Picture this: You’re sitting in the dentist’s chair, waiting for your appointment to begin. As you glance around the room, your eyes catch a glimpse of the tools laid out neatly on the tray beside you. Your mind starts to wander, wondering how exactly dentists go about putting on a crown. Well, wonder no more! In this article, we will take a closer look at the fascinating process of how dentists perform crowning procedures, providing you with insight into this commonly performed dental treatment. So sit back, relax, and let us guide you through the world of dental crowns.
Preparing the Tooth
Examining the tooth
Before beginning the crown procedure, your dentist will thoroughly examine the tooth that will receive the crown. This involves using dental instruments to carefully inspect the tooth, looking for any issues such as decay, cracks, or damage. X-rays may also be taken to provide a more detailed view of the tooth’s structure and surrounding tissues. This examination is crucial in determining whether a crown is the appropriate treatment for your specific dental condition.
Administering local anesthesia
Once the tooth has been examined and any necessary X-rays have been taken, the next step is to administer local anesthesia to ensure your comfort throughout the procedure. Local anesthesia is typically injected into the area surrounding the tooth that will receive the crown. This numbs the tissues, preventing you from feeling any pain or discomfort during the crown placement process. Your dentist will use their expertise to ensure the anesthesia is administered safely and effectively.
Removing decay
If decay is present on the tooth, it must be removed before the crown can be placed. Your dentist will carefully remove the decayed portions of the tooth using dental instruments, such as a drill or dental laser. The removal of decay is important to ensure a proper fit and seal between the tooth and the crown. Once the decay has been eliminated, the tooth will be thoroughly cleaned and prepared for the crown placement.
Shaping the tooth
After the tooth has been cleared of any decay, it will need to be shaped to accommodate the crown. This involves removing a portion of the enamel from the tooth to make room for the crown to fit comfortably and securely. Your dentist will use specialized dental instruments to shape the tooth, ensuring that the crown will blend seamlessly with your natural teeth. The shaping process is precise and tailored to your specific dental needs, allowing for an optimal fit and appearance of the crown.
Creating an impression
After shaping the tooth, an impression of the prepared tooth and surrounding teeth is taken to ensure the permanent crown matches the natural teeth in shape and size. The impression material is placed in a tray and pressed against the teeth to create a mold. This impression is then sent to a dental laboratory for the fabrication of the permanent crown.
Temporary Crown
Creating temporary crown
While awaiting the fabrication of the permanent crown, a temporary crown will be placed on the prepared tooth. The temporary crown acts as a temporary restoration, protecting the tooth and maintaining its shape and function until the permanent crown is ready. The temporary crown is typically made from acrylic or composite material and is designed to be easily removed once the permanent crown is ready to be placed.
Securing temporary crown
To ensure that the temporary crown stays in place during the waiting period, your dentist will use temporary cement or adhesive to fix it to the prepared tooth. This temporary cement is designed to be easily removed when the permanent crown is ready to be bonded. While the temporary crown is in place, it is important to exercise caution when biting or chewing, as the temporary restoration may not be as strong as the permanent crown.
Protecting the tooth
The temporary crown serves a dual purpose of not only protecting the prepared tooth but also maintaining its appearance. It helps to prevent sensitivity and discomfort that may arise from the exposed tooth structure and also protects it from damage or further decay. Additionally, the temporary crown will help to maintain the alignment and bite of your teeth while you wait for the permanent crown to be fabricated. It is essential to follow any instructions provided by your dentist regarding care for the temporary crown to ensure its longevity and effectiveness.
Laboratory Process
Sending impressions to the lab
Once the impression of your prepared tooth has been taken, it will be carefully packaged and sent to a dental laboratory for the fabrication of your permanent crown. The dental laboratory technicians will use the impression to create a custom-made crown that perfectly fits your tooth and matches the color and shape of your natural teeth. This process typically takes a few weeks, during which time the temporary crown will protect your prepared tooth.
Choosing crown material
Your dentist and the dental lab will choose the best crown material based on tooth location, remaining natural structure, and your preferences. Common materials used for crowns include porcelain fused to metal, all-ceramic or all-porcelain, gold alloy, and zirconia. Each material has its advantages and considerations, and your dentist will guide you in selecting the best option for your specific needs.
Customizing the crown
Once the dental laboratory receives the impression, they will begin the process of fabricating the permanent crown. Skilled dental technicians will meticulously customize the crown to ensure it matches the shape, size, and color of your natural teeth. They will utilize advanced techniques and dental materials to create a crown that will seamlessly blend with your smile, providing a natural and aesthetically pleasing result. The customization process is an essential step in achieving a crown that looks and functions like your own tooth.
