I have never had crowns done and I am afraid to have it done. Can someone explain how it is done?
How Are Crowns Done on the Front Teeth?
Doctor Answers (5)
Two visits in most cases
Crowns are always done when a person is comfortable, which usually means a person is numb. An impression of the tooth is taken to make a temporary and a shade is selected. After you are numb, about 1/2 to 1 mm of tooth structure is removed all around the tooth. An impression is taken and a temporary is created. The second impression is sent to a lab to have the crown custom made. At a second visit, the temporary is replaced with the new crown.
Sometimes CAD/CAM crowns can be made in a single visit. Front teeth require skill and artistry to make them look lifelike, and a talented ceramist can make a front tooth look like its neighbors.
Crowns on Front Teeth
There are different kinds of crowns that can be used on front teeth that differ in material, esthetics, and cost. The crown will be made of ceramic porcelain either with or without metal. The dentist will anesthesize the area to make sure you are comfortable throughout the procedure. The tooth will be reduced so a crown can be placed unto it and return the tooth to its proper anatomy and occlusion. After the tooth is prepared, an impression of the tooth is taken and sent to the lab. The shade of the crown will be chosen by you and your dentist for the closest match. The lab will then fabricate the crown and send it back usually within two weeks to be cemented onto the tooth. In the meantime, a temporary crown will be placed on your tooth. Thank you, Dr. Elizabeth Jahanian.
Color and shape of front crowns
Crowns on your front teeth are done by removing approximately 1mm of tooth structure on every aspect of the tooth. After this is done an impression is taken or a 3D image and the tooth is made to fit over your own tooth. One of the most important things to do is see before and after pictures of your dentist restorative work. The most difficult thing to doing crowns on the front teeth is matching the color and shape of the the surrounding teeth.
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You're not alone
A lot of folks are anxious about this procedure, especially on a tooth that will be visible in your smile. Be sure to find a dentist who can make it look like YOUR TOOTH and who will put you at ease. It will be worth any extra cost to have it done right the first time. Living with a crown you hate for years is no fun. It can be made very easy and your temporary should look great. If you are nervous about the procedure ask around to see who among your friends had a great, caring dentist. When you get there, ask to see photos of similar cases they have done to see what it will look like.
Different types of crowns are done differently
There are many types of crowns, PFM (porcelain fused to metal), Zirconia, all porcelain, etc. Most dentists still do PFM crowns and for these you have to reduce all sides of the tooth by about 1.3-1.6 mm. They will then cement the crown to the tooth relying largely on the crown wrapping all the way around the tooth for retention rather than the cement.
My preferred method is to use all porcelain crowns which can be bonded to the tooth. Since we don't have to rely on the "wrapping" around the tooth, we only need to reduce whatever is necessary in order to accomplish the goals at hand. If the tooth has had a root canal, you may want to wrap all the way around in order to "seal" the tooth from further penetration of bacteria. If the tooth has only had large fillings between the teeth, you may prefer to do a 3/4 preparation thus conserving tooth.
No matter what your preferred method, having crowns done is a routine procedure that you shoudn't worry too much over.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.