When Do You Need a Dental Crown?

October 26, 2023
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A dental crown is a common dental procedure that involves placing a cap-like structure over a damaged or decayed tooth to restore its shape, size, strength, and appearance. Dentists typically recommend them when a tooth has suffered extensive damage or decay that cannot be repaired with a filling. Dental crowns are also used to protect weakened teeth, support dental bridges, cover dental implants, and improve the overall aesthetics of a smile.

This article delves into the details of dental crowns, exploring their various types, the procedure involved, and the benefits they offer. We will also discuss the different situations in which a dental crown may be necessary, including cases of tooth decay, tooth fractures, large fillings, root canal treatment, and cosmetic enhancements. So, let’s dive in and explore this important dental treatment in more detail.

Common dental issues that may require a dental crown

1. Tooth Decay

Tooth decay is one of the most common dental issues that may require a dental crown. When a tooth has extensive decay and cannot be restored with a filling, a dental crown is often recommended.

2. Cracked or Fractured Tooth

A cracked or fractured tooth can cause pain and sensitivity, and it may require a dental crown to restore its structure. A crown can hold the tooth together and prevent further damage, allowing you to eat and speak comfortably.

3. Large Fillings

If a tooth has a large filling that has deteriorated over time, it may need a dental crown to provide additional support and protection. Crowns can help strengthen the tooth and prevent further damage or fracture.

4. Root Canal Treatment

After a root canal treatment, the affected tooth may become weak and brittle. In such cases, a dental crown is often placed to protect and strengthen the tooth. 

5. Cosmetic Enhancements

Dental crowns can be used for cosmetic purposes as well. If you have a misshapen, discolored, or severely stained tooth that cannot be improved with other cosmetic treatments, a crown can be an effective solution. Crowns can give you a beautiful, natural-looking smile by covering and enhancing the appearance of the affected tooth.

6. Tooth Wear

Excessive tooth wear, often caused by grinding or clenching of the teeth (bruxism), can lead to weakened and damaged teeth. In such cases, you can use dental crowns to restore the shape, size, and functionality of the worn teeth, protecting them from further damage.

7. Dental Implants

When replacing a missing tooth with a dental implant, a crown is typically placed on top of the implant to serve as the visible tooth. The crown is custom-made to match the color, shape, and size of your natural teeth, providing a seamless and aesthetic result.

Signs and symptoms that indicate the need for a dental crown

Tooth Pain or Sensitivity

One of the most common signs that indicate the need for a dental crown is tooth pain or sensitivity. If you experience sharp or throbbing pain when biting down or consuming hot or cold foods and drinks, it could be a sign that your tooth is damaged and in need of a crown.

Cracked or Chipped Tooth

If you have a cracked or chipped tooth, it may require a dental crown to restore its strength and prevent further damage. A crown can protect the tooth from further fractures and improve its appearance.

Large Filling

If you have a large filling in your tooth, it can weaken the tooth structure over time. In such cases, a dental crown may be recommended to provide additional support and prevent the tooth from breaking.

Root Canal Treatment

After undergoing a root canal treatment, the tooth becomes more fragile and prone to fractures. A dental crown is often placed on top of the treated tooth to protect it and restore its function.

Severely Worn Down Tooth

Teeth grinding or bruxism can cause significant wear and tear on your teeth, leading to a severely worn-down tooth. In such cases, a dental crown can restore the tooth’s shape, size, and function.

Cosmetic Purposes

Dental crowns can also be used for cosmetic purposes. If you have a misshapen, discolored, or poorly aligned tooth, a crown can improve its appearance and enhance your smile.

Dental Implant

If you are missing a tooth and have opted for a dental implant, a crown is usually placed on top of the implant to replace the missing tooth. This crown acts as a natural-looking and functional replacement for the missing tooth.

Dental crown application process

Here is how dentists typically apply dental crowns to teeth. 

  1. Exam and X-Rays: The first step in the dental crown application process is to visit your dentist for a comprehensive exam and diagnostic x-rays. This helps your dentist evaluate the condition of your tooth and determine if a crown is the best treatment option.
  2. Teeth Preparation: If it’s determined that you need a crown, your dentist will prepare the affected tooth by removing any decay and shaping the tooth to make room for the crown.
  3. Taking Impressions: Your dentist will then take impressions of your teeth, which are sent to a dental laboratory to create a custom-made dental crown that fits your mouth perfectly.
  4. Temporary Crown: While you wait for your custom crown, a temporary crown is placed on your tooth to protect it.
  5. Final Crown Placement: Once the custom crown is ready, your dentist will remove the temporary one and replace it with the permanent crown. The crown is then secured in place with dental cement.

Dental crown types

1. Porcelain Crowns

Porcelain crowns are the most common type of dental crown used today. They are known for their natural appearance, as they can be color-matched to your existing teeth. Porcelain crowns are also highly durable and can last for many years with proper care.

2. Metal Crowns

Metal crowns are made from alloys such as gold, silver, or platinum. They are incredibly strong and can withstand heavy biting and chewing forces. Metal crowns are often used for molars or teeth that are not highly visible, as their metallic appearance may not be as aesthetically pleasing as other options.

3. Porcelain-Fused-to-Metal (PFM) Crowns

PFM crowns combine the strength of metal with the natural appearance of porcelain. They have a metal base that is covered with a layer of porcelain, allowing for a more aesthetically pleasing result. PFM crowns are a popular choice for both front and back teeth.

4. Zirconia Crowns

Zirconia crowns are made from a strong and durable ceramic material called zirconium oxide. They are known for their excellent strength and resistance to chipping or cracking. Zirconia crowns are a great option for those who need a crown on a highly visible tooth, as they can be color-matched to blend seamlessly with the surrounding teeth.

5. E-Max Crowns

E-Max crowns are made from a single block of lithium disilicate ceramic. They are known for their exceptional aesthetics, as they mimic the translucency of natural teeth. E-Max crowns are highly durable and can be used for both front and back teeth.

6. Temporary Crowns

Temporary crowns are used as a temporary solution while a permanent crown is being made. They are usually made from acrylic or stainless steel and are not as durable as permanent crowns. Temporary crowns are typically used to protect the tooth and maintain its appearance until the permanent crown is ready to be placed.

7. All-Ceramic Crowns

All-ceramic crowns are made from various types of ceramic materials, such as porcelain or zirconia. They are known for their excellent aesthetics and natural appearance. All-ceramic crowns are a popular choice for those who prioritize the cosmetic aspect of their dental restoration.

Final thoughts

A dental crown is necessary when a tooth is severely damaged or decayed and needs to be restored to its original shape, size, and strength. It is also used to protect a weak tooth, cover a dental implant, or hold a dental bridge in place. If you are in need of a dental crown or any other dental services, we invite you to visit Cottonwood Dental Group in Highlands Ranch, CO. Our experienced team of dentists is dedicated to providing high-quality dental care and ensuring your oral health. Schedule your appointment with us today and experience the difference!


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