Dental crowns
What Are Dental Crowns?
Dental anxiety affects a significant portion of the adult population in the United States, with estimates suggesting that around 75% of adults experience fear or discomfort when it comes to dentistry. While this figure is an approximation, it underscores the widespread apprehension associated with dental procedures.
Many individuals only seek dental care when they encounter a dental emergency, delaying necessary treatment and resulting in more extensive dental work. However, by prioritizing regular dental visits and adopting a cautious approach, individuals can transform dental appointments into a routine part of their oral care regimen rather than an anxiety-inducing event.
Dental crowns play a crucial role in maintaining oral health, restoring the function and appearance of damaged teeth, and preventing the need for complex dental procedures such as extractions, root canals, or implants. By understanding the dental crown process, individuals can alleviate their fears and feel more comfortable during their dental visits.
Advantages
Advantages of Dental Crowns
Dental Crowns as Restorations and Cosmetic Enhancements:
Dental crowns serve both restorative and cosmetic purposes, addressing conditions that compromise tooth health, stability, and appearance. Common scenarios that may require dental crowns include:
- Extensive Cavities
- Worn-Down Teeth With Missing Enamel
- Advanced Tooth Decay Causing Weakened Teeth
- Teeth That Have Undergone Root Canal Therapy
- Fractured or Cracked Teeth
- Teeth in Need of Cosmetic Enhancements to Improve the Overall Smile Aesthetics
The Dental Crown Procedure Explained
Preliminary Steps: X-Rays And Scans
Before initiating the dental crown procedure, dentists typically order X-rays or CT scans to assess overall oral health and identify any underlying issues that could complicate the crown placement process.
Tooth Preparation
To prepare the tooth for a dental crown, a portion of the tooth enamel needs to be shaved off through a process known as enameloplasty or odontoplasty. This step aims to slightly reduce the thickness of the tooth so that the crown can be placed on top without interfering with neighboring teeth.
First Appointment: Crown Preparation
During the first appointment, the dentist administers local anesthesia to numb the tooth and surrounding gum area. Once the patient is completely numb, the dentist uses a dental handpiece to carefully file down the tooth, creating the necessary space for the crown. After reshaping the tooth, an impression is taken to ensure the crown fits accurately to the patient’s bite. The impressions are then sent to a dental lab where the permanent crown will be fabricated. Before the patient leaves the first appointment, a temporary crown is placed using temporary cement to protect the prepared tooth until the permanent crown is ready.
Care And Precautions For Temporary Crowns
While wearing temporary crowns, patients should avoid consuming sticky substances, hard foods, and follow proper flossing techniques to prevent damage or dislodgement. Specific dietary recommendations and flossing techniques will be provided to ensure the temporary crown remains secure and functional.
Second Appointment: Cementation Of The Permanent Crown
The second appointment is usually quicker than the first, as it does not involve drilling down the tooth. During this appointment, the dentist administers local anesthesia to ensure this area of tooth is numb and patient does not feel any pain.
The temporary crown is removed, and the new permanent crown is tried on to assess its fit and color match. If everything looks satisfactory and the patient is happy with the outcome, the permanent crown is cemented into place. Post-operative instructions and guidelines on proper crown care are provided, emphasizing the importance of maintaining good oral hygiene.
After a day or two, patients can start flossing between their porcelain crowns, ensuring they are clean and free from food particles to prevent gum inflammation. Patients are encouraged to reach out to the Dr.Edward Doktorman team for any questions or concerns regarding porcelain crowns or dental work in general. Understanding the dental procedures being performed on one’s teeth helps alleviate fear and discomfort associated with dental work.
Types
Types of Dental Crowns
Dental crowns are a versatile treatment option, available in various materials, each with specific advantages and applications. Here are some common types of dental crowns:
These crowns are popular for their natural color and texture, which match natural tooth enamel. They are highly preferred for front teeth restorations due to their excellent aesthetic qualities.
Porcelain (Ceramic) Crowns
These crowns combine a porcelain outer layer with a metal base, providing both strength (from the metal) and a more natural appearance (from the porcelain). They are stronger than porcelain alone and are often used for both front and back teeth.
