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What Is a Dental Crown?
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Dental Crowns – Frequently Asked Questions
What is a dental crown?
Purpose
Protect weakened tooth
Restore broken or worn-down tooth
Cover tooth after root canal
Improve appearance of misshapen or discoloured tooth
Anchor dental bridge
Materials
Dental crowns can be crafted from various materials, each with its unique properties and advantages:
Porcelain:
A popular choice for front teeth due to its natural-looking translucent appearance and excellent aesthetics.Porcelain-fused-to-metal:
A strong and durable option with a metal interior covered by a porcelain outer layer.All-ceramic:
Made entirely from advanced ceramic materials, offering a natural look and good strength.Gold alloys:
Highly durable and long-lasting, often used for back teeth where aesthetics are less critical. The choice of material depends on factors such as the location of the tooth, bite forces, and aesthetic considerations. Your dentist will guide you in selecting the most suitable option based on your specific needs and preferences. With their ability to restore form, function, and appearance, dental crowns play a vital role in preserving and enhancing your smile. By understanding their purpose and composition, you can make an informed decision about this versatile restorative treatment.
Why would I need a dental crown?
Tooth Protection
After root canal treatment:
A crown reinforces and seals the tooth, preventing further damage or infection.For tooth with large filling:
A crown helps distribute the biting forces evenly, preventing the remaining tooth structure from cracking or breaking.Tooth Restoration
Broken, cracked, or worn-down tooth:
A crown can restore its shape, size, and strength.Misshapen or discoloured teeth:
Crowns can improve their appearance and blend seamlessly with your smile.Dental Appliances
Anchor for dental bridges:
Crowns can serve as anchors for dental bridges, replacing one or more missing teeth.Secure dental implant:
They may also be used to secure a dental implant, restoring both function and aesthetics. By addressing these various dental issues, crowns help preserve your natural teeth for as long as possible, enhance their functionality, and create a beautiful, confident smile.
What is the process for getting a dental crown?
First Visit
Tooth preparation:
Your dentist will reshape the tooth to accommodate the crown by removing a thin layer of enamel. This ensures a proper fit and creates space for the new crown.Impressions or digital scans:
Precise impressions or digital scans of your teeth will be taken to create a model for the dental laboratory to fabricate your custom crown.Temporary crown placement:
A temporary crown will be placed over the prepared tooth to protect it while your permanent crown is being made.Dental Laboratory
Based on the impressions or scans, a skilled technician will carefully craft your permanent crown from the material of your choice, ensuring a precise fit and natural-looking appearance.
Second Visit
Temporary crown removal:
Your dentist will remove the temporary crown.Permanent crown placement:
After checking the fit and making any necessary adjustments, the permanent crown will be cemented or bonded securely onto your tooth.Final adjustments:
Your dentist will ensure the crown fits comfortably and doesn't interfere with your bite. While the process may seem involved, it is designed to provide you with a strong, well-fitting, and aesthetically pleasing crown that will restore the function and appearance of your tooth for years to come.
How long do dental crowns last?
The lifespan of a dental crown can vary depending on several factors, but with proper care and maintenance, they typically last for many years. On average, you can expect:
Porcelain crowns:
5 to 15 yearsPorcelain-fused-to-metal crowns:
5 to 15 yearsAll-ceramic crowns:
10 to 25 yearsGold alloy crowns:
10 to 30 yearsInfluencing Factors
Oral hygiene habits:
Brushing twice a day, flossing regularly, and visiting your dentist for check-ups can help extend the life of your crown.Grinding or clenching habits:
Excessive force on your teeth due to bruxism can cause crowns to wear down or become dislodged over time.Bite alignment:
Proper bite alignment helps distribute the chewing forces evenly, reducing stress on the crown.Quality of materials and fabrication:
Higher-quality materials and skilled dental technicians can enhance the durability of your crown. By following your dentist's recommendations for care and addressing any bruxism or bite issues, you can maximise the lifespan of your dental crown and enjoy its benefits for many years.
How much do dental crowns cost in the UK?
