If your dental crown is chipped and you need to redo another crown, the crown usually needs to be cut out! Then at that time, the dentist will evaluate if tooth build up or crown build up is needed! So AFTER the crown is cut off the decision will be made, rarely prior to removal of crown. Since the xrays do not let the dentist see if there is enough tooth structure is remained prior to placing a dental crown. In Instances in which there is no crown on the tooth, but the tooth requires a porcelain crown restoration, it is much easier to know if tooth build up or post is needed PRIOR to placing a crown on the tooth. Hope that clarifies it for you. Best of luck