Among the many dental procedures available today, dental crowns are some of the most common.
A crown is not just a cap for a tooth; it is a protective solution that restores strength, improves function, and enhances appearance. A dental crown is usually placed in several stages.
When is a dental crown needed?
A crown is necessary when a tooth is too weak or damaged to hold on its own. Some common reasons for placing crowns include:
- decay in a condition where a filling is not sufficient;
- a cracked or broken tooth that needs support;
- protection of a tooth after root canal treatment;
- covering a dental implant for a natural appearance and a strong bite;
- restoring the correct position of teeth when they are worn down.
Crowns are an important part of restorative dentistry, helping patients protect their natural teeth and restore full chewing function. They also prevent further damage that could lead to more complex treatment later.
Step-by-step procedure for placing a dental crown
First stage
Initial consultation. The dentist begins with a thorough oral examination, supported by X-rays if necessary. At this stage, the condition of the tooth, the surrounding gums, and the supporting bone is assessed.
Tooth reshaping. The tooth is reshaped so the crown will fit securely. This may include trimming the enamel or building up the tooth with filling material if it is too worn down. Patients are given local anesthesia to stay comfortable during the procedure.
The dentist removes part of your tooth to allow placement of the crown. Each tooth prepared for a crown must be reduced by about two millimeters on all sides. During the procedure, the dentist also removes any cavities or fillings. The tooth shape provides support and retention for the crown.
Second stage
Taking an impression. After the tooth has been shaped, the dentist makes a replica by taking an impression. Traditionally, this is done using silicone paste. The dentist may also use digital scanning, employing a wand-like intraoral scanner.
At this stage, the dentist and patient decide which type of crown will be placed: metal-ceramic, zirconia, ceramic, or metal. Each type has its pros and cons, as well as different costs. The least expensive options are metal and metal-ceramic crowns.
The impressions or scans are sent to a laboratory, which fabricates the crown and returns it to the dentist. The waiting time is usually about two weeks. In addition, when deciding on the crown color, the dentist will base it on the natural shade of your teeth for uniformity and aesthetic harmony.
Placement of a temporary crown. Since fabrication of the final crown in the laboratory takes time, a temporary crown is placed to protect the tooth. This temporary piece looks natural and allows the patient to eat and smile while waiting for the permanent crown.
The temporary crown also protects exposed dentin, prevents sensitivity to hot or cold, and keeps neighboring teeth in place.
Third stage
Final procedure. Once the crown is ready, the temporary crown is removed and the new one is placed. The dentist evaluates its fit, and if everything looks good, the permanent crown is installed.
Before final placement, there is a trial fitting of the crown, including checking the fit, the bite, and the aesthetics. The patient will be asked to bite down on articulation paper to verify the bite and to check the crown’s shade and shape in a mirror.
If all is well, the dentist cements the crown, cures it, and makes final adjustments for a perfect bite.
A crown is considered successful if it:
- holds firmly;
- has smooth edges;
- looks natural.
A properly made and placed crown feels like a natural tooth and causes no discomfort while chewing or biting.
Benefits of a dental crown
A crown provides:
- strength and durability for chewing and speaking;
- improved aesthetics, as the crowned tooth does not differ from surrounding teeth;
- long-term protection against further decay or fractures;
- restored bite function, preventing excess load on other teeth;
- confidence when smiling, without worrying about visible damage.
The long-term value of a crown is often greater, making it more cost-effective than repeatedly “repairing” a severely damaged tooth.
Caring for your new dental crown
A crown can last many years if properly cared for.
Important tips include:
- brush your teeth twice a day to protect both the crown and surrounding teeth;
- floss regularly, especially around the gum line where bacteria can accumulate;
- avoid chewing ice, hard candies, or non-food objects to prevent damage;
- visit your dentist regularly for check-ups to ensure the crown and surrounding teeth are in good condition;
- consider using a night guard if you grind or clench your teeth, as this may weaken the crown.
If you have a weak or damaged tooth, the best step is to schedule an appointment at YAREMA DENTAL clinic. Let us help you restore comfort, function, and confidence with a crown designed especially for you. Call today to book your consultation and take the first step toward a healthier smile.