Fabricating the permanent crown
Using the impression as a guide, the dental laboratory will fabricate the permanent crown based on the specifications provided by your dentist. The fabrication process involves the use of advanced technology and precise measurements to ensure an accurate fit. Depending on the chosen crown material, the dental technicians will carefully layer and shape the material to create a crown that matches the natural translucency and appearance of your teeth. Once the crown is completed, it will be returned to your dentist for the final steps of the crown placement procedure.
Fitting the Permanent Crown
Removing temporary crown
Once your permanent crown is ready, you will return to the dentist’s office for the temporary crown removal and placement of the permanent crown. The dentist will delicately remove the temporary crown to avoid any damage to the prepared tooth. Sensitivity may be experienced briefly but will quickly diminish upon removal of the temporary crown.
Checking the fit
With the temporary crown removed, your dentist will thoroughly clean the prepared tooth to remove any residual temporary cement or adhesive. The permanent crown will then be carefully placed onto the tooth to check its fit and alignment. Your dentist will assess the crown’s position, making sure that it sits properly on the tooth and aligns with the adjacent teeth. This step is crucial in ensuring proper occlusion (bite) and overall comfort.
Making adjustments
If necessary, your dentist may need to make slight adjustments to the permanent crown’s shape or position to ensure a perfect fit. This may involve smoothing edges, reshaping contours, or adjusting the overall size of the crown. Your dentist will use their expertise to ensure that the permanent crown aligns correctly with your bite and provides a natural appearance. These adjustments are typically minor and are done to optimize the functionality and aesthetics of the crown.
Bonding the crown
After perfecting the fit/appearance of the permanent crown, the dentist bonds it using adhesive/cement. The Crown was positioned carefully on the tooth, and pressure was applied for a secure bond. Excess cement/adhesive removed, area cleaned. A quick, painless process results in a functional, durable, aesthetically pleasing crown.
Sensitivity and Recovery
Understanding post-procedure sensitivity
After the crown placement procedure, you may experience some temporary sensitivity in the treated tooth. This sensitivity can occur due to the temporary removal of the tooth’s protective layers during the preparation process. It is common to feel slight discomfort when biting or chewing immediately after crown placement. However, this sensitivity and discomfort should subside within a few days as the tooth adjusts to the new crown.
Managing discomfort
If you experience discomfort or sensitivity following the crown placement, over-the-counter pain relievers, such as ibuprofen, can help manage any mild pain. However, it is important to follow your dentist’s instructions and refrain from consuming extremely hot or cold foods and beverages during this time. Avoiding sticky or hard foods can also help prevent any potential damage to the crown or the underlying tooth structure. If the sensitivity persists or worsens, it is advisable to contact your dentist for further evaluation.
Recovering after crown placement
The recovery period after crown placement is usually minimal, and most individuals can resume their normal activities immediately. However, it is essential to follow any post-procedure instructions provided by your dentist to ensure proper healing and longevity of the crown. It is especially important to maintain good oral hygiene practices, including regular brushing, flossing, and rinsing with a dentist-recommended mouthwash. By taking good care of your crown and surrounding teeth, you can promote a healthy and long-lasting result.
Crown Aftercare
Practicing good oral hygiene
Maintaining proper oral hygiene is essential for the longevity and health of your crown. Brush your teeth twice a day using a soft-bristled toothbrush and fluoride toothpaste. Pay extra attention to the gumline surrounding the crown to ensure thorough cleaning. Flossing daily, carefully maneuvering around the crown, helps remove plaque buildup and prevent gum disease. Additionally, using an antibacterial mouthwash can help reduce the risk of infection and keep your crown and natural teeth clean and fresh.
Avoiding certain foods
To protect your crown from damage and maintain its integrity, it is advisable to avoid certain foods that can potentially cause harm. Hard, sticky, or chewy foods can put excessive pressure on the crown and may cause it to loosen or crack. Limiting your consumption of foods such as ice, hard candies, nuts, and sticky candies can help prevent any untoward incidents. It is also important to avoid biting or chewing on non-food items like pens or fingernails, as this can lead to crown damage.
Scheduling regular check-ups
Regular dental check-ups are essential for the overall health of your teeth, including your crown. Your dentist will monitor the condition of your crown during routine examinations, ensuring that it remains properly fitted and functioning well. Additionally, professional cleanings will help remove any plaque or tartar buildup around the crown, promoting good oral health. Your dentist can also detect any signs of potential issues early on, allowing for prompt intervention and preventing the need for extensive dental work.
