Dental Crowns : Types, cost and care

When it comes to dental procedures, dental crowns, also known as teeth caps, are a common solution for various dental issues. They are custom-made coverings that are placed over a damaged tooth to restore its shape, size, strength, and appearance.

In this article, we will delve into the details of dental crowns, including their types, when they are needed, the procedure for crown placement, pros and cons, post-placement care, and answers to commonly asked questions.

What are Dental Crowns?

A dental crown is a tooth shaped cap that is placed over a damaged tooth to protect and restore its function and appearance. It covers the entire visible portion of the tooth above the gum line.

Dental crowns are typically made from various materials, such as porcelain, metal, or a combination of both, and they can be customized to match the color and shape of your natural teeth.

When Do You Need a Dental Crown?

There are several situations in which a dental crown may be necessary:

1. Tooth Decay: When a tooth has extensive decay that cannot be restored with a filling, a dental crown may be recommended to provide strength and protection to the remaining tooth structure.

2. Fractured or Cracked Teeth: Teeth that are fractured or cracked, particularly if the damage extends into the tooth's structure, may require a dental crown to hold the tooth together and prevent further damage.

3. Large Fillings: Teeth with large fillings that compromise their structural integrity may benefit from a dental crown to provide reinforcement and support.

4. Root Canal Treatment: After undergoing root canal therapy to remove infected or damaged pulp from a tooth, a dental crown is often placed to restore the tooth's strength and functionality.

5. Cosmetic Enhancement: Dental crowns can also be used for cosmetic purposes to improve the appearance of misshapen, discolored, or poorly aligned teeth, enhancing the overall aesthetics of your smile.

6. Dental Implants: Dental crowns are commonly used to restore missing teeth in conjunction with dental implants. The crown is attached to the implant post, completing the tooth replacement process.

7. Protective Covering: In some cases, a dental crown may be recommended as a protective covering for a tooth that is at risk of damage due to bruxism (teeth grinding), erosion, or other factors.

RELATED : Dental Implants: Types and Cost

Types of Dental Crowns

There are different types of dental crowns available, each with its own advantages and considerations:

1. Porcelain Crowns

Porcelain crowns are popular due to their natural appearance, making them an excellent choice for front teeth. They can be color-matched to blend seamlessly with your natural teeth, providing a beautiful and realistic result.

2. Metal Crowns

Metal crowns, typically made of gold or other alloys, are known for their durability and strength. They are often recommended for back teeth that require extra strength for chewing and biting.

They require less tooth structure removal compared to other types of crowns, making them a conservative option for teeth with limited remaining structure.

3. Porcelain-Fused-to-Metal (PFM) Crowns

PFM crowns combine the strength of metal with the natural appearance of porcelain. They are a versatile option that can be used for both front and back teeth.

4. All-Ceramic Crowns

• All-ceramic crowns are made entirely of ceramic material, such as zirconia or lithium disilicate.

• They offer excellent aesthetic results, with lifelike translucency and color matching to natural teeth. They are a popular choice for those with metal allergies or who prefer metal-free restoration .

5. Composite resin crowns

• Composite resin crowns are made of tooth-colored composite resin material, similar to dental fillings.

• They are more affordable than other types of crowns and can be placed in a single dental visit using direct bonding techniques.

• Composite resin crowns are less durable than porcelain or metal crowns and may require replacement over time.

6.Zirconia Crowns:

• Zirconia crowns are known for their exceptional strength and durability, making them suitable for posterior teeth subjected to heavy chewing forces.

• They offer excellent biocompatibility and aesthetic properties, with natural-looking results.

• Zirconia crowns are highly resistant to chipping and cracking, providing long-term reliability for dental restorations.

RELATED : Understanding veneers

Procedure for Dental Crown Placement

The process of getting a dental crown typically involves the following steps:

1. Evaluation: Your dentist will examine your tooth and determine if a crown is the best solution for your dental issue.

2. Tooth Preparation: The tooth receiving the crown will be prepared by removing a layer of enamel to make room for the crown.

3. Impressions: An impression of your tooth will be taken to create a custom-made crown that fits perfectly.

4. Temporary Crown: While your permanent crown is being created, a temporary crown will be placed to protect your tooth.

5. Crown Placement: Once your permanent crown is ready, it will be carefully placed and adjusted for a comfortable fit.

6. Bonding: The crown will be bonded to your tooth using a dental cement, ensuring a secure and long-lasting restoration.

