Dental Crowns

When is Dental Crown needed?

Dental crowns are used as caps on missing or fractured teeth to protect the life of your teeth. Dental Crowns are needed to:

• Protect or restore a tooth from fracturing due to accident or trauma
• Replace a tooth that is too large for a filling
• Get a cap over the Implant placed
• Restore the tooth on which RCT was performed
• Cover discolored, misshapen, or badly formed tooth
• Require a bridge in that case crowns are a must

In addition, a Dental Crown gives your tooth strength, shape, size and helps to improve the appearance of your tooth. If your dentist has advised you to get a crown and you are delaying the process then there are chances that you can damage your tooth to the extent that extraction is the last resort.
Moreover, not getting a dental crown can wear down other adjacent teeth causing damage.

What are various types of Dental Crowns?

Dental Crowns can be made in a variety come in various materials such as:

Metal Crowns

If someone is looking for a long-term and durable solution then metal crowns are to the rescue. The gold crowns in these are the most used and bond well with the tooth. These can even withstand hard chewing forces and biting. Being stronger they last longer and do not wear down easily. The only drawback is that they are visible from a distance hence, suitable only for molars.

Porcelain-fused-to-metal

If you have aesthetic concerns and also wish to have metal crowns inserted then these are the best option available. The inside of the teeth is made up of metal and the outer portion of the crown is made of porcelain, as a result, it has the dual advantage – metal which provides strength, and porcelain which matches the color of the teeth making it look like natural teeth. They look the most like natural teeth.

Ceramic Crown

They are also known as resin-bonded bridges. They use metal wings instead of crowns to secure the bridge in place. The wings are bonded to the back of your neighboring teeth.
Given their design, they aren’t strong enough to withstand the chewing forces of back teeth, hence used to replace front teeth.

DO’S AND DON’TS WITH DENTAL CROWNS

DO’S

• Since the natural teeth are still beneath the crown and are vulnerable to decay, therefore, it is important to maintain good oral hygiene therefore brushing, rinsing and flossing should be followed regularly.
• If you clench your teeth, then it is advised to use a mouthguard to protect your crown and this also does not allow your teeth to wear down.
• Get crowns only from a dental expert who is trained in placing dental implants. Poor placement of crowns can reduce the longevity of crowns.
• Do visit your dentist every 6 months to ensure that your oral health is in the best care.

DON’TS

• Do not use your teeth as tools as this will put pressure and will damage the crown
• Do not bite your nails and chew pencils
• Do not chew ice or candy which is hard
• Do not eat sticky food
• Do not consume too hot or too cold food as this might cause sensitivity

MYTHS ABOUT DENTAL CROWNS

Dental Crowns carry a lot of myths with them a few of them are:

Dental Crowns do not look natural
There is a misconception that dental crowns do not match your teeth hence giving the impression of an artificial tooth. However, with changes in technology crowns come in various materials which look exactly like your natural teeth. Even metal crowns are a good and viable option because they are used as molars and are never seen.

Crowns last forever
Though the crowns are now stronger and have longevity, they cannot last a lifetime. It also depends on how well they are taken care of. To ensure they last longer visit your dentist after every 6 months, your dentist will monitor your crown and will replace it timely.

Food and Beverage stains the crown
The biggest myth that people carry. They believe that food and beverages can stain their teeth with time but in reality, the crowns are made of porcelain and ceramic which do not stain easily.

Only used for restorative dentistry
People believe that one gets a crown only if they have a fractured tooth, have undergone root canal treatment or have broken or chipped a tooth. But the truth is they are used in cosmetic dentistry as a way to enhance appearance and to have a whiter and beautiful smile.

Dental Crowns do not break or chip
Though ceramic and porcelain are harder substances yet if you bite on something extremely hard, or face an accident or trauma then your crown may break.

You cannot get cavity with crowns
Because the crown covers your tooth, therefore, they become vulnerable to decay. Though crowns, as they are artificial, have no chance of decay yet the part below them can decay. It is, therefore, required to keep your teeth and the area around clean to prevent a cavity.

Comparison between Crowns and Bridges

How to choose between Crowns and Bridges

Deciding between a dental bridge and a dental crown is an important decision that should only be taken post consideration of various factors.

Both crowns and bridges are aimed at providing you a natural appearance, giving you a smile blended in with confidence. But the final decision between choosing the two depends upon the factors listed above along with a thorough clinical examination and consultation. Your dentist will assess your specific oral health needs and recommend the most appropriate treatment option to restore your smile and oral function effectively.

How much do I have to pay for dental crowns?

The price of dental crowns depends on the type chosen by the patient. For example, an all-ceramic crown costs more than a metal crown. However, to make it an even more affordable option patients can also choose to pay the price in EMIs at Clove Dental clinics.

Dental Crowns cost at Clove Dental

Our general-purpose PFM Crowns begin at Rs. 4,390. The PFM Crowns for tooth implant purpose starts at Rs. 7,790. For those who prefer Metal-free crowns, our Zirconia options start at Rs. 8,890, and those tailored for Dental implants are Rs. 10,800. Depending on the type of crown you choose, our Dentists, Endodontists, and Prosthodontists aim to restore both the look and function of your teeth.

