A dental crown is a piece placed on your tooth to return its shape, size, stability, and appearance back to normal. When it is placed on the tooth, it covers the visible part of the tooth above the gum line.
Why is a dental crown needed?
The following cases would require a dental crown to restore the tooth:
- To protect weak teeth (e.g. due to extreme decay), broken teeth, or cracked teeth
- To restore the shape of a broken tooth which has been destroyed beyond belief.
- To support a tooth with large filling whose structure has been mostly destroyed.
- To hold bridges
- To cover teeth that have become severely discolored
- To complete a dental implant treatment
Before going through treatment, consider the following points
It is important that you pay attention to these before you make the decision to receive a dental crown.
A dental crown is a permanent and irreversible method. In this method, the tooth’s structure is abraded to a large extent to make room for the crown. Therefore, you cannot use your natural tooth without a crown.
Even though dental crowns are stable and firm, using your teeth as a tool to open things is wrong. Avoid using your restored tooth to open bottles, chew hard foods, and crack nuts. It is best that you set aside bad habits such as chewing pens and nails as well.
In case multiple crowns are needed in a jaw, then we suggest the use of a prosthesis or splint.
Similar to normal teeth, dental crowns are also prone to decay, especially where the crown has been attached to the natural tooth. Therefore, it is important that you maintain oral and dental hygiene and regularly go for check-ups.
What are the different kinds of dental crowns?
Stainless steel or corrosion proof crowns are used as a temporary solution on permanent teeth. This protects the teeth until a permanent crown is created. For kids, this crown is used on baby teeth to prevent excessive tooth decay.
Thus, the need to remove the tooth is averted and there will be more than enough space for the natural tooth to grow. When the baby tooth is ready to fall, the crown will fall with it.
These prefabricated crowns don’t need multiple sessions for molding and preparation. Hence, treating children’s tooth decay becomes more cost-effective. This crown is utilized for the restoration of posterior teeth.
This crown can be made to match the color of its adjacent teeth to give you a more beautiful and natural smile. One of its main flaws is the wearing of opposing teeth compared to metal or resin crowns. The porcelain could also chip or break off.
Compared to all-ceramic crowns, porcelain-fused-to-metal crowns are more similar to normal teeth. However, sometimes the metal underlying the crown’s porcelain can be seen through as a dark line, especially at the gum line.
This issue is more frequent in those with receding gums. These crowns are a suitable option for front or back teeth and bridges which need metal for stability.
This type is cheaper than the other alternatives. Still, it falls to the same fate of decay as the others and is more prone to chipping and fractures than porcelain-fused-to-metal crowns.
All-ceramic or all-porcelain
This type is able to match the color of your natural teeth in the most optimal condition. It can be used for both the front and back teeth.
Zirconia is a ceramic-like substance that combines the stability of metal with the aesthetics of porcelain. Quick crafting and no downtime period in the lab are a few of the advantages of this crown. It is even possible to craft it in well-equipped clinics.
What is the difference between temporary and permanent crowns?
Temporary crowns are made in dental clinics while permanent ones must be made in a lab after molding. Temporary crowns are usually made of acrylic-based material or stainless steel and protect the teeth from plaque and bacteria until the permanent crown is ready.
We will cover taking care of your temporary crowns later on. Coincidentally, it is quite similar to taking care of permanent ones.
In the first session, your teeth will be examined and the necessary X-rays are taken. A decision will be made on your tooth’s color and look and that goes for your other teeth as well. In case needed, you might be advised to go for teeth whitening before placing the crown.
This is because the crown’s color cannot be changed in any shape or form. But if you get your teeth whitened at a later time, their color will be different from that of their adjacent teeth.
Preparation steps for a dental crown
Preparing the tooth for a dental crown takes about two treatment sessions. The first session includes examination and tooth preparation and the second one will focus on placing the crown.
During the first session, your dentist will request an X-ray of your mouth to examine your tooth’s root and the bone around it. In case of severe tooth decay accompanied by infection and damage to the pulp, you will need a root canal treatment.
The dentist first anesthetizes the gum tissue and tooth. Then, the dentist files down the chewing surface of the tooth and around it to make enough room for the crown placement.
The amount which needs to be filed down depends on the type of crown. At the same time, if most of a tooth is decaying or broken, the dentist uses filling materials to build up the tooth’s shape which in turn helps support the crown.
After reshaping the tooth, the dentist will use a special putty to make an impression of the tooth. Still, in some cases, it is possible to make an impression using a digital scanner.
An impression of the top and bottom teeth is also done to make sure that the dental crown is compatible with the bite.