Common Crown Problems
Tooth Sensitivity
Tooth sensitivity is a common issue that may arise after crown placement. This sensitivity is often temporary and should subside within a few days as the tooth adjusts to the crown. If the sensitivity persists or worsens, it is important to consult with your dentist, as it may indicate an underlying issue that requires further evaluation and treatment.
Crown loosening or falling out
While rare, occasionally, a crown may loosen or fall out. This can happen due to factors such as an improper fit, decay or damage to the underlying tooth structure, or excessive biting or chewing forces. If your crown becomes loose or falls out, it is crucial to contact your dentist immediately. They will evaluate the situation and determine the appropriate course of action, which may involve re-cementing the crown or fabricating a new one if necessary.
Chipped or cracked crown
Crowns, like natural teeth, are not indestructible and can chip or crack under certain circumstances. This can occur due to trauma, biting on hard objects, or wear and tear over time. If you notice any signs of damage such as a chip or crack in your crown, it is important to schedule an appointment with your dentist as soon as possible. Depending on the extent of the damage, your dentist may be able to repair the crown or may recommend a replacement to prevent further complications.
Allergic reactions
In rare cases, some individuals may experience allergic reactions to the materials used in dental crowns. Symptoms of an allergic reaction may include swelling, redness, or itching in the mouth or surrounding tissues. If you suspect you may be allergic to your crown, it is crucial to contact your dentist immediately. They will assess the situation and recommend appropriate measures, which may involve removing and replacing the crown with a different material.
Alternatives to Crowns
Dental veneers
Improve discolored, misaligned, or chipped teeth. Unlike crowns, veneers do not require extensive tooth preparation and can offer a more conservative solution for certain dental concerns.
Dental bonding
Dental bonding involves using a tooth-colored resin material to repair or enhance the appearance of teeth. Bonding fills small chips/gaps between teeth. Cost-effective, quick procedure done in one visit.
Inlays and Onlays
Inlays/onlays repair moderate tooth decay/damage. Made from durable materials, bonded to tooth. Inlays fix chewing surfaces, and onlays restore larger areas/cusps.
Dental implants
For individuals with missing teeth, dental implants offer a permanent and natural-looking solution. Dental implants involve surgically placing a titanium post into the jawbone, which acts as an anchor for a replacement tooth or crown. Implants provide a stable and long-lasting option for replacing missing teeth, allowing for improved function and aesthetics.
Cost of Crowns
Factors affecting the crown cost
The cost of dental crowns can vary depending on several factors. Considerations: crown material, case complexity, practice location, dentist expertise. All-porcelain or porcelain fused to metal crowns are pricier than metal alloy ones. Additionally, more extensive tooth preparation or additional treatments, such as root canal therapy, may increase the overall cost.
Types of dental insurance coverage
Dental insurance plans usually cover dental crowns, but the coverage extent varies based on the plan. Some plans cover part of the crown cost, while others cover specific crown materials. Review your insurance policy and consult your dentist to understand coverage and potential out-of-pocket expenses.
Out-of-pocket expenses
In cases where dental insurance does not provide complete coverage for the crown cost, there may be out-of-pocket expenses. These expenses can vary depending on the specific situation and the dental practice. It is advisable to discuss the estimated costs and payment options with your dentist beforehand to ensure financial preparedness. Many dental practices offer flexible payment plans or financing options to make the cost of crowns more manageable for patients.
Longevity and Replacement
Lifespan of dental crowns
The lifespan of a dental crown can vary depending on several factors, including the material used, oral hygiene practices, and biting forces. On average, dental crowns can last between 10 to 15 years, but with proper care, they can last even longer. Regular dental check-ups, diligent oral hygiene practices, and avoiding habits such as teeth grinding or biting on hard objects can significantly contribute to the longevity of your crown.
Signs for possible replacement
Over time, a crown can require replacement. Some signs that may indicate the need for crown replacement include recurrent decay around the crown, a loose or ill-fitting crown, or changes in the appearance of the crown. If you experience any discomfort, or sensitivity, or notice any abnormalities with your crown, it is important to consult with your dentist. They will evaluate the crown and determine whether replacement is necessary to maintain optimal oral health.
Procedure for a crown replacement
When replacing a crown, the old one is removed, tooth damage is repaired, an impression is taken, and a new crown is created, fitted, adjusted, and bonded to the tooth. Regular aftercare, including good oral hygiene practices and regular check-ups, is essential to prolong the lifespan of the replacement crown.
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