What is a Dental Crown?A dental crown covers up the entire tooth, right down to the gum line so none of the natural teeth are visible. Crowns are carefully made to create a tight seal around the margin of the tooth, where the tooth meets the gums, as this will prevent bacteria from getting into the natural tooth and causing infection. Dental crowns are cemented in place and are a long-lasting way to protect your teeth.
This is a great video on crowns, Watch this.
Why Would I Need a Dental Crown?
Crowns are used to protect or to cover up teeth in a wide variety of circumstances. We may suggest you have a tooth crown if:
• You have a chipped tooth
• You have a broken tooth
• You have a cracked tooth
• One or more teeth are slightly misaligned or oddly shaped and could do with being improved
• As part of a dental bridge
• To cover up a dental implant
• To provide additional support for a tooth with a large filling
• To protect a weak tooth
• To protect and restore a tooth that has received root canal therapy
• You have a tooth that needs restoring because it is badly worn down
We use dental crowns to cover up teeth that have become damaged in some way and where a significant part of their original structure has been lost. A dental crown replaces this missing structure and restores strength to the tooth underneath.
Will My Crown Look Like a Real Tooth?
Once in place, a tooth crown should look just like a natural tooth. It is carefully designed to replicate the size and shape of the tooth and will allow you to smile, talk and eat comfortably. Dental crowns can also be useful in cosmetic dentistry as sometimes teeth are too small or they may be a less than optimal shape. You might also wish to consider having a dental crown if you have any spaces in between your teeth. Crowns can be used to minimize gaps or even to close them completely. Covering up these teeth can create a more cosmetically pleasing appearance and maybe a long-lasting option.
Can Children Have Dental Crowns?
We can use dental crowns to protect children’s primary teeth as it is vital these teeth aren’t lost too soon and we cannot over-emphasize the need for good dentistry for kids. A child may need a dental crown if they have a tooth that has become so badly damaged it cannot support a filling, or where a child has a particularly high risk of tooth decay, for example if they have difficulty in keeping up with a good daily oral hygiene routine.
Affordable Dental Crowns for Kids
Often the crowns used to protect children’s primary teeth are made from stainless steel and are prefabricated so the dental crown cost is lower compared for an adult crown. Dental crowns to protect their adult teeth can be made from the same materials as adult crowns.
If you have a child, please don’t forget that Avery’s Creek Family Dentistry is a family oriented dental office and we welcome young children. Everyone here will go out of their way to make sure they feel comfortable and relaxed. Just give us a call to schedule your child’s first appointment so they can enjoy great quality gentle dental care.
Our crowns here at Avery’s Creek Family Dentistry are all carefully designed to look amazing and we only use the very best quality materials so you can enjoy the results for as long as possible. There’s also a huge range of different crowns to choose from. Don’t worry, as our best dentist can explain each option to you, but you’ll find a brief description of each type below.
What Are the Different Types of Dental Crowns That Can Be Used to Protect Teeth?
Dental crowns can be made from a wide variety of different materials. The most cost-effective material is stainless steel but this is rarely used as a permanent solution for adult crowns. Our crowns can be made from gold or another metal alloy which can be polished to a high sheen or covered up with tooth-colored porcelain. Crowns with a metal substructure are called porcelain fused to metal crowns or PFMs.
Another option is for a metal alloy crown to be covered up with tooth-colored composite resin or this type of crown may have a tooth-colored composite resin facing to create a more cosmetically pleasing appearance in the mouth. These tend to be used infrequently as composite resin can chip or will become stained in just a few years.
The very best quality crowns are made from all ceramic materials and provide the very highest level of aesthetics and are frequently used in cosmetic dentistry. There are several types of all-ceramic crowns that can be supplied.
Stainless Steel Crowns
Stainless steel crowns are prefabricated and are generally a temporary measure to protect teeth. We may fit a stainless steel crown to protect a tooth while the permanent crown is being made from a different material. When a child needs a crown, we will frequently use a stainless steel crown to cover up the primary tooth that will have been prepared and shaped to fit the stainless steel crown.
The stainless steel crown will then protect the entire tooth and remains in place until the permanent tooth is ready to come through, at which point the crown will come out naturally with the primary tooth. Stainless steel crowns tend to be more suitable for children’s teeth as just one visit is required to prepare the tooth and to fit the crown, making it easier for a nervous child to tolerate treatment.
The materials used to make metal crowns can vary quite a bit. More expensive metal crowns are made from a gold alloy, as pure gold would be too soft and too costly to use. The dental crown cost is calculated on the amount of gold used to make the crown. Our cost-effective options contain a higher level of palladium or another base metal alloy such as chromium or nickel.
Metal crowns can be a good choice for restoring back teeth where there is often very little room between the upper and lower teeth. They can also withstand chewing and biting forces extremely well and will rarely chip or break. The main drawback of choosing a metal crown is its highly visible color, which is why these crowns are most often used to restore back teeth.
Porcelain Fused to Metal Crowns
Porcelain fused to metal crowns or PFMs have a metal alloy substructure that is then covered up with tooth-colored porcelain. The porcelain covers the entire crown apart from a thin metal collar at the back of the tooth where it cannot easily be seen.
