A dental crown is a tooth-shaped cap that is placed over a tooth to cover its entire visible portion, restoring its shape, size, strength, and appearance. Crowns are a versatile dental treatment that can address a variety of concerns and enhance the overall function and aesthetics of your smile.

Restorative Function

Protecting and strengthening

One of the primary purposes of a dental crown is to protect and strengthen a tooth that has been weakened or damaged by factors such as decay, fractures, or extensive fillings. The crown acts as a protective shell, reinforcing the remaining tooth structure and preventing further damage or breakdown.

Aesthetic Enhancement

Improving appearance

In addition to their restorative function, dental crowns can also be used to improve the appearance of teeth. Crowns can be custom-made to match the shape, colour, and texture of your natural teeth, covering up any cosmetic imperfections such as discolouration, misshapen teeth, or gaps between teeth.

Materials Used

Durable and natural-looking options

Dental crowns can be crafted from various materials, each with its unique properties and advantages. Some common options include:

• Porcelain: Known for its natural-looking, translucent appearance and excellent aesthetics.
• Metal alloys: Highly durable and long-lasting, often used for back teeth that endure more biting force.
• Porcelain-fused-to-metal: Combines the strength of metal with the natural appearance of porcelain.
• Zirconia: A strong, tooth-coloured ceramic material that is becoming increasingly popular.

Your dentist will recommend the most suitable material based on your specific needs, bite patterns, and aesthetic preferences.

Versatile Applications

Multiple uses

Dental crowns have a wide range of applications beyond their restorative and cosmetic functions. They can be used to:

• Protect and restore a tooth after a root canal treatment, preserving its structural integrity.
• Anchor and support a dental bridge, replacing one or more missing teeth.
• Cover and improve the appearance of dental implants, restoring both function and aesthetics.

With their versatility and ability to enhance both form and function, dental crowns are a valuable treatment option in modern dentistry.

By restoring damaged or weakened teeth and improving their appearance, dental crowns can help you regain a strong, confident, and healthy smile that looks and feels natural.

Dental crowns are a versatile restorative treatment that can address a variety of dental concerns and help preserve and enhance the health, function, and appearance of your teeth. There are several reasons why your dentist may recommend a dental crown, including:

Structural Integrity

Protecting weakened teeth

One of the primary reasons for getting a dental crown is to protect and strengthen a tooth that has been significantly weakened or damaged. This can occur due to:

• Large fillings that have compromised a substantial portion of the tooth structure
• Fractures or cracks in the tooth
• Extensive tooth decay that cannot be adequately treated with a filling

In these cases, a dental crown acts as a protective shell, reinforcing the remaining tooth structure and preventing further damage or breakdown.

Aesthetic Improvement

Enhancing tooth appearance

Dental crowns can also be used to improve the appearance of teeth that are discoloured, misshapen, or have cosmetic imperfections. Crowns can cover up:

• Severe intrinsic tooth discolouration or staining that cannot be addressed with whitening treatments
• Irregularly shaped teeth or gaps between teeth
• Visible wear or damage to the tooth’s surface

By restoring the tooth’s natural shape, size, and colour, a dental crown can significantly enhance the overall aesthetics of your smile.

Post-Treatment Protection

Restoring teeth after procedures

Dental crowns are often recommended after certain dental procedures to protect and restore the tooth’s function and integrity. Some common scenarios include:

• After a root canal treatment, a crown is placed to seal and protect the treated tooth
• As part of a dental bridge, crowns are used to anchor the bridge and replace missing teeth
• To restore and support a dental implant, a crown is placed on top of the implant fixture

In these cases, the crown plays a crucial role in ensuring the long-term success and durability of the dental treatment.

By understanding the various reasons why you might need a dental crown, you can make an informed decision about the best course of treatment to restore the health, function, and aesthetics of your smile.

Dental crowns are tooth-shaped caps designed to cover the entire visible portion of a tooth. They are made from a variety of materials, each with its own unique properties and advantages.

Metal Crowns

Gold Alloy

Gold alloy crowns are highly durable and long-lasting. They are a mixture of gold and other metals, offering strength and resistance to wear and tear. Gold crowns are biocompatible, meaning they are less likely to cause an allergic reaction. However, they are more expensive than other options and can create a noticeable metallic appearance.

