Always keep your smile !

What is a CROWN?

When your tooth becomes severely decayed, has large filling, fractures or cracks it loses strength and support. The treatment then to save your tooth will require more than a dental filling, instead a dental crown is recommended. A dental crown can be made of gold, porcelain-fused-to-metal, or all porcelain. It helps embrace your remaining tooth structure and is designed to look like a healthy and natural tooth.

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A dental crown is in essence a «cap» designed especially for the individual tooth that has lost significant support encasing it in protective material to prevent further damage such as “cracks”.

Why do I need a crown?

  • A) Decayed teeth
  • B) Teeth with Root Canal
  • C) Broken or fractured teeth
  • D) Esthetic improvement
  • E) Large or broken fillings

You will find a detailed explanation of each of the listed reasons above which may be helpful to answer some of your questions depending on your situation.

A) and B) If the loss of tooth support is due to severe caries that has caused dental pain, then a root canal treatment will be required prior to placing a crown. If you don’t put a crown after the root canal treatment, the tooth may fracture below the gum line making its restoration difficult and in some cases the fracture may continue to the dental roots. This is called a vertical root fracture and your tooth will need to be extracted. A dental crown can help save the tooth from vertical cracks.

C) If the loss of tooth support is due to a crack in the tooth, then depending whether there is pain or not and the size of the crack, a crown may be the right choice. Crowns provide you the ability to save as much of the tooth structure as possible and prolong the longevity of your tooth. Like all restorations, crowns can last a very long time but they eventually may need to be replaced.

D) and E) Dental crowns can also be indicated in situations where very large fillings have been placed and again tooth support is compromised. If you have many large fillings in your front teeth and you would like to improve the appearance then a porcelain dental crown will restore your smile to a better esthetic and functional outcome.

  • What is the crown procedure and how many appointments are required?

    A crown procedure usually requires two appointments at least one week apart. On the first appointment, the dentist will prepare your tooth and shape your tooth so a crown has room to fit on it.

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    Afterwards, highly accurate molds/ impressions will be taken to duplicate the prepared tooth in your mouth. This will allow accurate reconstruction of your tooth in our in house dental lab. A mold will also be used to create a temporary crown, which will stay on your tooth until your new crown is fabricated by our dental technician. Having a dental technician in our office ensures superior quality and esthetics due to better communication, crown shade selection, and faster mold processing. It is also provides convenience as we can always do adjustments at the same appointment without the need to book another appointment.

    At your second appointment your temporary crown will be removed, the tooth will be cleaned and your new crown will be carefully placed to ensure that the fit and bite are accurate. Of course you have to be fully satisfied before we use permanent cement to place the crown on your tooth.

    You will be given oral hygiene instructions and encouraged to have regular dental visits to check your new crown.

  • What are crowns made of?

    Crowns can be made of gold, porcelain-fused-to-metal, zirconia, or all porcelain. Each material has its own advantages such as esthetics, strength and durability. Your dentist will help you determine which material is ideal for your case.

  • How much do dental crowns cost?

    Depending on the material used the price of each crown will vary. It is best to book an appointment and discuss your options with your dentist.

  • What is a Dental Bridge?

    Over 20 years ago, before dental implants were introduced, dentists had only two choices to replace missing teeth. One was a removable partial denture or a complete denture, and the other was placing a fixed permanent dental bridge if enough teeth were present for anchorage.

    A dental bridge is not a removable denture as many people may confuse the two. A dental bridge is a FIXED dental prosthesis that replaces one or more missing teeth by using your own natural teeth to be the anchor. In other words, it extends across the area that has no teeth and is held firmly in place by your own natural teeth on each side of the missing one(s).

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    The bridge can be made up of the same material as the crowns (link: what are crowns made of). A dental bridge on teeth is cemented permanently and cannot be removed.

    Today, because of the advancement in technology and the introduction of dental implants, people who have lost one or more teeth no longer need to use their own teeth to anchor a bridge. They also no longer need to wear uncomfortable dentures if they have lost all their teeth. We can use a dental implant to replace one missing tooth or anchor a dental bridge on several implants if more teeth are missing. As a result we can replace and reconstruct many teeth with this technique. If you would like more detail on implants, then please refer to the implant section for more information.