Wearing a crown
A
Wearing a crown
A
crown, sometimes called a cap, is a tooth-shaped
restoration that
fits over an existing tooth or an
artificial tooth root, called an implant. It can be used
in several situations:
n To cover a misshaped, damaged, or discolored tooth
n To provide a hard outer shield to a tooth that is weakened
because of a large filling or a dental treatment, like a root
canal
n When mounted on a dental implant, to fill a space left by a
missing tooth
n On either side of an artificial tooth to support a bridge.
CHOOSING THE RIGHT MATERIAL
A crown can be made to look like the tooth it is replacing.
Often, a crown is made with a tooth-colored material that
matches your teeth. Tooth-colored crowns can be made out of
ceramic, porcelain, or composite resin. In some cases, a metal
crown will be placed. Metal crowns can be made with gold or a
silver-colored metal, like stainless steel or nickel. You and your
dentist can talk about the type of material that will be best for
your crown. Some factors you might consider include
n the location of the crown and how much of it will show
when you smile
n the function of the crown, for example, whether it will it be
in the back where there is a lot of pressure during chewing
n the color and appearance of the surrounding teeth
n the cost.
You may also talk about insurance coverage with your
dentist. Some of these materials are more expensive than
others.
PLACING A CROWN
Some crowns, like those made of stainless steel, are already
tooth shaped and can be placed in 1 appointment. Others, like
those made of composite resin, require 2 or more appointments
to complete treatment. For example, when the crown is being
placed over a natural tooth, your dentist will need to prepare
the tooth that is serving as the base. That tooth may need to
have some structure removed, or it may need to be built up
with dental materials so that the crown will fit snugly and in
line with the surrounding teeth.
Once the tooth is prepared for the crown, your dentist will
likely make an impression. Most often, the dentist will use a
mouth-shaped tray full of a thick liquid that quickly turns to a
rubbery solid. He or she will place the tray in your mouth to
get an impression of the space where the crown will
fi
t. Once
the impression has been made, it is
filled with a plaster material that makes a model for a dental laboratory to
fi
t with a
crown. Some dental offices have computers that can make the
crown in 1 appointment without an impression.
It may take as long as 2 weeks to make the permanent crown
using an impression. To protect your mouth during that time,
your dentist may make a temporary crown. This crown can
protect the tooth preparation and the space intended to be
filled with the crown. Because it may not fit as well as the
final crown, the natural tooth underneath may be sensitive to
heat and cold. Avoid chewing gum and sticky foods while
you have the temporary crown to help it stay in place. Talk to
your dentist about how to care for your teeth when your
temporary crown or crown mounted to an implant is in place.
CONCLUSION
Crowns or caps are restorations that look like teeth and are
made to fit over a specially prepared tooth or a dental implant.
Crowns can be used to repair teeth that are misshapen,
damaged, or weakened because of large fillings or root canal
treatment. They also can be mounted on an artificial tooth
root, called an implant, to fill the space left by a missing tooth,
or they can be cemented on each side of a space to support an
artificial tooth. Crowns can be made of tooth-colored materials or metal. Factors like appearance, strength, and cost
might influence which material you and your dentist select for
your crown. In some cases, it will take more than 1 appointment to make and place your crown. n
n When mounted on a dental implant, to fill a space left by a
missing tooth
n On either side of an artificial tooth to support a bridge.
CHOOSING THE RIGHT MATERIAL
A crown can be made to look like the tooth it is replacing.
Often, a crown is made with a tooth-colored material that
matches your teeth. Tooth-colored crowns can be made out of
ceramic, porcelain, or composite resin. In some cases, a metal
crown will be placed. Metal crowns can be made with gold or a
silver-colored metal, like stainless steel or nickel. You and your
dentist can talk about the type of material that will be best for
your crown. Some factors you might consider include
n the location of the crown and how much of it will show
when you smile
n the function of the crown, for example, whether it will it be
in the back where there is a lot of pressure during chewing
n the color and appearance of the surrounding teeth
n the cost.
You may also talk about insurance coverage with your
dentist. Some of these materials are more expensive than
others.
PLACING A CROWN
Some crowns, like those made of stainless steel, are already
tooth shaped and can be placed in 1 appointment. Others, like
those made of composite resin, require 2 or more appointments
to complete treatment. For example, when the crown is being
placed over a natural tooth, your dentist will need to prepare
the tooth that is serving as the base. That tooth may need to
have some structure removed, or it may need to be built up
with dental materials so that the crown will fit snugly and in
line with the surrounding teeth.
Once the tooth is prepared for the crown, your dentist will
likely make an impression. Most often, the dentist will use a
mouth-shaped tray full of a thick liquid that quickly turns to a
rubbery solid. He or she will place the tray in your mouth to
get an impression of the space where the crown will
fi
t. Once
the impression has been made, it is
filled with a plaster material that makes a model for a dental laboratory to
fi
t with a
crown. Some dental offices have computers that can make the
crown in 1 appointment without an impression.
It may take as long as 2 weeks to make the permanent crown
using an impression. To protect your mouth during that time,
your dentist may make a temporary crown. This crown can
protect the tooth preparation and the space intended to be
filled with the crown. Because it may not fit as well as the
final crown, the natural tooth underneath may be sensitive to
heat and cold. Avoid chewing gum and sticky foods while
you have the temporary crown to help it stay in place. Talk to
your dentist about how to care for your teeth when your
temporary crown or crown mounted to an implant is in place.
CONCLUSION
Crowns or caps are restorations that look like teeth and are
made to fit over a specially prepared tooth or a dental implant.
Crowns can be used to repair teeth that are misshapen,
damaged, or weakened because of large fillings or root canal
treatment. They also can be mounted on an artificial tooth
root, called an implant, to fill the space left by a missing tooth,
or they can be cemented on each side of a space to support an
artificial tooth. Crowns can be made of tooth-colored materials or metal. Factors like appearance, strength, and cost
might influence which material you and your dentist select for
your crown. In some cases, it will take more than 1 appointment to make and place your crown.