If the crown doesn’t fit correctly, it can affect your bite, leading to discomfort or even jaw pain. In some cases, this may cause further dental issues, such as tooth grinding or gum irritation. If you notice that your crown feels off, it’s essential to see your dentist for adjustments.
  • Allergic Reactions: While rare, some people may have allergic reactions to the materials used in dental crowns, especially with metal crowns that contain nickel or other alloys. If you suspect you have an allergy, it’s essential to inform your dentist, who can recommend alternative materials, such as porcelain or ceramic.

While complications are uncommon, it’s essential to stay vigilant and monitor the condition of your crown. Regular dental visits can help ensure that your crown is in good shape and functioning correctly.

 

Alternatives to Dental Crowns

Dental crowns can be replaced with alternatives depending on the damage to the tooth. Fillings are suitable for smaller cavities or minor damage, offering a less invasive solution. At the same time, Veneers are a good choice for cosmetic purposes, improving the appearance of teeth without covering them entirely. However, they don't provide the same protection as crowns.

For more severe cases, Dental Implants replace missing teeth permanently with a titanium post and crown. Tooth Extraction may be the last resort if the tooth is too damaged, followed by an implant or bridge for restoration. Discussing options with your dentist helps determine the best treatment for your needs.

 

Haresh Savani
Published by Haresh Savani

As an accomplished founder and CEO, seasoned digital dental technician, experienced ceramist, and a guide to thousands of budding professionals, my vision is to bring a dental renaissance to the global canvas.

For the past 20 years, we have toiled and carved our path to becoming a leading dental lab for providing the latest products, innovative materials, and state-of-the-art digital technology.


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