This is a good option for restoring teeth as today’s modern porcelains can look amazingly lifelike and our best dentist will make sure this type of crown blends in beautifully with your surrounding teeth. If you have a particularly heavy bite in certain areas, it’s also possible to create small metal ‘bite stops’ on the chewing surface of the tooth. These are unobtrusive and are a good solution where space is tight but where a patient doesn’t wish to have a metal alloy crown.
However, porcelain fused to metal crowns don’t look quite as good as all ceramic crowns and sometimes there can be a gray line around the gum margin where the crown meets the gums. This is because the porcelain is a thinner in this area and is less able to hide the metal substructure. Sometimes it is possible to create a porcelain margin to hide this gray line more effectively. A porcelain fused to metal crown can be a good choice for either front or back teeth.
Composite Resin Crowns
Composite resin crowns are often used as a temporary measure to protect adult teeth while the permanent crowns are being made. They are a less expensive option but are more likely to chip or break. The material used to make these crowns is similar to the tooth-colored resin used for a tooth filling.
Up until fairly recently all ceramic crowns tended to be quite fragile, but the introduction of new techniques and materials now means all ceramic crowns can be every bit as strong as metal or porcelain fused to metal crowns. The nice thing about all ceramic crowns is the high level of aesthetics that is ideal for cases where appearance is particularly important, for example when repairing teeth that are highly visible. Modern ceramics are amazingly strong and it is possible to use these types of crowns for anywhere in the mouth, even for teeth right at the back of the dental arch and where the bite is very heavy.
All ceramic crowns can be made in several different ways. Some will have a substructure of a special material called zirconia, which is an extremely strong material that is white or tooth colored. The zirconia is covered up with special porcelains to create an amazingly lifelike appearance. These crowns are incredibly strong and long-lasting. Other all-ceramic crowns are made from pure porcelain that has been milled into shape, or which has been cast by melting a special ingot of porcelain that is inserted into a custom-made mold.
Want to find out more about any of these options, or to get an estimate of a dental crown cost? Call us straightaway to talk to our friendly dental team.
What is the Procedure for Making a Dental Crown?
We will be numb the tooth using local anesthetic, before it is carefully shaped to remove all the damaged or infected areas. The procedure for having a dental crown does vary depending on the type of crown being supplied by our best dentist.
Conventional crowns include all ceramic crowns, metal crowns and porcelain fused to metal crowns. With a conventional crown, the tooth is prepared under local anesthetic before a detailed dental impression is taken. The impression is sent to a laboratory along with instructions from the dentist. It generally takes two weeks for a crown to be handcrafted and during this time the tooth is protected with a temporary crown. This will often be made from tooth-colored composite resin and temporarily cemented in position. Once the crown is ready, it will be fitted and cemented in place at the next appointment.
Prefabricated Stainless Steel Crowns
If the crown is prefabricated, the tooth will be shaped to fit the most suitable size and shape of crown, which will then be adapted to fit the tooth before being cemented in place. A prefabricated crown can be placed during a single visit to a dentist, so this treatment is ideal for protecting a child’s primary tooth because treatment will be quick and relatively non-invasive.
All-Ceramic Crowns While You Wait
It’s becoming increasingly popular to have crowns fabricated while you wait and which are made from solid blocks of pure porcelain. These crowns are milled using the very latest CAD/CAM technology and do not require a dental impression.
Once the tooth has been prepared, it is scanned using a special camera that transmits this information to a computer so the crown can be designed by a dentist. The design is then sent to an on-site milling machine and a suitable shade of porcelain is selected so the crown can be milled while you wait.
Next, it is hand finished and characterized to ensure it will look wonderful in the mouth. The crown can now be fitted in and cemented in place, eliminating the need for a temporary crown and a second appointment. These crowns are precision-made and are extremely high quality. They are suitable in a number of different situations but may not be right on every occasion.
How Long Should a Crown Last?
With the exception of composite resin crowns, most crowns should last around 10 years or possibly even longer. You can prolong their natural life by making sure you take good care of your crown with regular brushing and flossing. Don’t forget your hygiene appointments and checkups with us here at Avery’s Creek Family Dentistry!
What Happens If I Choose Not to Have a Crown?
If you have been told by your dentist that you need a crown but choose to ignore this advice then it’s very likely that the tooth will become infected and you may well lose it. Crowns are designed to protect teeth and help to prolong their natural life. We’d always much rather your natural teeth last as long as possible than to have to discuss their removal and ways to replace them. Replacement teeth will be more expensive, so preserving your own teeth is always the best option.
If you think you may need a crown or are interested in finding out more about any of the options available to you, just get in touch with us to schedule an appointment. You’ll learn everything you need to know about this treatment and will discover how it can help you.
Call (828)676-2114 Today!
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Avery's Creek Family Dentistry,
Avery’s Creek, Arden, Asheville, Oak Park, Fletcher, Royal Pines, Biltmore Park, Biltmore Forest, Bent Creek, Fairview, Beaverdam, Candler, Naples, Mills River, Enka Village, Woodside Hills and the Buncombe County area.
Dental crowns completely cover up teeth that are so badly damaged that they have lost quite a bit of their original structure. A dental crown replaces this structure and strength so the tooth looks completely natural.