A crown is actually a tooth-shaped “cap” that is placed over the top of a prepared tooth to restore it’s size, shape, strength and also appearance.
When is a crown indicated?
- If there is minimal natural tooth structure remaining to allow for a traditional filling
- To cover a misshaped or seriously discolored tooth
- Following root canal treatment, a tooth becomes brittle and a crown is highly recommended
- To cover a dental implant
- To correct a food trap
What types of crowns are available?
- Gold - in our office if a gold crown is desired, we use high noble gold for our patients. Gold is a great choice if you already have gold crowns or if it is a molar and you are desiring the cheapest with the least potential for replacing due to wear and tear.
- Porcelain fused to metal - this crown is a nice option for matching the shade of adjacent teeth. This crown is fabricated with a metal sleeve surrounding the tooth structure with tooth colored porcelain baked onto this coping. This a very cosmetic replacement. Slightly more expensive than a gold crown. This style of crown has a slight chance that the porcelain could chip or crack with years and this crown also after years has the potential for a “black” line to show up where the crown and gums meet up as most patients acquire a slight amount of gingival recession with time. A lot of patients mistake this for decay. This is not a direct result of the crown but a natural phenomena that happens with aging in most adults.
- All-ceramic or all-porcelain crown - we currently use a variety of man-made materials for this style of crown which include Lava or Zirconia as well as others. This crown gives us the best cosmetic result. We are able to characterize this type of crown right down to stains, crack lines, chalky marks, multiple colors, etc. to match adjacent or opposing teeth. There is no metal in this crown, so those patients with allergic or hypersensitivity or do not want metal of any sort can be at ease. This crown also is very strong and provides a terrific cosmetic result to both front and back teeth. This is also the priciest of all of our traditional crowns due to its beauty!
- Implant retained crown - we can prepare a crown from any of the above styles to restore your implant. When completing implant crowns, we must also order a custom part from the implant manufacturer to cement the crown onto. This increases the price of the implant crown by about 1/2. A reminder that an implant crown is a terrific option to replace a missing tooth.
- Composite or stainless steel crowns - there is occasion that one of these styles of crown be fabricated. A child’s baby tooth, finances or a variety of other reasons. This is a more temporary type of crown, cost effective and made in our dental office.