Porcelain Fused to Metal (PFM) Crowns
Known for their strength and durability, zirconia crowns are made from a type of ceramic that can withstand the wear and tear of back teeth while also providing an aesthetic appearance suitable for front teeth.
Zirconia Crowns
Porcelain (Ceramic) Crowns
These crowns are popular for their natural color and texture, which match natural tooth enamel. They are highly preferred for front teeth restorations due to their excellent aesthetic qualities.
Porcelain Fused to Metal (PFM) Crowns
These crowns combine a porcelain outer layer with a metal base, providing both strength (from the metal) and a more natural appearance (from the porcelain). They are stronger than porcelain alone and are often used for both front and back teeth.
Zirconia Crowns
Known for their strength and durability, zirconia crowns are made from a type of ceramic that can withstand the wear and tear of back teeth while also providing an aesthetic appearance suitable for front teeth.
DR. DOKTORMAN IS A PARTICIPATING PROVIDER OF ALL MAJOR INSURANCES SUCH AS METLIFE, DELTA, AETNA, AND CIGNA, etc.
It’s virtually impossible to list all of them on this page. If you have any questions regarding your dental coverage, we will be happy to answer them.
What you need
How do I Know if i Need Dental Crowns?
Determining whether you need dental crowns involves assessing your dental health and considering several factors related to the condition of your teeth. Here are key points to help you decide if dental crowns might be the right solution for you:
- Significant Tooth Decay
- Damaged or Broken Teeth
- Worn Down Teeth
- After Root Canal Treatment
- Misshapen or Discolored Teeth
- To Complete a Dental Implant
- To Anchor a Dental Bridge
- Preventive Protection
Impressions, Fitting, And Aftercare
Impressions
After tooth preparation, the dental staff creates an impression of the tooth and the surrounding teeth. This impression is then sent to a dental fabrication lab, where the crown will be crafted in the desired material. Depending on the fabrication process, patients may leave their first appointment with a temporary crown.
Fitting And Placement
If a patient has a temporary crown, a follow-up appointment is scheduled to replace it with the permanent crown. Before cementing the permanent dental crown in place, the dentist ensures its fit and appearance by placing it on the prepared tooth. This step is crucial, as a poorly fitting crown can significantly reduce its lifespan. If the dentist confirms that the crown is free of flaws and the patient approves of its fit and appearance, the crown is cemented into place.
Dental Crown Aftercare
After the placement of a dental crown, patients receive information and advice on how to maintain their dental restoration. It is normal to experience some sensitivity in the days and weeks following crown placement due to the removal of natural tooth material, which brings the nerves closer to the tooth surface.
Over time, this increased sensitivity will subside. Proper oral hygiene practices, including brushing twice a day and flossing using traditional floss or interdental cleaners, are crucial for maintaining the crown and gum health. Patients should be cautious when flossing between teeth with crowns, avoiding pulling the floss away from the gums to prevent potential loosening or dislodgement of the dental crown. Instead, drawing the floss through the teeth when moving to the other side of the tooth is recommended.
Certain foods should be avoided, as even though some dental crowns are more resilient than others, no crown is fracture-proof. Dentists may caution against consuming hard foods, sticky substances, and tough foods. Individuals who experience bruxism (teeth grinding) may receive specific recommendations regarding the type of dental crown material to minimize potential damage. Depending on the crown material, dentists may also advise against excessively hot or cold foods and drinks.
Contraindications
Contraindications to Dental Crowns
Indications
- Tooth Decay or Damage
- Fractured or Broken Teeth
- Following Root Canal Treatment
- Cosmetic Enhancement
- Dental Bridges and Implants
Сontraindications
- Minimal Tooth Damage
- Active Gum Disease
- Insufficient Tooth Structure
- Poor Oral Hygiene
- Temporary Situations
Same-Day Dental Crowns And Crown Placement Duration
Same-Day Dental Crowns
Dentists can offer same-day crowns by utilizing the latest technologies to streamline the process. Traditional steps involving impressions and fabricating the crown in a dental lab are replaced with 3D-imaging technology. A highly accurate digital scan of the teeth is created, which is then sent to a computer-aided manufacturing (CAM) device to fabricate the crown in the patient’s chosen material. This method enables dentists to create and place a crown all in a single visit.
