Dental Crowns

A dental crown is a prosthetic device that is placed over a tooth to restore its structure and function. The crown encases the entire visible portion of the tooth above the gum line, providing protection and support to teeth that are damaged or vulnerable. This cosmetic dentistry procedure is often used in the following situations:

• To protect a tooth that has been weakened by decay or trauma
• To restore a tooth that has been severely worn down
• To cover a tooth that has been broken or cracked
• To support a tooth that has undergone a root canal
• To cover a dental implant
• To enhance the appearance of a misshapen or discolored tooth
• To anchor a dental bridge

Types of Dental Crowns

At Fives Pines Dental, Dr. Zeller offers various types of dental crowns to suit different dental needs. Each type of crown has its own unique advantages, and the material chosen will depend on factors such as the location of the tooth, aesthetic preferences, and durability requirements. The most common types of crowns include:

Porcelain-Fused-to-Metal (PFM) Crowns

Porcelain-fused-to-metal crowns combine the strength of metal with the aesthetic appeal of porcelain. The metal base provides durability, while the porcelain overlay mimics the natural appearance of teeth. PFM crowns are often used for molars and other teeth that require extra strength to withstand chewing forces. However, the metal framework can sometimes cause a slight gray line at the gum line, which is a consideration for those seeking the most natural appearance.

All-Ceramic or All-Porcelain Crowns

All-ceramic or all-porcelain crowns are known for their lifelike appearance and are the most aesthetically pleasing option. These crowns are ideal for restoring front teeth, as they blend seamlessly with natural teeth in terms of color and translucency. All-ceramic crowns are also a great choice for patients with metal allergies. While they offer excellent aesthetics, they may not be as durable as metal or PFM crowns for back teeth that endure heavy biting forces.

Zirconia Crowns

Zirconia crowns are made from a strong, biocompatible material that offers both strength and aesthetics. Zirconia is highly durable, making it an excellent choice for patients who need crowns on their molars or premolars. It can also be milled to match the color of your natural teeth, providing a balance of function and appearance. Zirconia crowns are resistant to wear and are less likely to chip or fracture compared to all-porcelain crowns.

Metal Crowns

Metal crowns are made from alloys that may include gold, platinum, or base metals such as nickel or chromium. These crowns are incredibly durable and long-lasting, making them suitable for molars and other teeth that experience significant pressure during chewing. Although metal crowns are highly effective in protecting teeth, they are less commonly used for visible front teeth due to their metallic appearance.

Temporary Crowns

Temporary crowns are used as a placeholder while the permanent crown is being fabricated. These crowns are typically made from acrylic or resin and are designed to protect the tooth and maintain its function until the permanent crown is ready for placement. Temporary crowns are not as durable or aesthetically pleasing as permanent crowns, but they serve an essential role in the overall treatment process. Call us to learn more.

The Dental Crown Procedure: What to Expect

If Dr. Zeller determines that a dental crown is the best solution for your oral health needs, the process typically involves two appointments: one for preparing the tooth and taking impressions and another for fitting and placing the crown. Here’s what you can expect during the dental crown procedure at Fives Pines Dental:

Consultation and Assessment

During your initial consultation, Dr. Zeller will examine your tooth to determine if a crown is necessary. He will assess the extent of damage or decay, take X-rays if needed, and discuss your treatment options. If a crown is recommended, Dr. Zeller will explain the different types of crowns available and help you choose the best material for your specific case.

Tooth Preparation

Once the treatment plan is established, the next step is preparing the tooth for the crown. Dr. Zeller will begin by numbing the area around the tooth with a local anesthetic to ensure your comfort throughout the procedure. The tooth will then be reshaped by removing a portion of the enamel to make room for the crown. The amount of tooth structure removed will depend on the type of crown being placed.

Impressions and Temporary Crown

After the tooth is prepared, Dr. Zeller will take impressions of your teeth using digital scanning technology or a traditional mold. These impressions will be used to create a custom-fit crown that matches your bite and the shape of your natural teeth. While the permanent crown is being fabricated in a dental lab, a temporary crown will be placed to protect the tooth. The temporary crown is bonded using a temporary adhesive, which allows for easy removal when the permanent crown is ready.

Fitting the Permanent Crown

Once your custom crown is ready (usually within a few weeks), you’ll return to Fives Pines Dental for your final appointment. Dr. Zeller will remove the temporary crown and check the fit and appearance of the permanent crown. Adjustments may be made to ensure a comfortable bite and a seamless blend with your natural teeth. Once everything is perfect, the crown will be permanently bonded to your tooth using a strong dental cement.

Final Adjustments and Aftercare

After the crown is placed, our dentist in Portland, OR will make any final adjustments to ensure your bite is comfortable and that the crown functions properly. He will also provide you with detailed aftercare instructions to help you maintain the longevity of your crown. It’s important to practice good oral hygiene and attend regular dental check-ups to ensure the health of the crowned tooth and the surrounding gums.

Benefits of Dental Crowns

Dental crowns offer a wide range of benefits, making them an excellent choice for restoring damaged teeth and improving your smile. Some of the key benefits include:

Protection and Strength

Dental crowns protect weak or damaged teeth from further decay, fractures, or wear. By covering the tooth, the crown acts as a shield, providing strength and durability to withstand chewing forces.

Restored Functionality

If you have a tooth that is cracked, broken, or worn down, a crown can restore its functionality, allowing you to eat, speak, and chew with ease.

Enhanced Aesthetics

Crowns are designed to match the color, shape, and size of your natural teeth, providing a natural-looking solution to dental imperfections. Whether you have a misshapen or discolored tooth, a crown can significantly enhance the appearance of your smile.

Long-Lasting Solution

With proper care, dental crowns can last for many years, providing a long-term solution for tooth restoration. Regular dental check-ups and good oral hygiene practices will help prolong the lifespan of your crown.

Improved Oral Health

By protecting damaged teeth and preventing further decay, dental crowns contribute to better overall oral health. They also help maintain the alignment of your teeth and prevent adjacent teeth from shifting into gaps left by missing or damaged teeth.

Caring for Your Dental Crowns

While dental crowns are durable and designed to last for many years, it’s essential to care for them properly to ensure their longevity. Here are some tips for maintaining your dental crowns:

Practice Good Oral Hygiene:

Brush your teeth twice a day, floss daily, and use an antiseptic mouthwash to keep your teeth and gums healthy. Pay special attention to the area around the crown to prevent plaque buildup.

Avoid Hard or Sticky Foods:

Chewing on hard objects like ice or sticky foods like caramel can damage your crown or cause it to become loose.

Wear a Nightguard if Necessary:

If you grind your teeth at night, Dr. Zeller may recommend wearing a nightguard to protect your crowns from excessive wear.

Attend Regular Dental Check-Ups:

Routine visits to Fives Pines Dental allow Dr. Zeller to monitor the health of your crowns and catch any potential issues early.

Conclusion

Dental crowns are a versatile and effective solution for restoring the function, strength, and appearance of damaged teeth. At Fives Pines Dental in Portland, OR, Dr. Richard Zeller and his team are dedicated to providing patients with high-quality dental care, ensuring that your crowns are expertly crafted and tailored to your unique needs.

Experience exceptional dental care with Dr. Richard Zeller at Fives Pines Dental! Call us today at (503) 482-2160 to schedule your appointment and discover how our personalized approach can enhance your smile. Visit us at 555 SW Oak Street, Suite A, Portland, OR 97204—where your dental health is our top priority.