Crowns are full-coverage restorations used to cover a tooth that is weak and likely to break without reinforcement. Crowns help to strengthen heavily restored teeth to prevent fracture, reinforce root canal treated and heavily worn teeth, and improve the appearance of significantly discolored or fractured teeth.
At your first appointment, we will administer local anesthesia and prepare the tooth (1.5 to 2mm) to create room for a porcelain crown. Next, we will scan the tooth to create a 3D model so that our collaborating ceramist can create a crown that feels and looks like your natural tooth. In the interim, we will create and cement a temporary crown until your next visit. Please avoid eating crunchy and sticky foods during this phase so your temporary crown stays in place. If it comes off, please call us as soon as possible so it can be recemented.
At your next visit, we will remove your temporary crown and insert the porcelain crown. We will evaluate its fit and esthetics, and confirm seating with an xray. Your crown will be luted into place and any final bite adjustments will be made.
Crowns usually take several appointments to complete. In the first visit, the teeth are prepared and a temporary restoration is placed. Temporary crowns or bridges are placed to protect the teeth while the custom restoration is being made. Since the teeth will be anesthetized, the tongue, lips and roof of the mouth may be numb. Please refrain from eating and drinking hot beverages until the numbness has completely worn off.
Occasionally a temporary crown may come off. Call us if this happens and bring the temporary crown with you so we can re-cement it. It is very important for the temporary to stay in place, as it will prevent other teeth from moving and compromising the fit of your final restoration. To keep your temporaries in place, avoid eating sticky foods (gum), hard foods, and if possible, chew on the opposite side of your mouth. It is important to brush normally, but floss carefully and do not pull up on the floss, which may dislodge the temporary crown. Instead, pull the floss out from the side of the temporary crown.
It is normal to experience some temperature and pressure sensitivity after each appointment. The sensitivity should subside a few weeks after the placement of the final restoration. Mild pain medications may also be used as directed by our office.
If your bite feels uneven, if you have persistent pain, or if you have any other questions or concerns, please call our office.
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