Number Of Visits Required For Crown Placement
While same-day crown options are available, most crown placements typically require two or three appointments. During the first appointment, the tooth is prepared, and impressions are taken. The patient returns for a follow-up visit, usually several weeks later, to have the permanent crown placed.
Amount Of Tooth Enamel Removed And Longevity Of Dental Crowns
Amount Of Tooth Enamel Removed
Different types of crown materials necessitate varying amounts of tooth enamel removal. This process ensures the crown placement is strong and stable. On average, approximately 65-75% of the tooth enamel is removed. Although this might sound like a significant amount, it is essential to remember that the average thickness of tooth enamel is only around 2.5 mm.
Longevity Of Dental Crowns
Commonly cited information suggests that dental crowns have a lifespan of 5 to 15 years. However, it is important to note that lower-quality crowns contribute to these lower averages. When high-quality materials are used by experienced practitioners and patients adhere to necessary precautions to extend the life of their crowns, dental crowns can last upwards of 30 years.
Pain Management And Cost Considerations
Pain Management During Dental Crown Placement
Having a dental crown placed is typically associated with the same level of discomfort as having a dental filling performed. Dentists may administer local anesthesia and offer conscious sedation to alleviate any pain or discomfort.
Cost Of Dental Crowns
Estimating the cost of dental crowns can be challenging due to various factors. The cost can vary based on the materials chosen and the expertise of the dental practitioner. As a general estimate, patients can expect to pay somewhere between $1,100 and $3,700 for a dental crown.
Dr. Edward Doktorman’s comprehensive approach to dental crowns ensures that patients in Clifton, New Jersey receive high-quality restorations that not only improve dental health but also enhance their smiles. By providing detailed information about dental crown procedures, aftercare, longevity, pain management, and cost considerations, individuals can make educated choices and approach dental crown placement with confidence. Requesting a smile consultation from Dr. Edward Doktorman, your trusted dentist in Clifton, can further guide individuals toward personalized solutions for their dental crown needs. Take the first step toward restoring your smile and schedule a dental crown consultation today by calling 973-778-0013 or book an appointment online.
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Why us
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Dr. Edward practiсe?
Dr.Doktorman offers full range of services in the scope of general dentistry,such as cosmetic composite fillings,root canals,removable dentures of multiple designs,crown and bridges,surgical services and gum treatment.
Dr.Doktorman completed implant residency in NYU.All phases of implant dentistry are performed in our office.We offer implant placement,variety of implant supported restorations both fixed and removable. Our office offers a FREE consultation for the patients interested in implant placement and restorations.
Testimonials
What our clients say
The Doctor and staff are excellent! You couldn’t ask for a better team. I’ve had a lot of issues with dentists over the recent years because I require my gums to be numb for any kind of work done to my teeth and most dentists didn’t want to or said I didn’t need it and then got mad when they couldn’t work on me. Searched and found Dr. Doktorman had some good reviews and I gave him a try. Now my go to dentist here on out. Staff is just as great as well. All are friendly, funny at times, and on point.
I have been going to Dr. Dokroman for years and can’t even imagine going to any other dentist now. This dentist and his staff are ‘top notch!’ They are all friendly, super accommodating and do wonderful work! I highly recommend them to anyone looking for the best dental services!
As someone who dreads going to the dentist I can honestly say requiring an urgent appointment due to an abscess/infection days prior to an upcoming trip had all the makings for worst experience ever.Dr. Doktorman & Olga were able to accommodate. Comforting, warm, completely painless and amazing experience. I 100% will be returning ????
Does great work! Very nice dentist and staff. You can tell he really cares a lot. Highly recommend.
