Understanding Dental Crowns: What They Are and How They Work

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Dental health is an essential aspect of overall well-being, and maintaining it often requires more than just regular brushing and flossing. For many people, treatments like dental crowns and bridges become a part of their oral care journey. 

But, what exactly are dental crowns, and how do they work? This blog delves into the intricacies of dental crowns, shedding light on their purpose, types, procedures, and aftercare.

What Are Dental Crowns?

A dental crown is essentially a cap that is placed over a damaged or decayed tooth to restore its shape, size, strength, and appearance. Crowns fully encase the visible portion of the tooth that lies above the gum line, providing a protective barrier against further damage.

Crowns are an ideal solution for various dental issues, including:

  • Broken or severely worn-down teeth
  • Large cavities that cannot be filled
  • Teeth that have undergone root canal treatment
  • Misshapen or discolored teeth
  • Dental bridges that need anchoring

Types of Dental Crowns

There are several types of dental crowns, each made from different materials, and selected based on individual needs:

  • Porcelain Crowns: These offer the most natural appearance, blending seamlessly with surrounding teeth. They are an excellent choice for front teeth but may not be as durable as metal-based crowns for molars.
  • Ceramic Crowns: Similar to porcelain, ceramic crowns provide a natural look and are metal-free, making them a suitable option for those with metal allergies.
  • Metal Crowns: Made from gold, platinum, or base metal alloys, these crowns are incredibly durable and resistant to wear. However, their metallic color makes them less aesthetically pleasing for visible teeth.
  • Porcelain-Fused-to-Metal (PFM) Crowns: These combine the strength of metal with the aesthetics of porcelain. The metal provides a sturdy base, while the porcelain overlay mimics the natural look of teeth.
  • Resin Crowns: Made from composite resin, these crowns are less expensive but also less durable than other types. They are usually used as temporary crowns rather than permanent solutions.

The Procedure: Step by Step

The process of getting a dental crown typically involves two visits to the dentist:

First Visit: Preparation

  • Examination and X-rays: The dentist examines the tooth and takes X-rays to assess the extent of damage and ensure there is no underlying decay or infection.
  • Tooth Shaping: The tooth receiving the crown is filed down to make room for the crown. If a large part of the tooth is missing, the dentist may use filling material to build up the tooth structure.
  • Impressions: After reshaping the tooth, the dentist takes impressions of the trimmed tooth and the opposing teeth. These impressions are sent to a dental laboratory where the crown is custom-made.
  • Temporary Crown: A temporary crown is placed to protect the prepared tooth while the permanent crown is being fabricated.

Second Visit: Crown Placement

  • Removal of Temporary Crown: The temporary crown is removed, and the dentist checks the fit and color of the permanent crown.
  • Permanent Crown Adhesion: Once the fit and appearance are confirmed, the permanent crown is cemented in place using a strong dental adhesive.

Aftercare Tips for Dental Crowns

Proper care and maintenance can extend the life of your dental crown. Here are some tips:

  • Oral Hygiene: Brush and floss regularly to prevent plaque buildup around the crown.
  • Avoid Hard Foods: Refrain from chewing ice, hard candies, or other hard objects that could crack the crown.
  • Dental Visits: Schedule regular check-ups with your dentist to monitor the condition of the crown and surrounding teeth.
  • Address Bruxism: If you grind your teeth at night, consider using a mouthguard to protect your crown from excessive wear.

Conclusion

Dental crowns are a versatile and effective solution for restoring damaged teeth and improving oral health. By understanding what they are, the types available, and the procedure involved, you can make informed decisions about your dental care. Remember, with proper maintenance, dental crowns can provide a long-lasting and aesthetically pleasing solution to a variety of dental issues.