Getting a dental crown generally involves two visits to the dentist. During the first visit, the dentist will examine and prepare the tooth. Preparation usually includes taking X-rays to check the roots of the tooth and the surrounding bone, ensuring the structure is suitable for a crown. If decay is present, or if there is a risk of infection or injury to the tooth’s pulp, a root canal may be necessary.
Once the tooth is cleared for a crown, the dentist will shape the tooth by filing it down along the top and sides, making space for the crown. If a significant portion of the tooth is missing due to decay or damage, the dentist may use filling material to build it up to better support the crown.
Next, impressions of the prepared tooth are taken using a putty-like material or digital scan. This mold helps create a custom-fit crown that will perfectly match your bite. Meanwhile, a temporary crown is placed to protect the tooth until the permanent crown is ready.
The impression is sent to a dental lab, where technicians craft the crown from materials like porcelain, ceramic, resin, or metal, depending on your needs. This process may take a few weeks, after which you’ll return for a second appointment.
In the second visit, the dentist removes the temporary crown and fits the permanent one. They may make small adjustments to ensure it fits comfortably and does not affect your bite. Once satisfied with the fit, the crown is cemented into place, restoring the function and appearance of your tooth.
Caring for a dental crown is much like caring for natural teeth, but with some added precautions to protect the crown’s material and attachment. First, establish a routine of brushing and flossing twice daily. Use non-abrasive fluoride toothpaste and a soft-bristled toothbrush to avoid scratching the crown, especially if it’s made of porcelain or ceramic.
When flossing around a crowned tooth, use gentle motions. Pull the floss out sideways rather than snapping it up, which can loosen the crown over time. If your dentist recommended any special dental aids, like an interdental brush or floss threader, use these to ensure you’re cleaning the crown area thoroughly.
Avoid sticky, hard, or chewy foods that might dislodge or damage the crown, such as caramel, hard candies, and chewing gum. Additionally, refrain from using your teeth as tools to open packages or chew on hard items like ice or pen caps, as this can stress the crown and weaken its bond to the tooth.
Regular dental check-ups are essential to monitor the crown’s condition. During these visits, your dentist will examine the crown, check your bite alignment, and ensure no decay is forming beneath the crown or around the gumline. With proper care, a well-made crown can last 10-15 years or even longer.