What Is a Crown in Dentistry? Your Guide to a Restorative Smile Solution

If you’re reading this, there’s a good chance someone has suggested a crown as a dental solution for you. But what is a crown in dentistry? A crown is a “cap” that fits over the top of your tooth, typically covering it up to the gum line. Want to learn more? Let’s dive in.
arafed woman getting her teeth examined by a dentist

When Do You Need a Crown?

The primary purpose of dental crowns is to restore a tooth to its original strength and support and protect teeth that have been damaged or decayed. It holds the tooth together and prevents further breakage, helping to safely direct the forces of chewing. It’s a common part of restorative dentistry. If you grind your teeth, you may need one to restore the worn-down tooth. They are often used with implants, covering the implant and helping it blend in with the surrounding teeth or on either side of a dental bridge. There’s an aesthetic benefit, too – they can also hide discoloration.

a close up of a dental device and a toothbrush on a blue surface

The Dental Crown Procedure

  • Assessment
    Your dentist will examine your teeth and evaluate whether this is the right solution for your oral health problems. This will include x-rays to check whether you also require a root canal treatment or an implant.
  • Tooth Preparation
    The procedure begins with the preparation of the tooth that will be crowned/covered. Your dentist will re-shape the tooth to create space.
  • Impression
    Next, we’ll make an impression of your mouth/tooth to create a unique fit for the crown. Traditional impressions are often replaced by a 3D scan of your mouth.
  • Temporary Crown
    While you wait for your crown to be created, your dentist will insert a temporary acrylic or resin crown to protect the tooth. It usually takes about two weeks for your personalized crown to be delivered.
  • Final Placement & Adjustments
    Once your crown has arrived, you’ll have your second appointment. Your dentist will remove the temporary crown and replace it with the final restoration, adjusting it as needed for a comfortable, aligned fit. Once you’re both satisfied, it’ll be cemented into place.
  • Recovery
    You may experience some sensitivity for a short period after the procedure.

 

Types of Crowns

  • Ceramic or Porcelain
    The ceramic or porcelain crown is often said to be the most natural-looking, so they’re commonly used for front teeth. However, they are also used for posterior teeth because it is has strength and proven durable.
  • Composite Resin
    This type is made from acrylic that can be color-matched to the rest of your teeth. It’s a cheaper option for front teeth than porcelain or ceramic, but it can also be fragile, break, and absorb stains more easily.
  • Metal Alloy
    Crowns can be made out of a variety of metals, including gold, palladium, nickel, and stainless steel. These are incredibly sturdy and durable – and a budget-friendly choice. However, due to the color, they’re usually reserved for posterior teeth.
  • Porcelain Fused to Metal
    This combines the best of both worlds – the strength of metal with the aesthetic appeal of porcelain. Be aware that the porcelain coating may chip off over time with heavy clenches and grinders.
  • Zirconia
    Zirconia is zirconium dioxide, a very durable type of material that may be considered a metal that looks like porcelain. It is as strong and durable as metal but can chip if it is too thin. However, it can sometimes be tough to match, requiring a layer of porcelain to blend in with your other teeth. It also has a good biocompatible component.
a close up of a model of a tooth with dental tools

Transform Your Smile at Advanced Dental Arts NYC

Now you know what a crown is in dentistry, it’s time to make the best choice for your teeth. Our highly qualified, experienced dentists will guide you through the process from start to finish, creating customized crowns made from top-quality, long-lasting materials. With a high standard of care and a patient-centered approach, we make the whole process easy and comfortable. Book a consultation appointment for all your restorative dentistry needs today!

Frequently Asked Questions

Is it painful to get a dental crown?
The procedure is done under a local anesthetic, so the patient shouldn’t feel any discomfort. However, you may feel some pain afterward as the tooth and gum adjust. If there’s no relief in a reasonable amount of time, your dentist may adjust the bite. In some cases, the tooth may experience pulpal inflammation. If the inflammation is irreversible, then root canal therapy may be needed.
With proper care and maintenance, it can last anywhere from several years to a lifetime depending on individual circumstances.
No. A root canal treats the root inside the tooth, while crowns are placed on top of the tooth to protect it.
There really isn’t a difference. They have the same meaning.
A veneer is a ceramic restoration designed to cover the front, visible surface of a tooth. The primary purpose of a crown is to reinforce the structure of a tooth and increase its overall strength to keep the tooth intact and functional. This means wrapping the ceramic entirely around the tooth, bracing it from all sides to prevent it from breaking. It is not uncommon for cosmetic dental procedures or smile makeovers to use both veneers and crowns to restore someone’s smile.

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Dr. Todd Bertman
Lead Dentist / Founder

Dr. Bertman is the Lead Dentist and Founder of Advanced Dental Arts NYC. He is certified in Level I and II Invisalign and is a member of the American Dental Association, American Academy of Cosmetic Dentistry, and other prestigious organizations. With nearly 18 years of experience in restorative and cosmetic dentistry, Dr. Bertman combines a results-driven, digitally guided approach with empathetic, personalized care.

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