Metal Crown

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Starting ₹3,290

PFM Crowns (General)

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Starting ₹4,390

PFM Crowns (For Implant Prosthesis)

Starting ₹7,790

Crowns – Zirconia (Metal Free)

Starting ₹8,890

Crowns – Zirconia (Implant Prosthesis)

Starting ₹10,800

HOW LONG CAN YOU EXPECT A DENTAL CROWN TO LAST?

The average lifespan of a crown varies depending upon the material being used, alongwith dental hygiene habits and other lifestyle factors.
One of the most important factors in the longevity of a crown is a good oral hygiene regimen. This includes:

• Brushing your teeth 2 to 3 times a day
• Flossing at least once a day
• Getting dental cleanings every 6 months

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The other factors that affect the longevity of a crown include:

• The type of crown- includes the quality of crown, how well it’s fabricated and the material used for the same
• Health of the affected tooth- If the tooth was relatively healthier with longer roots and healthier surrounding gum and bone levels, both the crown and the tooth will likely have a better prognosis.
• Using your teeth as tools- When teeth are used to uncork bottles or tear threads, or chew on ice and pencils, it tends to negatively impact the longevity of a crown.
• Tooth grinding- Clenching and grinding your teeth, especially when done at night, wears down a crown’s surface and jeopardizes its stability. This seems to be more of a concern when the crown is made of a ceramic material.

So to sum it up, depending upon the type of dental material used, the average lifespan of a crown is around 10-15 years. However, with proper care, good dental hygiene habits and regular dental check ups, the crown may last for decades.

FREQUENTLY ASKED QUESTIONS

Q.1. What Is The Cost Of Dental Crowns?

Dental Crowns may be more expensive than fillings, but they have the advantage of actually lasting longer as well. At Clove Dental, we ensure that our patients always get the best quality and value for their money. Visit your nearest Clove Dental Clinic for more information.

Q.2. How Long Does A Dental Crown Last?

Depending on several factors that include the case specifics, material, and compliance with oral hygiene routines, dental crowns may last anywhere between 5 to 15 years. We advise our patients to maintain their oral hygiene after the implantation of dental crowns.

Q.3. Do Dental Crowns Hurt?

Before the procedure, dentists administer a local anesthetic. Therefore getting dental crowns may not hurt. However, once the anesthetic wears off, feeling soreness and sensitivity in the gums is usual, and it usually goes away in a few days.

Q.4. Do One Need a Dental Crown After RCT?

Root Canal Treatment means that the pulp inside the tooth will be cleared out. Therefore to provide strength after filling up the cavity, crowns are usually used. Adding a crown to the tooth after RCT is a must.

Q.5. What problems could develop with dental crowns?

Some of the common problems that develop with a dental crown are:

• Discomfort or sensitivity
• Chipped crown
• Loose crown
• Crown falls off
• Allergic reactions
• Dark line on crowned tooth next to the gum line

Q.6. Do I need to undergo root canal treatment for placement of the crown?

There may not be a need for root canal treatment, when crown placement is being done for the following reasons:

• Improving the look of a discolored tooth
• Chipped teeth, that do not extend to the pulp chamber
• When used as anchors for dental bridges

Q.7. What are alternatives to dental crowns?

3 most popular alternatives to dental crowns are:

• Onlays
• Dental veneers
• Dental filling

Q.8. What should be done if a dental crown falls off?

When a crown falls off into your mouth, immediately remove it, as there is a risk of swallowing, or injuring surrounding tissues by its damaged or rough edges, if present. Next, visit your dentist, if there is no damage to the crown, there is a good chance they’ll clean it up and fit it back into your mouth, or else will start prepping for a new one. Waiting for too long isn’t recommended as there is a chance that bacteria might penetrate the underlying tooth and cause infection.

Q.9. What are the Pros and Cons of Dental Crowns?

Pros:

• Restore cracked or damaged teeth
• Correct discoloration or alignment
• Replace worn-out fillings before they break
• Restore dental implants
• Prevent tooth breakage after a root canal

Cons:

• There might be a need for repair or replacement
• Requires minor tooth reduction
• Increased sensitivity to hot or cold food and beverages for few weeks

Q.10. What is the best Dental Crown Material?

Zirconia is currently the top choice for crown material. It’s a cutting edge metal that manages to provide you with a balance of strength and beauty.

Q.11. Will my Crown Look Natural?

Having a natural-looking crown is an attainable goal. When done correctly, dental crowns will yield a realistic appearance and blend in with the rest of your teeth.

Q.12. How many appointments does it take?

Two appointments are required, first appointment consists of impression taking and in the second the crown is checked for fitting and placed.

Q.13. Can a crowned tooth get cavity in future?

Crowns are excellent at protecting teeth from further damage or decay, but they can harbor bacteria if not properly cared for.

Q.14. What preparation is needed for a dental crown?

Preparation for a dental crown typically involves:

• Dental exam and X-rays
• Reshaping the tooth to accommodate the crown
• Taking impressions for custom crown creation
• Placing a temporary crown
• Color matching for natural-looking crowns
• Thorough cleaning of the prepared tooth
• Possible root canal if there’s significant decay
• Discussion of aftercare instructions

The exact process may vary based on your specific needs and the type of crown. Your dentist will guide you through the necessary steps for your situation.

Medically Reviewed

Last Reviewed by Clove Clinical Team on July 01, 2024 | Written by Dr. Akhilesh Bhasker, BDS, MDS.