All-Porcelain Crowns (Caps)

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A crown (or cap) is a covering that encases the entire tooth surface restoring it to its original shape and size.  Dr. Mahlin recommends crowns to protect and strengthen tooth structure that cannot be restored with fillings or other types of restorations.

There are several types of crowns including full gold, porcelain fused to gold, and all porcelain.  The all-porcelain (tooth colored) crowns are the most esthetic, because they most closely resemble your natural teeth.  They are highly durable and will last many years, but like most dental restorations, they may eventually need to be replaced.  One of the advantages of an all-porcelain crown is the ceramic (non-metal) core to which porcelain is fused.  If you have ever seen a dark gray or black line where a crown and the gum tissue meet, be assured that porcelain crowns  completely eliminate the possibility of the dreaded "black line".  Porcelain crowns are made to match the shape, size, and color or your teeth giving you a natural, long-lasting beautiful smile.

Reasons for crowns:

  • Broken or fractured teeth.
  • Cosmetic enhancement.
  • Decayed teeth.
  • Fractured fillings.
  • Large fillings.
  • Tooth has a root canal.

What does getting a crown involve?

Placing a crown is a common and straightforward procedure that Dr. Mahlin performs on a regular basis.  X-rays and impressions are taken and a thorough examination is conducted prior to treatment.  It is important for Dr. Mahlin to assess the health of adjacent teeth and gums, to ensure that there are no underlying issues.  A crown procedure usually requires two appointments.  Your first appointment will include taking several highly accurate molds (or impressions) that will be used to create your custom crown.  A mold will also be used to create a temporary crown which will stay on your tooth for approximately three weeks until your new crown is fabricated by a dental laboratory.

While the tooth is numb, Dr. Mahlin will prepare the tooth by removing any decay and shaping the surface to properly fit the crown.  Once these details are accomplished, your temporary crown will be secured with temporary cement and your bite will be checked to ensure you are biting properly.

At your second appointment your temporary crown will be removed, the tooth will be cleaned, and your new crown will be carefully placed to ensure the spacing and bite are accurate.  You will be given care instructions and encouraged to have regular dental visits to check your new crown.

To prevent damaging or fracturing crowns, avoid chewing hard objects including ice, hard candies, cough drops, un-popped kernels of popcorn, etc. Chewing any hard object that could damage a natural tooth could unfortunately damage a crown. In addition to having regular dental check-ups and brushing at least twice each day and after every meal when possible, flossing between your teeth is crucial to proper care. Removing plaque from the crown where the gum meets the tooth will reduce the chances of developing decay and gum disease.

If you have any questions regarding all-porcelain crowns, Dr. Mahlin would be happy to discuss them with you.


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