What is a “Crown Preparation”?

Dental crowns are a popular treatment option for restoring damaged or decayed teeth. A dental crown is a tooth-shaped cap that is placed over the tooth to restore its shape, size, strength, and improve its appearance. In this article, we will discuss the process of a dental crown preparation and other important details that patients should know.

Dental Crown Preparation Process

The dental crown preparation process typically involves two appointments with your dentist. During the first appointment, the dentist will examine your tooth and determine whether a crown is necessary. If a crown is recommended, the dentist will begin the preparation process.

  • Step 1: Numbing the Tooth and Picking a Tooth Shade
    The dentist will begin by numbing the tooth and the surrounding area with a local anesthetic. This will ensure that the patient does not experience any pain during the procedure. Additionally, the dentist will take a “tooth shade” which allows us to pick a matching shade to the adjacent and other teeth for the best esthetics.
  • Step 2: Removing Damaged Tooth Structure
    Once the tooth is numb, the dentist will begin the process of removing any damaged or decayed tooth structure. This is done using a dental drill to shape the tooth and remove any damaged or decayed areas.
  • Step 3: Restoring Lost Tooth Structure
    When the damaged or decayed areas of the tooth are removed, material is added to the tooth to “build up” the tooth to restore the support and integrity of the remaining tooth. This is procedure is often called a “build up”.
  • Step 3: Taking Impressions
    Once a build up (if necessary) has been placed, and the tooth has been prepared, the dentist will take impressions of the tooth using a putty-like material or a digital intraoral scanner. These impressions will be sent to a dental lab where the crown will be fabricated.
  • Step 4: Placing a Temporary Crown
    While the permanent crown is being fabricated, the dentist will place a temporary crown over the prepared tooth. This temporary crown will protect the tooth and allow the patient to eat and drink normally while they wait for the permanent crown to be ready.
  • Step 5: Placing the Permanent Crown
    During the second appointment, the dentist will remove the temporary crown and place the permanent crown over the prepared tooth. The crown will be carefully adjusted to ensure a comfortable fit and proper bite. Once the crown is in place, the dentist will use a dental cement to bond the crown to the tooth.

Important Details for Patients to Know

  1. Types of Crowns 
    There are several types of crowns available, including porcelain, ceramic, metal, and composite resin. The type of crown that is best for you will depend on your individual needs and preferences.
  2. Crown Care 
    It is important to take good care of your crown to ensure its longevity. This includes brushing and flossing regularly, avoiding hard and sticky foods, and visiting the dentist regularly for checkups and cleanings.
  3. Crown Longevity 
    Crowns can last for many years with proper care and maintenance. However, they may need to be replaced over time due to normal wear and tear or damage.
  4. Dental Insurance 
    Dental insurance may cover a portion of the cost of a dental crown. It is important to check with your insurance provider to determine your coverage.
  5. Cost 
    The cost of a dental crown can vary depending on the type of crown, the dentist’s fees, and other factors. It is important to discuss the cost of the procedure with your dentist before undergoing treatment.

In conclusion, dental crowns are a common and effective treatment option for restoring damaged or decayed teeth. The crown preparation process typically involves two appointments with your dentist, and it is important to take good care of your crown to ensure its longevity. By understanding the process and important details about dental crowns, patients can make informed decisions about their dental health and treatment options.