The impressions or scans are sent to a dental lab in order to create a crown. The crown is sent to the dental clinic after two or three weeks.
If the crown is made of porcelain, the dentist will choose the closest tone to that of the adjacent teeth. During the first session, a temporary crown will also be made to protect your teeth during the waiting period. This is done by attaching in place using temporary cement.
The dentist removes the temporary crown in the second session and examines the color and size of the permanent crown. If everything is fine then the tooth will be numbed and the new permanent crown will be cemented in place.
How should you take care of the temporary crown?
As the name suggests, it’s only temporary. Therefore, you need to take good care of it until your permanent one is ready:
Avoid eating sticky foods such as gum and caramel. These could potentially pull the crown and remove its place.
Transfer your chewing to the opposite side of where the crown is.
Also, avoid eating hard foods such as hard vegetables while you have the temporary crown.
Do not pull the floss in an upward motion but rather weave slowly between the teeth and take it out the same way. Pulling it upward might result in the removal of the crown.
Banned foods while you have a dental crown
Aside from adhering to your dental and oral hygiene, you should watch for what food you eat. The following foods are prohibited:
Whether you have dental crowns or not, it’s best to avoid consuming foods that are high on sugar.
During the first few days after treatment, it is especially important to avoid these kinds of foods. Even after that period, it’s best that you avoid eating those kinds of foods with the side that has the dental crown:
Nuts are too hard and take a toll on your new tooth. It is absolutely prohibited that you eat nuts with your temporary crown and even after you get your permanent ones, it still depends on the type of crown.
Raw and hard vegetables
It requires a lot of power to chew vegetables. Instead of eating them raw, you should steam vegetables like carrots and celery.
These are foods that stick to your tooth and quite possibly might remove the crown. In the long term, this loosens the crown.
Extremely cold or hot foods
Your teeth will be more sensitive than before. So eating hot or cold foods might be painful. To reduce sensitivity and pain, use special toothpaste made for sensitive teeth.
These drinks damage the teeth due to their acidic nature and cause tooth decay.
Steak and barbecue
Eating meat, which is not well-done, could prove to be straining on your teeth. You should instead use soft protein-rich foods.
Foods with color additives
You probably got surprised when they told you that the dental crown is resistant to discoloration. But what about natural teeth? Excessive consumption of tea, coffee, and other foods with coloring could cause your teeth’s color to change and the lack of harmony between the teeth and crown could potentially ruin your bright smile.
What are the disadvantages of receiving a dental crown?
Sensitivity and discomfort
After the treatment, especially after the anesthesia wears off, you will experience pain and sensitivity. If the tooth with a crown still has roots, you will experience sensitivity toward hot and cold foods. It is recommended that you use a special toothpaste made for sensitive teeth to reduce sensitivity and pain. If you feel pain or sensitivity while chewing food that means that the crown is too high. In this case, make sure to contact your dentist to resolve this issue.
Chipping and fractures
All-porcelain or fused with the metal crown is prone to breaking. If the chip or crack is small, the issue can be resolved with a bit of resin composite and there won’t be a need to renew the crown. This treatment is a temporary solution. However, if the chip and fracture are large, then it is necessary to renew the crown.
Loose dental crown
Sometimes the cement under the crown dissipates. In such cases, not only does the crown loosen, but bacteria also leak in the space underneath and cause the tooth to decay. In case, you feel that your crown feels loose, you should contact your dentist.
In some cases, the crown falls off. This could be due to extreme tooth decay or the adhesive cement fading. If your crown falls out of its place then clean it. Reattach the crown temporarily using a special cement sold at pharmacies.
Also, make sure to call your dental clinic immediately. You will be given a crown and necessary care instructions until the examination day. If possible, the crown will be reattached in the same place and if not then a new crown will be needed.
Dark line close to the gum line
If you’re using a porcelain crown fused with metal, then the existence of a dark line near the gum line is completely natural. This dark line is the same metal that is seen above the gum tissue. Even though there is nothing inherently wrong with this, it’s still unpleasant to see and your dentist must replace the crown with an all-porcelain or ceramic one.
Frequently asked questions
How long does a dental crown last?
Dental crowns are pretty long-lasting. They usually last somewhere between 10 to 20 years through this method. Afterward, the crown must be replaced. Even though the longevity of this treatment method is higher, it still heavily depends on how well you take care of it afterward.
Chewing hard foods, not adhering to dental and oral hygiene and consumption of foods with color additives reduce the crown’s longevity and appeal.
Grinding your teeth is another unhealthy habit that negatively impacts your treatment in the long run. For some people, their teeth either consciously while awake or unconsciously while asleep when they’re stressed out.