Base Metal Alloys

Base metal alloy crowns, such as those made from nickel-chromium or cobalt-chromium, are a cost-effective alternative to gold crowns. They are strong, durable, and resistant to fractures. These crowns can be customised to match the colour of adjacent teeth, making them less noticeable than gold crowns. However, some individuals may be allergic to certain metal components.

Ceramic and Porcelain Crowns

All-Ceramic

All-ceramic crowns are made entirely from ceramic materials, such as zirconia or lithium disilicate. They offer a natural-looking appearance that blends seamlessly with your remaining teeth. Ceramic crowns are biocompatible and stain-resistant, making them an excellent choice for front teeth. However, they may be more prone to fractures compared to metal crowns.

Porcelain-Fused-to-Metal (PFM)

Porcelain-fused-to-metal (PFM) crowns combine the strength of a metal substructure with the aesthetic appeal of a porcelain outer layer. This design provides a balance between durability and natural appearance. PFM crowns are a popular choice for both front and back teeth, offering a biocompatible and long-lasting solution.

The choice of material for your dental crown will depend on factors such as the location of the tooth, your bite forces, aesthetics, and personal preferences. Your dentist will guide you through the process and recommend the most suitable option based on your individual needs.

Dental crowns are designed to be long-lasting restorations, but their lifespan can vary depending on several factors. With proper care and maintenance, crowns can last for many years, providing a functional and aesthetic solution for damaged or decayed teeth.

Average Lifespan

Longevity Estimates

On average, dental crowns are expected to last between 5 and 15 years. However, it’s not uncommon for well-maintained crowns to last even longer, sometimes up to 20 years or more. The longevity of a crown depends on factors such as the material used, the location of the tooth, your oral habits, and the quality of the dental work.

Material Durability

Metal and Porcelain-Fused-to-Metal (PFM)

Metal crowns, such as those made from gold alloy or base metal alloys, are known for their exceptional durability and longevity. They can typically last 10 to 15 years or more with proper care. Similarly, porcelain-fused-to-metal (PFM) crowns, which combine metal and porcelain, offer a balance of strength and aesthetics and can last up to 15 years or longer.

All-Ceramic Crowns

All-ceramic crowns, while offering a natural and aesthetic appearance, may not be as durable as metal crowns. Their lifespan can range from 5 to 15 years, depending on the specific ceramic material used and the location of the crown in your mouth.

Maintenance and Care

Oral Hygiene and Habits

Proper oral hygiene, including regular brushing, flossing, and dental check-ups, is crucial for extending the lifespan of your dental crowns. Additionally, avoiding habits like grinding your teeth, chewing on hard objects, or using your teeth as tools can prevent excessive wear and damage to your crowns.

While dental crowns are designed to be long-lasting, their actual lifespan can vary based on individual circumstances. With good oral hygiene practices, avoiding harmful habits, and following your dentist’s recommendations, you can maximize the longevity of your dental crowns and enjoy their benefits for many years.

Getting a dental crown is generally not a painful procedure, thanks to modern dental techniques and anaesthetics. However, some discomfort or sensitivity may be experienced during and immediately after the process.

Preparation Appointment

Local Anaesthesia

During the initial appointment, your dentist will administer a local anaesthetic to numb the area around the tooth receiving the crown. This ensures that you don’t feel any pain or discomfort while the tooth is being prepared (shaped) to accommodate the new crown.

Tooth Sensitivity

After the tooth has been reshaped, you may experience some sensitivity or mild discomfort as the anaesthesia wears off. This is normal and temporary, and can usually be managed with over-the-counter pain medication if needed.

Placement Appointment

Minimal Discomfort

When you return to have the permanent crown placed, your dentist will likely not need to administer additional anaesthesia. The process of cementing the crown into place is typically painless, and you should only feel slight pressure or a sensation of tightness as the crown is secured.

Aftercare

Temporary Sensitivity

In the days following the crown placement, you may experience some sensitivity or tenderness, especially when biting down or consuming hot or cold foods and beverages. This is a normal part of the healing process and should subside within a few days to a week as your mouth adjusts to the new crown.

