Smiles Elevated | Impressionless Dentistry, Invisalign reg  and Comprehensive Care

Temporary Crown Post Operative Instructions

Please follow these instructions while you are awaiting your permanent crown or bridge. Do not hesitate to call the office should you have any questions about your temporary.

  1. During your procedure, a local anesthetic will be used to numb your mouth and keep you comfortable. This will cause your lips, teeth, and tongue to remain numb for up to five hours after your procedure. As such, it is advisable to avoid eating and drinking hot liquids until your mouth regains feeling. Because temporary crowns are not intended for permanent use and are made from a lightweight material and are not as durable as a permanent crown, please avoid foods that are sticky, crunchy, or hard.
  2. Do not floss the area around your temporary crown. Should you find it necessary to do so, gently wiggle your floss in between your teeth and then pull it out towards the cheek side. Do not pull the floss back out as it can cause the loss and/or damage of your temporary crown.
  3. Your temporary plays an important role in protecting your tooth and holding the space for your permanent crown or bridge. Should it come loose or damaged, please call our office and we will be happy to recement or repair it.
  4. Should your temporary become dislodged on the weekend or while you are out of town, purchase temporary dental cement from a drugstore. Remove any cement left in the temporary and replace it with a “teardrop” amount of cement. Do not leave any cement on your gums.
  5. It is normal to have significant changes in response to temperature and soreness at the injection site after dental restorations. This should subside within a few days and in some cases weeks. If your pain gets progressively worse or is causing more than mild discomfort, please call this office.
  6. Ibuprofen (Advil, Motrin) is very effective for dental pain. Two to four tablets may be taken four times a day for the next 3-4 days (if needed) to help control the sensitivity in this area.
  7. Should the gums around the temporary crown become sensitive, rinse 4 times a day with a warm salt water solution (½ tsp salt to ½ cup water).
  8. It is important to note that your temporary crown is not made from the same materials as your permanent crown. Because of this, your temporary crown may feel rough and may not be the exact color or shape that you would like. Although your temporary may not be perfect, you can be sure that your permanent crown is being custom fabricated to your individual smile. However, if your bite feels off with your temporary crown, you will need to notify our office immediately. Sometimes, the dental anesthetics can make it hard to determine if your bite is even. If the anesthetic wears off and your bite feels uneven, we will need to make adjustments to the temporary crown to keep your bite even.

Why does my temporary crown feel rough?

Temporary Materials: Temporary crowns may feel rough since they are made of composite material (similar to fillings), which has a rougher texture compared to ceramic. Your final crowns will be made of either zirconia or emax ceramic, both of which are highly polishable and smooth.

Wear and Tear: Temporary crowns aren’t meant to last long, so the surface may start to wear down a bit as you use it. Eating or grinding can cause it to lose its initial smoothness.

What you can do:

Avoid Certain Foods: If you’re eating something that aggravates the rough texture (like sticky or crunchy foods), try to avoid it until you see your dentist.

Be Careful with the Bite: Avoid crunchy, sticky, hard, or stringy (ie celery, spinach) foods when chewing on your temporary crown.

When to call us: If you feel adhesive residue around your crown, if food is getting caught next to your temporary crown, or you feel sharp edges that bother your tongue or gums, please call us right away. If your temporary crown has come off, we will also want to replace it as soon as possible to avoid any tooth shifting and issues with the fit of your ceramic crown.

How should a temporary crown feel after placement?

Temporary crowns should feel

  • Slightly different from your natural teeth. They may feel a bit bulkier or rougher than your other teeth.
  • Mild sensitivity: Especially to hot, cold, or pressure for a few days after placement.
  • Comfortable when biting: Your bite should feel even and the temporized tooth shouldn’t feel like it hits first. However, it may not feel comfortable to chew hard or crunchy foods with your temporary crown, and we recommend to avoid those.
  • Secure but not permanent: It should stay in place during normal eating, though it’s not as firmly bonded as a permanent crown.

What’s not normal

  • Rough or sharp edges that irritate your tongue or gums: This can irritate your tongue or gums and usually means it needs polishing.
  • Pain when biting down: Could mean the crown is too high or not fitted correctly.
  • Significant sensitivity or throbbing pain: Mild sensitivity is normal, but ongoing or intense pain isn’t.
  • Loose or wobbly feeling: If your temporary crown is loose or comes off, we will want to resecure it right away.
  • Food constantly getting stuck: We will want to assess the spacing between your teeth and tighten the fit of the temporary crown to prevent food impaction.

Can you floss with a temporary crown?

