Fedoricw, Massoumi, & Kolbig

The Process of Getting Dental Crowns

The Process of Getting Dental Crowns

Getting a dental crown is a common and effective solution for restoring damaged teeth, improving their strength, and enhancing their appearance. Whether you’re dealing with a cracked tooth, severe decay, or a post-root canal restoration, crowns can provide both protection and a natural-looking finish. Understanding the process of getting a crown can help alleviate any concerns and prepare you for a smooth and successful treatment. In this blog, we’ll take you through each step of the dental crown process, from the initial consultation to post-treatment care, so you know exactly what to expect.

In This Blog: 

  • What are Dental Crowns?
  • When are Dental Crowns Needed?
  • Steps Involved in Getting a Dental Crown

What Are Dental Crowns?

A dental crown is a custom-made cap that fits over a tooth, restoring its size, shape, strength, and appearance. Crowns are often used to protect a damaged tooth, cover a dental implant, or improve the aesthetics of your smile. They are carefully designed to blend seamlessly with your natural teeth, providing a durable and long-lasting solution for various dental concerns.

Types of Dental Crowns

Dental crowns come in a variety of materials, each suited for specific needs and preferences. Common types of dental crowns include:

Type of CrownMaterialBest UseKey AdvantagesPotential Drawbacks
Porcelain or CeramicTooth-colored porcelain or ceramicFront teeth for natural appearanceNatural look, blends well with other teethLess durable than metal crowns
MetalGold, palladium, or other metal alloysBack teeth (molars) where strength is a priorityExtremely durable, resistant to wear and tearNoticeable appearance
ZirconiaZirconium dioxideBoth front and back teeth for strength and aestheticsHighly durable, natural-looking, resistant to chippingCan feel bulkier than other crowns
Porcelain-Fused-to-MetalPorcelain exterior, metal interiorVersatile, suitable for both front and back teethDurable, combines strength and aestheticsMetal layer may become visible near gum line over time
ResinComposite resinTemporary or affordable optionCost-effective, easy to repairLess durable, prone to wear and staining

Each type has its own benefits, and your dentist will help you choose the best material based on your specific dental needs, aesthetic goals, and budget.

When Are Dental Crowns Needed?

Dental crowns are versatile and can address a wide range of dental issues. You may need a crown if you have:

  • A Damaged or Weakened Tooth: To protect and restore teeth with significant decay, cracks, or fractures.
  • A Tooth After Root Canal Therapy: To shield the treated tooth from future damage and strengthen its structure.
  • Severely Worn Teeth: To rebuild teeth worn down by grinding or acid erosion.
  • Cosmetic Concerns: To improve the appearance of misshapen, discolored, or uneven teeth.
  • A Dental Implant Restoration: To serve as the visible and functional part of a dental implant.
  • A Missing Tooth with a Bridge: To anchor a dental bridge and fill gaps in your smile.

Dental crowns are not just about functionality—they also play a vital role in boosting confidence by enhancing the look of your teeth. By addressing both structural and aesthetic concerns, crowns provide a comprehensive solution to maintain and improve your oral health.

Steps Involved in Getting a Dental Crown

Step 1: Initial Consultation and Assessment

The first step in getting a dental crown is scheduling an initial consultation with your dentist. During this visit, the dentist will evaluate your oral health and determine if a crown is the right treatment for your needs. Here’s what typically happens during this step:

  • Comprehensive Examination: Your dentist will perform a thorough examination of your teeth and gums, looking for signs of decay, cracks, or other damage that might require a crown. If the tooth is severely damaged or infected, additional treatments like a root canal may be recommended before proceeding.
  • X-Rays or Imaging: X-rays or digital imaging may be taken to assess the tooth’s structure, roots, and surrounding bone. This helps the dentist identify any underlying issues that need to be addressed, such as infections, deep decay, or bone loss.
  • Discussion of Treatment Options: Your dentist will discuss your treatment options, including the type of crown that best suits your needs. Factors like the tooth’s location, your aesthetic preferences, and your budget will influence the choice of material (e.g., porcelain, metal, zirconia).

Step 2: Tooth Preparation

After your initial consultation, the next step in the process of getting a dental crown is preparing the tooth. This step is crucial for ensuring the crown fits securely and functions properly. Here’s what happens during this stage:

  • Administering Local Anesthesia: To ensure your comfort, your dentist will numb the tooth and surrounding area using local anesthesia. This prevents pain during the procedure, allowing the dentist to work with precision.
  • Reshaping the Tooth: Your dentist will reshape the tooth to make room for the crown. This involves removing a small amount of enamel from all sides of the tooth to ensure the crown will fit snugly over the tooth without looking bulky. If the tooth is severely damaged or decayed, a filling material may be used to rebuild it, providing a strong foundation for the crown.
  • Taking Impressions: Once the tooth is properly shaped, your dentist will take an impression of it. This ensures the crown is custom-made to fit your tooth and align perfectly with your bite. 4. 
  • Placing a Temporary Crown: While your permanent crown is being fabricated, your dentist will place a temporary crown over the prepared tooth. This temporary crown protects the tooth and allows you to eat and speak comfortably. You’ll be given instructions on how to care for the temporary crown, such as avoiding sticky or hard foods that could dislodge it.

Step 3: Fitting and Bonding the Permanent Crown

The final step in the dental crown process is placing and securing the custom-made crown on your tooth. This appointment ensures the crown fits perfectly and restores both the functionality and appearance of your tooth. Here’s what happens during this stage:

  • Removing the Temporary Crown: Your dentist will carefully remove the temporary crown that was placed during the preparation phase. This is done gently to avoid damaging the prepared tooth.
  • Checking the Fit and Appearance: Before permanently attaching the crown, your dentist will place it on your tooth to ensure the crown fits snugly over the tooth without gaps and make sure your bite feels natural and comfortable when the crown is in place. They will also confirm that the color, shape, and size of the crown blend seamlessly with your surrounding teeth. If adjustments are needed, the dentist will make them on the spot to ensure the crown feels and looks perfect.
  • Bonding the Crown: Once the crown fits perfectly, your dentist will bond it to the tooth using a strong dental adhesive or cement. The process involves cleaning and drying the tooth to create a proper surface for bonding, applying the dental cement to the crown and positioning it over the tooth, and using a curing light to harden the cement and secure the crown in place.
  • Final Adjustments: After bonding, the dentist will check the crown one last time for proper bite alignment, smooth edges to prevent irritation to your gums or tongue, and any minor refinements needed for optimal comfort.

In Conclusion

Getting a dental crown is a straightforward and effective process that can restore the health, function, and appearance of your tooth. From the initial consultation to the final placement, each step is carefully designed to ensure your crown fits perfectly and enhances your smile. Whether you need a crown to protect a damaged tooth, improve aesthetics, or complete a restoration, this treatment offers lasting benefits with proper care. If you think a dental crown might be the right solution for you, consult your dentist to discuss your options and take the first step toward a stronger, healthier smile.

Dr.-Roman-Fedorciw
Dr. Roman Fedorciw has been in private practice in Cromwell since 1991. He is a member of the Academy of General Dentistry, American Academy of Cosmetic Dentistry and the American Dental Association. He is also a member of the Connecticut Dental Association and Middlesex County Dental Association. Dr. Fedorciw has been acknowledged by his peers as one of the “Top Dentists” in Hartford County by Hartford Magazine and in the state of Connecticut by Connecticut Magazine.
Facebook
Pinterest
LinkedIn
Twitter
Email