Your dentist may recommend using a desensitizing toothpaste or provide other suggestions to manage any temporary discomfort. If you experience severe or persistent pain, it’s essential to contact your dentist promptly, as this may indicate an issue that requires further attention.

The cost of dental crowns in the UK can vary considerably depending on several factors, such as the materials used, the location of the dental practice, and whether the treatment is carried out privately or through the National Health Service (NHS).

NHS Costs

Band 3 Treatment

If you receive a dental crown through the NHS, it falls under the Band 3 treatment category, which has a fixed cost of £282.80 (as of April 2023). This fee covers the entire treatment, including any necessary preparatory work and the crown itself, regardless of the number of crowns needed.

Private Dental Costs

Material and Complexity

For private dental treatments, the cost of a dental crown can range from approximately £500 to £1,200 or more per crown. The exact price will depend on the type of material used, such as metal alloys, porcelain, or ceramic, as well as the complexity of the procedure.

Location and Dentist’s Fees

Dental practices in major cities or more affluent areas may charge higher fees compared to those in smaller towns or rural locations. Additionally, the dentist’s level of experience and reputation can influence the overall cost.

Additional Costs

Preparatory Treatments

In some cases, preparatory treatments may be required before receiving a dental crown, such as root canal therapy or the placement of a dental post. These additional procedures can further increase the overall cost of the treatment.

It’s important to discuss the costs and payment options with your dentist beforehand, as many dental practices offer payment plans or financing options to help make the treatment more affordable. Additionally, some dental insurance plans may cover a portion of the costs associated with dental crowns.

Getting a dental crown typically involves two main appointments with your dentist. The process aims to restore the appearance, strength, and functionality of a damaged or decayed tooth.

First Appointment: Tooth Preparation

Tooth Shaping

During the first appointment, your dentist will administer a local anaesthetic to numb the area around the tooth receiving the crown. Then, they will reshape the tooth by removing a small amount of enamel to create space for the crown to fit properly.

Impressions and Shade Matching

Once the tooth is prepared, your dentist will take impressions or digital scans of your teeth. These impressions will be used to create a model for fabricating the custom-fit crown. They will also match the shade of your natural teeth to ensure the crown blends seamlessly with your smile.

Temporary Crown Placement

Temporary Protection

After preparing the tooth, your dentist will place a temporary crown over it to protect the area until your permanent crown is ready. This temporary crown is essential for maintaining the spacing and protecting the exposed tooth from sensitivity or damage.

Second Appointment: Permanent Crown Placement

Fitting and Adjustment

Once your permanent crown is fabricated (typically within a week or two), you’ll return for the second appointment. Your dentist will remove the temporary crown, clean the prepared tooth, and carefully place the permanent crown. They may make minor adjustments to ensure a proper fit and comfortable bite.

Cementing the Crown

After confirming the fit and appearance of the crown, your dentist will use a special dental cement to securely bond the crown to your prepared tooth. They may also use a specialized light to cure and harden the cement for a stronger bond.

Follow-up Care

Post-Placement Instructions

Your dentist will provide you with instructions on how to care for your new dental crown, including proper brushing and flossing techniques. They may also advise you on what foods to avoid or consume with caution until you become accustomed to the new crown.

The entire process may span several weeks, but the result is a strong, durable, and natural-looking restoration that can last for many years with proper care and maintenance.

The time it takes to get a dental crown can vary depending on several factors, but typically, the process spans over two appointments, a few weeks apart.

First Appointment

Tooth Preparation

During the first appointment, your dentist will prepare the tooth by reshaping it to accommodate the crown. This involves numbing the area with a local anaesthetic and removing a small portion of the tooth’s enamel. The preparation process usually takes 30 minutes to an hour.

Impressions and Temporary Crown

After preparing the tooth, your dentist will take impressions or digital scans of your teeth. This step allows the dental laboratory to fabricate your custom-fitted permanent crown. A temporary crown will then be placed over the prepared tooth to protect it until your next appointment. This initial visit typically takes 1 to 2 hours.