Sometimes temporary crowns are secured in place in such a way that doesn’t permit flossing. In this case, your dentist will instruct you to use a waterpick or special tiny brush that fits between the teeth. Otherwise, when you floss around your temporary crown, slide the floss down gently between your teeth. Once it’s in place, don’t pull it back up. Instead, just let go of one side and pull the floss out to the side (toward your cheek). That way, you won’t accidentally pull the crown off.

What should I do if my temporary crown feels loose or my bite feels off?

  • If your temporary crown is loose or comes off, we will want to resecure it right away.
  • If your bite does not feel quite right, please call us right away as your bite will need to be adjusted.

What happens if my temporary crown falls off or needs to be re-cemented?

Please call us so that we can recement your temporary crown, even in the absence of pain or sensitivity. Leaving your tooth exposed may allow it to shift and create issues with the fit of your ceramic crown.

Frequently Asked Questions

How does a crown differ from a filling?

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While a dental filling is designed to replace a portion of a decayed or damaged tooth, a dental crown offers full coverage to restore the tooth’s entire outer surface. A well-fitting dental crown not only protects and strengthens the underlying tooth structure, but it also restores the tooth’s appearance and function.

What's the procedure for getting an all-ceramic crown?

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The procedure for getting an all-ceramic crown is much like the procedure for getting any other type of crown. In all cases, the tooth needs to be prepared, an impression taken, and a permanent crown cemented into place. A single all-ceramic crown can typically be fabricated over the course of two visits. However, with CAD/CAM technology, a same-day crown can be fabricated from start to finish in a single visit. With the first approach, a temporary crown is typically worn until the second visit, when the permanent restoration is placed. As with every treatment plan, our office will explain your best options in care.

What's the difference between a temporary crown and a permanent crown?

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As the name implies, a temporary crown is only worn for a short time until the permanent crown is placed. A temporary crown is typically fabricated from durable tooth-colored dental acrylics. While designed to protect the underlying tooth between appointments, and until your new permanent crown gets placed, a temporary crown is also fabricated to look like a natural tooth and maintain the look of your smile.

Will my tooth feel any different?

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While you should feel better having an attractive and functional tooth to restore your smile, your tooth may feel a little sensitive following treatment. This initial sensitivity will subside. We take great care to make sure your new restoration looks great, fits well, and your bite is perfect. However, we’re always happy to make any minor adjustments to ensure your comfort.

Does a tooth that has had a root can procedure need a crown?

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With some exceptions, teeth with root canal procedures are typically restored and protected from further damage with a full-coverage crown. Based on what’s best for your smile, our office will recommend the most appropriate restoration to maintain the health and longevity of your tooth following a root canal procedure.

How do I take care of my new crown?

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A dental crown is a long-term restoration that, if properly cared for, can serve you well for many years to come. Once your new crown is placed, it requires the same brushing, flossing, and periodic checkups as your natural teeth. Avoid biting your fingernails and chewing on hard or sticky objects such as ice, pencils, or taffy, which can damage or loosen your crown. Remember, clenching and grinding your teeth puts excessive pressure on both natural teeth and dental restorations. Unless treated, this habit can compromise the longevity and integrity of your dental work, including crowns.

Does a crown protect my tooth from cavities and gum disease?

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Although your new all-ceramic crown restores the tooth's strength, form, and function, you can still develop dental disease in the absence of proper care. To prevent gum disease and tooth decay, it’s essential to brush and floss as instructed and see our office for routine checkups, cleanings, and care.

How long do all-ceramic crowns last?

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How long a dental crown lasts depends on various factors, including your level of oral care, diet, and oral habits. While the standard answer is that dental crowns can last anywhere from 5 to 15 years, existing literature confirms that most dental crowns remain in place at 15 to 20 years.

How much do all-ceramic dental crowns cost?

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At the office of Smiles Elevated, we strive to provide the highest quality of care to address all your dental needs. Once we’ve had the opportunity to examine your smile, we can give you a clear picture of any dental issues that are present, along with a quote for how much treatment will be. The cost of dental crowns can vary a little, depending on the type of crown and its location. Our goals are to provide the highest quality of care and help patients begin treatment without additional financial stress or delay. We’re always happy to answer all your questions on dental insurance coverage, available financing, and payment plans.

Does dental insurance cover all-ceramic crowns?

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Coverage for all-ceramic crowns depends on your dental insurance plan. Today, many dental plans provide some level of coverage for all-ceramic crowns. At the office of Smiles Elevated, we work with patients to optimize their dental benefits and get the care they need to maintain healthy and beautiful smiles!

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Tuesday
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Thursday
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5530 Wisconsin Avenue
Suite 1535
Chevy Chase, MD 20815

(240) 465-9066

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