Putting too much pressure on the dental crown significantly reduces its longevity and causes it to erode. Waking up with headaches, jaw muscle pain, stiff neck, and jaw could be symptoms of teeth grinding. If you have this habit and cannot control it, then it will be best to consult with your dentist and get a mouth guard from them.
Placing a moist and warm towel on your face before sleep to help relax your muscles. The use of anxiety medication also helps manage this issue but be sure to consult with your doctor beforehand.
When should a dental crown be renewed?
Longevity isn’t a determining factor for when to renew the crown. It’s best to consult your dentist to be sure of the renewal time. Whether or not you need to renew your crown will be determined after the examination. The following situations dictate a renewal:
- Leakage of bacteria inside the tooth
- Large fractures and chips
- Inconsistent with bite
- Loose dental crown
- Signs of erosion on the chewing surface
Does a dental crown erode?
A dental crown is like a helmet that is placed on top of the tooth. Even though your tooth is protected while under the crown that doesn’t mean it prevents decay. Remember that the space between the crown and your original teeth is unprotected. This spot is most vulnerable to decay.
A loose crown is a perfect spot for the accumulation of bacteria and the start of tooth decay. In case your crown is loose, you’d best hurry and see your dentist.
Take your examination appointments seriously and follow your dental and oral hygiene routine.
Is dental crown placement a painful procedure?
Treatment will be done using anesthesia and if necessary with general anesthesia. So you won’t feel a thing. After the anesthesia wears off, you’ll experience pain and sensitivity which usually goes away in 3 to 5 days. Pain and sensitivity you experience during this time are completely manageable using pain medication.
If your pain continues; however, it could be due to the following reasons:
- Agitation of dental nerves after root canal treatment
- the length of the crown
- Teeth grinding during sleep
- Leaking in the crown and infection of the tooth
In case the pain persists, make sure to visit your dentist. In case the crown is too long then preparations will be made to resolve it.
If your dentist notices decay or infection under the crown, it could possibly mean that you need root canal treatment. In most cases, if the dental crown is removed, it must be renewed.
But sometimes the dentist diagnoses that there is no need to remove the crown and treatment can be done easily by creating a hole in it. This reduces costs on the patient’s side but at the end of the day, everything depends on the dentist’s diagnosis.
The advantages of receiving dental services at Estetikcentrum clinic
All our treatments are done according to the highest professional standards and the best treatment care. We take the patient’s personal needs into consideration, regardless of whether or not they’re there for a short or long procedure. We devote enough time to all our patients. The key to a successful treatment is experience and extreme care.
We will greet you with open arms at our clinic located in Malmö where we’ve carefully curated a modern and relaxing environment. Our renowned surgeons have years of experience in dental treatments and actively cooperate with the industry and are familiar with the latest technological advancements in the field.
Did you know that we also provide other dental services?
Do you suffer from tooth decay? Do you need root canal treatment or just looking for a suitable place for your child’s yearly checkup?
Even though we specialize in dental implants, we also offer general dental care. Through our deal with insurance companies, your treatment expenses are covered by the insurance company. The exact cost of the procedure will be determined after the consultation. So don’t worry about the cost, we offer dental services at a reasonable price
We’re veterans in working with patients who are afraid of dental care!
During our years of experience, we’ve had patients who had avoided getting dental work done due to their immense fear of dentistry. Our kindhearted staff understands this issue and has experience in how to deal with it. Our staff creates a comfortable and calm environment for you whatever your fears may be – fear of needles, pain or anxiety stemming from seeing dental care instruments and tools.
Approximately, half of the adults don’t feel comfortable going to the dentist and 5% of those people express a phobia of getting dental work done.
Here, we try to help patients get over that fear by creating a positive experience for them.
A dental clinic with anesthesia
Anesthesia is part of all of our treatments. We are one of the few Swedish dental clinics that provide anesthesia for all our treatments.
Providing treatment without pain in the calm environment of Estetikcentrum creates peace of mind for our patients.
Our clinic has an agreement with a medical care insurance company, so if you have general dental insurance, you will be able to benefit from financial aid. The exact costs will be determined during the consultation session.
You can also reach out to Medical Finance services for help to cover a portion of the aesthetic treatment costs which aren’t covered by the general dental insurance.
You can book a consultation session with our professionals online. You can also call us at 040 – 65 66 660.
We look forward to seeing you at Estetikcentrum beauty clinic.
This article is intended to promote understanding of and knowledge about professional plastic surgeries. It is not intended to be a substitute for professional advice, diagnosis or treatment. Always seek the advice of your surgeon or other qualified healthcare providers with any questions you may have regarding a medical condition or treatment.