The cost of dental crowns in the UK can vary depending on several factors, including the type of material used, the location of the dental practice, and the experience of the dentist. However, here's a general price range you can expect:
Porcelain crowns:
£500 - £1,000Porcelain-fused-to-metal crowns:
£500 - £900All-ceramic crowns:
£700 - £1,200Gold alloy crowns:
£800 - £1,500Influencing Factors
Location:
Dental practices in major cities or affluent areas may charge higher fees.Dentist's expertise:
Highly experienced dentists or those with specialized training may command higher fees.Additional procedures:
If you require additional treatments, such as root canal therapy or tooth reshaping, the overall cost may increase. It's important to note that these prices are approximate and can fluctuate based on your specific circumstances and the dental practice you visit. While dental crowns can be a significant investment, they are a long-lasting solution that can help preserve your natural teeth and restore their function and appearance. Many dental practices offer flexible payment plans or financing options to make the treatment more accessible.
Is getting a dental crown painful?
Getting a dental crown is generally not considered a painful procedure, especially with the use of modern dental techniques and anaesthetics. However, you may experience some discomfort or sensitivity during certain stages of the process:
Tooth Preparation
Enamel removal:
During the initial visit, your dentist will reshape your tooth to accommodate the crown. This involves removing a thin layer of enamel, which can cause some mild sensitivity or discomfort. However, local anaesthesia is typically administered to numb the area, minimizing any potential pain.Temporary Crown
Adjustment period:
After the tooth preparation, a temporary crown will be placed over the prepared tooth. This may feel slightly uncomfortable or cause mild sensitivity, but it should subside within a few days as you get used to the temporary crown.Permanent Crown Placement
Fitting adjustments:
When the permanent crown is placed, your dentist will make any necessary adjustments to ensure a proper fit. This process is generally not painful, but you may experience some pressure or mild discomfort during the fitting process.Post-Procedure Sensitivity
Temporary discomfort:
After the crown placement, you may experience some sensitivity or tenderness in the area, especially when consuming hot or cold foods and beverages. This is a common side effect and should diminish within a few days to a couple of weeks as your mouth adjusts to the new crown. Your dentist will provide guidance on managing any discomfort or sensitivity, such as using over-the-counter pain medication or desensitizing toothpaste. If you experience severe or persistent pain, it's essential to contact your dentist promptly for further evaluation and treatment.
How many visits are required for a dental crown?
First Visit: Preparation
Examination and X-rays:
Your dentist will examine the tooth and take X-rays to assess its condition.Tooth reshaping:
The tooth will be reshaped by trimming away a thin outer layer to create space for the crown.Impressions:
Impressions (moulds) of your teeth will be taken to create a model for the dental laboratory.Temporary crown:
A temporary crown will be placed over the prepared tooth to protect it.
In-Between: Crown Fabrication
Laboratory process:
The impressions and specifications will be sent to a dental laboratory, where skilled technicians will create your custom-made crown.Duration:
This process typically takes 1-2 weeks, during which time you'll wear the temporary crown.
Second Visit: Fitting and Adjustment
Temporary crown removal:
Your dentist will remove the temporary crown and carefully fit the new, permanent crown.Adjustments:
They'll make any necessary adjustments to ensure a comfortable bite and proper fit.Permanent crown placement:
Once satisfied with the fit and appearance, the crown will be cemented or bonded securely to your tooth.
Can I eat normally with a dental crown?
Immediately After Placement
Avoid sticky, chewy, or hard foods:
These could dislodge or damage the newly placed crown.Stick to a soft diet:
Eat foods like soups, mashed potatoes, and well-cooked vegetables for the first few days.Chew on the opposite side:
Avoid excessive pressure on the new crown by chewing on the other side of the mouth.Adjustment Period
It may take a few weeks for your mouth to adjust to the new crown. During this time:Gradually reintroduce normal diet:
Start with softer foods before moving on to harder items.Avoid biting directly on the crown:
Hard or sticky foods could dislodge or damage the crown.Be mindful of bite and chewing habits:
Prevent excessive forces on the crown.Long-Term Care
Once you've fully adjusted to the dental crown, you should be able to eat a normal, varied diet without any significant restrictions. However, it's still important to:Maintain good oral hygiene:
Brush and floss regularly to prevent decay or gum disease around the crown.Avoid harmful habits:
Don't chew ice, bite your nails, or open packages with your teeth, as these can damage the crown.Wear a nightguard:
If you grind or clench your teeth, use a nightguard to protect the crown from excessive wear. By following your dentist's instructions and taking a few precautions, especially in the initial adjustment period, you can enjoy a lifetime of comfortable function and aesthetics with your dental crown.