Laboratory Fabrication

Crown Manufacturing

The impressions or scans are sent to a dental laboratory, where skilled technicians will create your permanent crown. The manufacturing process can take anywhere from a few days to a couple of weeks, depending on the type of crown material, the complexity of the case, and the laboratory’s workload.

Second Appointment

Permanent Crown Placement

Once your permanent crown is ready, you’ll return for the second appointment. Your dentist will remove the temporary crown, clean the prepared tooth, and carefully place the new permanent crown. They may make minor adjustments to ensure a proper fit, comfortable bite, and natural appearance. The placement process typically takes 30 minutes to an hour.

Follow-up and Adjustments

Your dentist may schedule a brief follow-up appointment a few weeks after the crown placement to evaluate the fit, bite, and your overall comfort with the new crown. Any necessary adjustments can be made during this visit.

In total, the entire process of getting a dental crown, from the initial preparation to the final placement and follow-up, usually takes around 2 to 4 weeks, depending on the specific circumstances and the dental practice’s workflow.

Yes, you can generally eat normally with a dental crown, but there are a few precautions and adjustments you may need to make initially.

Temporary Crown

Soft Foods

While wearing a temporary crown, it’s advisable to stick to a soft diet and avoid chewing on that side of your mouth. Temporary crowns are designed to protect the prepared tooth, but they are not as durable as permanent crowns and can dislodge or break if exposed to excessive force or pressure.

Permanent Crown

Adjustment Period

After receiving your permanent dental crown, it may take a few days or weeks for your mouth to adjust to the new restoration. During this period, you may experience some sensitivity or discomfort when biting down or chewing on certain foods. It’s best to avoid hard, crunchy, or sticky foods that could dislodge or damage the new crown.

Proper Chewing Habits

Once you’ve adapted to the new crown, you should be able to resume your normal diet. However, it’s essential to develop proper chewing habits to ensure the longevity of your dental crown. Avoid biting down directly on the crown with hard or crunchy foods, as this can cause the crown to crack or become dislodged. Instead, try to chew with your back teeth and avoid excessive force on the crowned tooth.

Maintenance and Care

Oral Hygiene

Maintaining good oral hygiene practices, such as brushing twice a day, flossing daily, and visiting your dentist for regular check-ups and cleanings, is crucial for the long-term success of your dental crown. Proper care will help prevent decay, gum disease, and other issues that could compromise the integrity of your crown.

With the right precautions and adjustments, you can enjoy a normal diet and maintain the functional and aesthetic benefits of your dental crown for many years to come.

Proper care and maintenance are essential for ensuring the longevity and optimal performance of your dental crown. Here are some tips to help you care for your dental crown effectively:

Oral Hygiene Routine

Brushing and Flossing

Maintain a consistent oral hygiene routine by brushing your teeth twice a day with a soft-bristled toothbrush and fluoride toothpaste. Floss daily to remove plaque and food debris from around the crown and gum line. Proper brushing and flossing will help prevent tooth decay, gum disease, and other dental issues that could compromise the integrity of your crown.

Diet and Habits

Avoid Hard and Sticky Foods

While dental crowns are designed to be durable, it’s best to avoid biting or chewing on hard, crunchy, or sticky foods that could potentially dislodge or damage the crown. Examples include ice cubes, hard candies, nuts, and sticky caramels or toffees.

Quit Smoking

Smoking can stain and discolour your dental crown over time, making it less aesthetically pleasing. Additionally, smoking increases your risk of gum disease, which can compromise the longevity of your crown.

Regular Dental Check-ups

Professional Cleanings and Examinations

Visit your dentist for regular check-ups and professional cleanings. During these appointments, your dentist can examine the condition of your crown, ensure it is functioning correctly, and address any potential issues before they become more significant problems.

Teeth Grinding and Clenching

Nightguard or Splint

If you grind or clench your teeth at night, your dentist may recommend wearing a nightguard or occlusal splint. These protective devices can help prevent excessive wear and tear on your dental crown, as well as reduce the risk of cracking or fracturing.

By following these care tips and your dentist’s recommendations, you can help extend the lifespan of your dental crown and enjoy its functional and aesthetic benefits for many years to come.