Procedure Description:

A crown, also called a cap, is a custom-made restoration that repairs and strengthens a tooth that has fractured, has a large cavity, has an old filling that has failed, or has had root canal therapy.

Fabricated of all-porcelain for strength, endurance and appearance, a crown completely covers the tooth, restoring and protecting. Crowns can also be used for cosmetic purposes, enhancing the appearance of a tooth that is discolored or an unusual shape.

How It's Done:

If a large cavity is detected, if a tooth has fractured, if root canal therapy is needed or has been performed in the past, a crown will be used to restore the tooth to health. The dentist will first take an impression of the tooth, then send the impression to an outside lab. The lab will custom build the crown to fit the patient's tooth exactly. The patient will be fitted with a temporary crown in the interim.

When the lab returns the crown to the dentist, he or she will remove the temporary restoration, and bond the permanent crown to the tooth.

Technology:

No advanced technology is necessary to create a crown.

Recovery/Post-Op Expectations:

Recovery from the preparation for the temporary crowns as well as the bonding of the permanent restoration are similar to that of having a cavity filled. The patient may experience some discomfort or tenderness in the area. Ibuprofen can reduce the symptoms.

Complications:

While complications are unlikely, it is possible that the tooth may fracture down to the root during preparation, resulting in the need for its removal. This typically only happens if there are stress fractures already present in the tooth of the amount of natural tooth structure left is severely compromised.

Am I a Candidate?:

If you have a large cavity, a tooth that requires or has had root canal therapy, or a tooth that has fractured, you are a candidate for a crown.

Cost:

Similar to a veneer, inlay or onlay, the cost for a crown varies with the skills, training and location of the doctor. Typical costs range from $650 to $1,200 per tooth.