RELATED : Tooth decay or dental caries

Pros and Cons of Dental Crowns

Like any dental procedure, dental crowns have their advantages and considerations. Here are some pros and cons to consider:

Pros:

• Restores the function and appearance of damaged teeth

• Provides protection for weak or vulnerable teeth

• Customizable to match the color and shape of your natural teeth

• Durable and long-lasting with proper care

Cons:

• Requires removal of a portion of the natural tooth structure

• Potential for sensitivity in the treated tooth

• May require additional dental visits for placement and adjustments

• Cost considerations, as dental crowns can be an investment

Caring for Dental Crowns After Placement

To ensure the longevity and optimal performance of your dental crowns, it's important to follow these care tips:

1. Practice Good Oral Hygiene:

   • Brush your teeth at least twice a day with a fluoride toothpaste, including the area around the crown.

   • Use a soft-bristled toothbrush and gentle, circular motions to clean the crown and surrounding teeth.

   • Floss daily to remove plaque and debris from between teeth, including around the crown. You can use dental floss, interdental brushes, or water flossers.

2. Avoid Hard Foods and Habits:

   • Avoid chewing on hard or sticky foods that could potentially damage the crown, such as ice, hard candies, or nuts.

   • Refrain from biting or chewing on non-food items like pencils or fingernails, as this can put excessive pressure on the crown and surrounding teeth.

3. Protect Your Crown from Trauma:

   • If you participate in contact sports or activities where there's a risk of facial injury, consider wearing a mouthguard to protect your dental crowns and natural teeth.

   • Avoid using your teeth as tools to open packages or bottles, as this can lead to crown damage or dislodgment.

4. Attend Regular Dental Check-ups:

   • Schedule regular dental check-ups and cleanings with your dentist to monitor the condition of your dental crowns and ensure they remain in good shape.

   • Your dentist will assess the integrity of the crowns, check for signs of wear or damage, and address any concerns promptly.

5. Address Teeth Grinding (Bruxism):

   • If you grind or clench your teeth, discuss this with your dentist. They may recommend wearing a night guard while sleeping to protect your dental crowns and prevent further damage to your teeth.

6. Be Mindful of Oral Health Changes:

• Pay attention to any changes in the fit, feel, or appearance of your dental crowns. If you notice sensitivity, discomfort, or signs of damage, contact your dentist promptly for evaluation and treatment.

RELATED : Is it necessary to floss daily ?

Commonly Asked Questions

1. Are dental crowns painful?

The process of getting a dental crown is typically not painful as it is performed under local anesthesia. However, some patients may experience mild discomfort or sensitivity after the procedure, which usually subsides within a few days.

2. How much do dental crowns cost?

The cost of dental crowns can vary depending on factors such as the material used, the complexity of the case, and the location of the dental practice. On average, dental crowns can range from INR 3000 TO INR 25,000 per tooth.

3. How long does a dental crown last?

The lifespan of a dental crown depends on various factors, including oral hygiene practices, regular dental check-ups, and the material used. On average, dental crowns can last between 10 to 15 years, but with proper care, they can last even longer upto 30 years.

4. Do kids need dental crowns?

In general, dental crowns are not commonly needed for children. However, there may be situations where a dental crown is necessary to protect a severely decayed or damaged tooth in a child's mouth.

While a parent may think it is simply easy to pull out a baby tooth than protecting it with a crown, this space is necessary to avoid future dental problems.

5. What materials are dental crowns available in?

Dental crowns can be made from various materials, including porcelain, metal, porcelain-fused-to-metal, and all-ceramic. The choice of material depends on factors such as aesthetics, durability, and the location of the tooth.

6. Are dental crowns permanent?

Dental crowns are not considered permanent, as they may need to be replaced over time due to normal wear and tear or other factors. However, with proper care and maintenance, dental crowns can last for many years.

7. What foods should I avoid with dental crowns?

While dental crowns are durable, it is advisable to avoid chewing on hard or sticky foods, such as ice, hard candies, or sticky caramels, as they can potentially damage the crown or cause it to become dislodged.

8. Veneers vs. dental crowns: What's the difference?

Veneers and dental crowns are both dental restorations, but they serve different purposes. Veneers are thin shells that are bonded to the front surface of the teeth to improve their appearance, while dental crowns cover the entire visible portion of a damaged tooth to restore its function and appearance.

9. Are dental crowns needed after a root canal?

After a root canal procedure, a dental crown is often recommended to protect and strengthen the treated tooth. Root canal treatment can weaken the tooth structure, and a crown provides added support and prevents further damage.

In conclusion, dental crowns serve as invaluable tools in modern dentistry, offering both functional and aesthetic benefits to patients with various dental concerns. Whether you require a crown to restore a damaged tooth, enhance the appearance of your smile, or support a dental implant, understanding the importance of proper care and maintenance is key to ensuring the longevity and effectiveness of your dental crowns.