A tooth is crowned when no other intervention can stabilize its substance in the long term. Depending on the extent of the damage, either a full or partial crown is used, which, depending on the material used, can blend into the overall appearance of the teeth in a barely visible way.
What is a dental crown and when is it recommended?
A dental crown becomes necessary when a filling can no longer repair the damage to the tooth. It replaces the natural tooth crown, the only part of the tooth visible to us, completely or partially with an artificial one. In case of a different clinical picture, a filling anchored to the undamaged part of the tooth can also be used. The reason for the intervention can be an accident, wear and tear (e.g., chipping) or caries.
Aesthetics and materials used
Depending on the size and type of damage, a partial or full crown is used. Aesthetics also play a role here. Since metal always shows darkly underneath the gums, this material should be avoided as far as possible in visible areas. In the posterior region, on the other hand, where the durability of the preparation plays an increasingly important role due to the load, the long-lasting metal crowns, which do, however, stand out in terms of color, can be used in a much less conspicuous manner. Like every tooth, every crown is always individual and adapted to the circumstances.
The treatment process
Only when the health of the tooth has been completely restored can the steps relevant to crowning be taken. The first step is to grind the tooth. There are different ways to connect tooth and crown. Cement, special adhesives or the so-called pins. Pins are used when the tooth structure is already damaged or when it is not possible to guarantee the stability of the crown. This requires another intervention, the root canal treatment.
The healthy part of the tooth or the remaining tooth stump serves as the basis for the crown that is now to be made, which is in place after two further appointments. Of course, we will give you detailed and individual information about each step. It is important to us that your wishes and ideas are taken into account at all times, so that the materials used represent the best choice for you between cost, benefit and aesthetics, and your naturally beautiful smile is preserved.
During the first appointment, an impression of the dentition is taken, which is the basis for the dental crown. Relevant are the surrounding teeth, as well as those next to the affected area such as those of the opposing jaw, and the bite key. In addition, the material, ceramic or veneer crown, and thus the color of the dental prosthesis is determined. It takes about a week for the tooth to be made in the external laboratory. During this time, the patient receives a temporary plastic crown. During the second appointment, the preparation is placed and, if necessary, adjusted again on site.