Custom Dental Crowns in Morristown, NJ
A dental crown is designed to cover the entire surface of the tooth, restoring it to its natural shape and size. Crowns cover the entire tooth surface and act as an extra layer of support for a damaged or broken tooth. It can be made from many different materials, such as porcelain, zirconia, metal, or a combination. With proper care, a porcelain dental crown can last many years.
Morristown dentist Dr. Victor Gittleman offers a complete range of cosmetic and restorative treatments for patients with damaged teeth, including dental crowns. As a skilled dentist, Dr. Gittleman can shape, size, and color match your dental crown to blend seamlessly with your natural smile.
Who Should Consider A Dental Crown?
The primary reason for a crown is to restore a broken-down tooth. Sometimes a filling just won’t get the job done correctly. When more than 50% to 75% of the tooth is damaged, a crown is indicated, rather than a filling. Patients may require a dental crown for one or more of the following reasons:
- To correct a misshapen tooth
- Address cracked, weakened, or damaged tooth
- To stabilize a tooth after a root canal procedure
- To support a dental bridge
- Cover a stained or discolored tooth
- To restore a dental implant
- Fill a cavity that is too large for a traditional dental filling
Inlays And Onlays
When damage to the tooth is not extensive enough for a dental crown or minimal enough for a dental filling, an onlay and inlay may be used to restore a damaged tooth.
Inlays: Inlays are an ideal alternative to dental fillings. They are considered a more conservative solution than dental crowns because they require less removal of the natural tooth structure.
Onlays: Onlays are sometimes referred to as a partial crown. Onlays are typically used to repair teeth that are in need of large dental filling or have extensive damage. They require less removal of the natural tooth structure than dental crowns. Onlays are used when two or more of the chewing cusps are affected.
What is the difference between a dental veneer and a crown?
A dental veneer is a very thin shell of porcelain or zirconia that fits over your tooth to improve the color and shape of teeth. Instead of covering the entire tooth like a dental crown, it covers only the front and the biting edge. They are also much thinner than crowns, so they are more conservative. If you are considering a cosmetic makeover, don’t worry about whether you need a crown or veneer: let your dentist decide. The fee for either one is usually the same.
What Does Getting A Dental Crown Involve?
A crown procedure usually requires one or two appointments. Your first appointment will include the shaping of the tooth, an impression (mold), and a temporary crown. Your dental impressions will be sent to a laboratory for 2 to 3 weeks. During the fabrication of your custom dental crown, a temporary dental is placed over your tooth for added protection and comfort.
At your second appointment, the 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.
Dental Crowns FAQs
Q: How long will my dental crown last?
A: On average, crowns will last 7 to 10 years. There are many variables, such as (but not limited to):
• strength of a person’s bite • susceptibility to decay • condition of the tooth being crowned
• presence of gum disease • amount of clenching & grinding, as well as usage of a night guard
• how many other teeth are present, as well as the condition of those teeth, to distribute biting forces
• chewing habits (hard vs soft foods, chewing of non-food items such as pencils and tearing bags)
Q: Are crowns permanent? Do they require maintenance? Can they go bad?
A: Crowns are permanent in the sense that they are cemented onto teeth, and not removed on a regular basis. However, problems can develop. A common problem is a formation of a cavity (decay) underneath the crown. This is typically from not brushing and flossing, and not going for regular dental checkups. If the cavity becomes too severe, the crown may have to be removed and remade.
Another situation that can develop is the need for a root canal. If the nerve of a tooth dies, an infection may develop that requires the need for the root canal. In this case, a hole will be made through the crown, the root canal performed, and then re-sealed.
Q: What are implant crowns?
A: Crowns are not always placed onto teeth; sometimes they are placed onto implants. The process is very similar: an impression is taken and then the crown is either cemented or screwed onto the implant. Unlike natural teeth, you do not have to worry about decay around implants. However, without proper hygiene and follow-up care, you can develop a situation called “peri-implantitis” which can cause loss of the implant.
Q: I want a cosmetic makeover. Are the crowns different in this case? Are the fees different?
A: Yes. When a person undergoes extensive cosmetic treatment, there is a lot of preparation work that is unnecessary for just one or two crowns. Also, certain laboratories must be utilized to get the job done correctly. For both of these reasons, you should expect the cost per tooth will be higher than that of a single crown.
You may also require a set of temporary crowns before your final crowns are made: this is to ensure you are satisfied with their look, as well as fit comfortably before the final crowns are made. However, the results can be very rewarding!
Q: Are there any dietary restrictions with a permanent crown?
A: Not really. You can pretty much eat any food with a permanent dental crown. You should treat it as if it was a natural tooth, and avoid chewing ice with it or using your teeth to open things. Unlike dental bridges, you don’t have to avoid eating very sticky foods.
Q: How can you tell if you have a cracked tooth or cavity under a crown?
A: Dental crowns do a great job in protecting your restored tooth, but they are not perfect. Cracks can happen under a crown if your tooth gets damaged from a hit to the mouth. Dental cavities under crowns are rare. They can form if the previous cavity was not filled properly. Bad oral hygiene can also exacerbate cavity formation.
Q: Does a dental crown feel any different from a normal tooth?
A: No. Once placed and permanently secured, you will not be able to tell that you have a dental crown. Most patients forget they have a tooth restored with a crown after a period of time. If you feel discomfort or something off. it’s best to contact your dentist for an evaluation in case something is not right.
Schedule a Dental Exam with our Dentist in Morristown, NJ
Morristown Cosmetic Dentistry welcomes patients of all ages to receive the dental care they need. Dr. Gittleman is a trusted and respected dentist with over three decades of experience crafting a beautiful smile.
If you would like to explore your treatment options or determine if a dental crown is right for you, visit our Morristown dentist office. To schedule an appointment, call (973) 287-3337 or request an appointment online.