Dr. Doktorman is friendly and patient. I never have to wait long for an appointment.However, I’ve had this experience on different two different occasions. The doctor injects novacaine before working on a cavity. He has me wait but by the time he comes back and starts drilling it feels like the Novocaine has worn off. He gives me more when I’m in pain. But still I’m trying to have the minimal amount of pain when I go to the dentist and want to be as numb as possible for the whole procedure. This is one reason that I wound up switching to a different doctor.
I am looking forward to my next visit to my oral surgeon in Clifton. That is when I am receiving my dental implants. I found him to be very pleasant to deal with and do not mind going to the dentist at all now. After my next visit I will have a full set of perfect teeth, which I have not had for a long time.
When we were searching for a new family dentistry in Clifton, Dr. Edward Doktorman was highly recommended to us by a couple of people. My wife and my son went to see him first for a checkup and then it was my turn. I required two dental implants that were done without any discomfort. His chair side manner is very comforting. I was a bigger coward than my wife and son but I actually enjoy my visits now.
Information
Frequently Asked Questions
Why Is A Dental Crown Needed?
A dental crown may be necessary in various situations, including:
Protecting a weak tooth: A dental crown can prevent a weak tooth, such as one affected by decay, from breaking or fracturing. It provides structural support and stability to the tooth.
Restoring a broken or worn-down tooth: If a tooth has been severely broken or worn down, a dental crown can restore its shape, function, and aesthetics. It helps strengthen and rebuild the damaged tooth structure.
Supporting a tooth with a large filling: When a tooth has a significant filling, especially if there is minimal natural tooth structure remaining, a dental crown can provide additional support and prevent further damage.
Anchoring a dental bridge: Dental crowns are used to hold a dental bridge in place. They serve as abutments, anchoring the bridge to the adjacent teeth and restoring the gap left by a missing tooth.
Covering misshapen or discolored teeth: Dental crowns can be used to improve the appearance of misshapen or severely discolored teeth. They can enhance the symmetry, size, and color of the teeth, creating a more harmonious smile.
Covering a dental implant: After a dental implant is surgically placed in the jawbone, a dental crown is attached to the implant to replace the missing tooth. It restores both the appearance and function of the natural tooth.
What Types Of Crowns Are Available?
Permanent crowns can be made from different materials, including:
All metal: Metal crowns are typically made of gold alloy, other alloys like palladium, or base-metal alloys such as nickel or chromium. They are highly durable, resistant to wear and tear, and rarely chip or break. However, their metallic color may be a drawback, making them more suitable for molars.
Porcelain-fused-to-metal (PFM): PFM crowns combine the strength of metal with the aesthetic appeal of porcelain. They can be color-matched to adjacent teeth, but the porcelain portion may chip or break over time. The metal substructure may also show as a dark line, particularly near the gum line if gums recede. They are commonly used for both front and back teeth.
All resin: All-resin crowns are cost-effective but less durable than other types. They are more prone to wear and fractures over time, making them less suitable for long-term use.
All ceramic or all porcelain: These crowns provide the best natural color match and are suitable for individuals with metal allergies. They offer excellent aesthetics but are not as strong as PFM crowns and may cause slight wear on opposing teeth. All-ceramic crowns are often preferred for front teeth.
Temporary Versus Permanent Crowns:
Temporary crowns are made in the dentist’s office, usually using acrylic or stainless steel materials. They serve as a temporary restoration until the permanent crown is fabricated in a dental laboratory. Permanent crowns are custom-made to ensure an accurate fit and optimal aesthetics.
How Long Do Dental Crowns Last?
The lifespan of a dental crown varies, but on average, they can last between 5 and 15 years. The longevity of a crown depends on factors such as the amount of wear it experiences, adherence to good oral hygiene practices, and personal habits. Avoiding habits like teeth grinding or clenching, chewing on hard objects, biting nails, and using teeth to open packaging can help extend the lifespan of a dental crown. Regular dental check-ups and maintenance are also essential for monitoring the condition of the crown and addressing any potential issues.
By recognizing the importance of dental crowns and understanding the process involved, individuals can overcome their dental anxieties and make informed decisions regarding their oral health.
Regular dental visits, proactive care, and early treatment can prevent the need for extensive dental work.
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