|Dr. Alan Wishneff D.D.S.
Restorative Dentistry / Oral Health
May 14, 2014
The process for getting a dental crown placed in the mouth generally requires at least two dental visits. During the first visit, your dentist will examine and prepare the tooth for the new crown. The second visit is when the permanent crown will likely be placed in.
In preparation of the crown, your dentist will take x-rays of the tooth that is receiving the crown and of the surrounding bone. If the x-rays show an extensive amount of decay in the tooth, a risk of infection in the roots or an injury to the tooth’s pulp, then a root canal might be needed to be performed first. A root canal removes the nerves and pulp from the infected tooth.
The first step in making a crown is for your dentist to numb (anesthetize) the tooth and gum tissue around the tooth. Once the area is numbed, the tooth that is getting the crown is filed down along the chewing surface and the sides to make room for the crown. The type of crown being used will determine the amount of tooth that needs to be filed away. All-metal crowns are thinner and require less of the tooth structure to be removed. All-porcelain and porcelain-fused-to-metal crowns require more of the tooth to be filed away. When there is a large area of the tooth missing, then the dentist can actually use filling materials to “build up” the tooth.
Once the tooth is properly shaped, the dentist will use a paste or putty mixture to make an impression of the tooth. An impression of the teeth above and below the tooth is also needed to make sure the crown will not affect the patient’s bite. The impression is sent to a dental lab where the crown will be made. The crown will normally take two to three weeks to be made. If the crown is made of porcelain, then your dentist will select a shade that most closely matches the surrounding teeth.
After the impression of the teeth is made, your dentist will put a temporary crown on to cover the affected tooth. The temporary crown will cover and protect the tooth from further decay while the permanent crown is being made. Most temporary crowns are made of acrylic and are held in place with temporary cement.
Once the crown is received at your dental office, your dentist will remove the temporary crown and check that the permanent one has the right fit and color. Once everything is acceptable, the area of the mouth where the crown is going is numbed. Then the new crown is permanently cemented into place. Then your mouth will be once again restored.
For more information about this topic or any other dental topic, contact Dr.Wishneff at [email protected] or call (561) 488-3111. Dr. Alan Wishneff is a Boca Raton Dentist dedicated to bringing patients state-of-the-art dental care. As a cosmetic, family and restorative dentist, he helps patients enjoy a natural and healthy smile. He is trained in cosmetic dentistry, including porcelain veneers; advanced cosmetic bonding techniques; oral surgery; medical emergency procedures; advanced crown and bridge; advanced TMJ; implant dentistry; endodontics-root canals: utilization of most advanced dental materials. Dr, Wishneff and staff are dedicated to providing great smiles in Boca Raton for more than 30 years. After more than two decades of practicing dentistry in Boca Raton, Dr. Wishneff is more committed than ever to this community.