What materials are dental crowns made from?
Porcelain
Natural, tooth-like appearance:
Porcelain crowns are a popular choice for front teeth due to their natural, tooth-like appearance. They are made entirely of a ceramic material that can be tinted to match the shade of your surrounding teeth. Porcelain crowns are highly aesthetic but may be more prone to chipping or fracturing compared to other materials.Porcelain-Fused-to-Metal
Combination of strength and aesthetics:
These crowns feature a metal (often a gold or platinum alloy) interior covered by a layer of porcelain. The metal substructure provides strength and durability, while the porcelain exterior offers an attractive, natural-looking appearance. Porcelain-fused-to-metal crowns are versatile and can be used for both front and back teeth.All-Ceramic
Advanced ceramic materials:
All-ceramic crowns are made entirely of advanced ceramic materials, such as zirconia or lithium disilicate. They offer a combination of strength and aesthetics, making them a popular choice for both front and back teeth. All-ceramic crowns are metal-free and can be an excellent option for individuals with metal allergies.Gold Alloys
Durability and strength:
Gold alloy crowns are known for their exceptional durability and strength. They are often recommended for back teeth where aesthetics are less of a concern. While highly functional, gold crowns have a distinct, metallic appearance that may not be suitable for visible front teeth. The choice of material depends on various factors, including the location of the tooth, your bite forces, aesthetic concerns, and personal preferences. Your dentist will guide you in selecting the most suitable material for your specific needs and desired outcome.
Will my dental crown look natural?
Material Selection
Lifelike properties:
The material used for your crown plays a significant role in its natural appearance. Porcelain and all-ceramic crowns are known for their lifelike, translucent properties that mimic the appearance of natural tooth enamel. These materials can be carefully tinted and characterized to match the exact shade and characteristics of your surrounding teeth.Customization and Shading
Advanced techniques:
Skilled dental technicians use advanced techniques to customize the shape, texture, and color of your crown to match your natural teeth. They can incorporate subtle shading, translucency, and even minor imperfections to create a seamless and natural-looking result.Dental Artistry
Expertise and attention to detail:
The expertise and artistic abilities of your dentist and dental technician play a crucial role in achieving a natural-looking crown. Their attention to detail, understanding of aesthetics, and knowledge of tooth anatomy can greatly influence the final outcome.Placement and Fit
Seamless integration:
Proper placement and fit of the crown are essential for a natural appearance. Your dentist will carefully adjust the crown to ensure it blends seamlessly with your gum line and aligns properly with your bite, creating a harmonious and natural-looking result. With the advancements in dental materials, technology, and techniques, modern dental crowns can provide a highly aesthetic and natural-looking restoration that is virtually indistinguishable from your natural teeth.
How do I care for my dental crown?
Oral Hygiene
Brush and floss regularly:
Brush twice a day and floss once a day, including around the crown area.Use appropriate tools:
Use a soft-bristled toothbrush and non-abrasive toothpaste to avoid damaging the crown.
Avoid Damaging the Crown
Avoid biting on hard objects:
Do not bite on hard objects like ice cubes, which can crack or damage the crown.Break harmful habits:
Avoid habits like nail-biting or opening packages with your teeth, as this puts stress on the crown.
Regular Dental Visits
Schedule check-ups and cleanings:
Visit your dentist regularly for check-ups and cleanings to monitor the condition of your crown.Replace worn or damaged crowns:
Your dentist may recommend a new crown if it becomes worn or damaged over time.