Your dentist will first apply anesthetic to the targeted area, numbing the tooth and the surrounding gum tissue.  They will then file down the tooth and make room for the crown. If your dentist finds that there is excess tooth decay or the chance of infection, he or she may build up the tooth to support the crown.

Next, the dentist will make an impression of your tooth using patty, to make sure your tooth will be ready to receive the crown. These impressions are then sent to a dental laboratory so the crown can be shaped. In the meantime, your dentist will attach a temporary crown.

On your next visit to the dentist, he or she will again numb the tooth and area, before using cement to permanently secure the crown.

Dental crowns are made of metal, porcelain-fused-to-metal, all resin or all ceramic.

The metal ones can be manufactured out of gold alloy, other alloys or a base-metal alloys such as nickel or chromium. They are perhaps the most durable of all the crowns, but they aren’t, because of the color, pleasing to the eye.

Porcelain-fused-to-metal dental crowns, unlike metallic ones, can be color matched to your other teeth. They aren’t as strong, though, as metal crowns and have a tendency to chip over time.
All-resin dental crowns are cheaper than other crown types, but they wear down over time and are prone to fractures.

All-ceramic or all-porcelain dental crowns give the best color match and so are usually used for front teeth. They aren’t however, as strong as the other types and will wear down over time.

There are different benefits for each of the types of material.

Gold crowns are the simplest and least complicated to prepare and cause minimal tooth structure damage. Much of the original tooth needn’t be touched. These crowns are easy to attach, are kind to the surrounding gum tissue and are very durable. Porcelain crowns, though not as strong as gold ones, are very pleasing to the eye. As for Porcelain fused-to-metal crowns, they are popular for their very natural appearance.

An ideal candidate will have worn-down, cracked or broken teeth due to grinding, an improper bite, fillings or tooth decay.

First, you ought to discuss with your dentist to decide which type of crown is best for you. Your dentist will be able to help you select.

Before your dentist attaches the dental crown, he or she will take a few x-rays to inspect the roots of the tooth. If he or she finds that there is excess decay or the chance of infection, the dentist may first have to conduct root canal treatment.

Local anesthetic is normal

Often, due to an improper fit or lack of cement, the crown falls out. This can be repaired by simply attaching it back with dental adhesive or temporary tooth cement. Your dentist will then either re-cement the crown or replace it. If you are using a porcelain-fused-to-metal crown, a dark line may appear next to the gum line. This is simply the metal of the crown showing through. It is extremely rare, but there is the possibility of suffering from an allergic reaction.

As with most kinds of dental treatment, it is important to adhere to good oral hygiene practices, which include brushing your teeth often. Immediately after the procedure, you should avoid such habits as grinding or clenching your teeth, chewing ice, biting your fingernails and using your teeth to open packaging.

There are some disadvantages regarding the crowns, so they have to be considered when making your decision.

Gold Crowns

The major disadvantage of gold crowns is the appearance, they should only be used in the back of your mouth.

Porcelain Crowns

Due to the size of porcelain crowns, a lot of tooth structure needs to be removed.

Porcelain Fused-to-Metal Crowns

Porcelain Fused-to-Metal Crowns have a metal substructure and need an opaque below the porcelain.  This can make the translucency of natural teeth difficult to replicate.  Sometimes a dark line can be seen at the edge of the crown, near to your gum when it wears with age.

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