Dental Crown Procedure: What to Expect

Dental crowns are a common and effective solution for a variety of dental issues, from restoring the functionality of damaged teeth to enhancing the appearance of your smile. 

In this blog, we’re talking about all things dental crowns, including who might need them, the different types available and the procedure involved. We’ll also explore costs and how insurance can help patients save on this important treatment. 

What is a dental crown and when do you need one?

A dental crown, casually referred to as a cap, is a custom-made covering designed to encase the entire visible portion of a damaged tooth. Dental crowns are crafted to mimic the shape, size and color of your natural teeth to seamlessly integrate with your smile.

There are various reasons a person might need a dental crown, like:

• Severely decayed teeth
• Broken or fractured teeth
• Large fillings
• Cosmetic enhancements
  

Crowns are also used to cap dental implants and support dental bridges.

Types of dental crowns

Dental crowns come in several materials, each offering unique benefits tailored to different dental needs. 

Porcelain crowns

Porcelain crowns are highly popular for their natural look and ability to blend seamlessly with your existing teeth. These are ideal for front teeth or areas where aesthetics are a primary concern. 

Pros:

• Excellent aesthetic quality
• Matches natural tooth color and translucency
• Biocompatible, reducing the risk of allergic reactions
  

Cons:

• Less durable than some other materials
• Can be more expensive

Ceramic crowns

Ceramic crowns are similar to porcelain crowns in terms of appearance. They are often recommended for individuals with metal allergies. 

Pros:

• High aesthetic quality
• Suitable for people with metal sensitivities
• Strong and durable
  

Cons:

• Can be more prone to chipping or cracking than metal-based crowns
• Slightly less strength compared to zirconia crowns

Metal crowns

Metal crowns may be composed of various metals, including gold, palladium, nickel and chromium. They are known for their strength and durability.

Pros:

• Extremely durable and resistant to wear
• Requires less removal of tooth structure
• Rarely chip or break
  

Cons:

• Not aesthetically pleasing due to their metallic color
• Best suited for molars and out-of-sight teeth

Porcelain-fused-to-metal (PFM) crowns

PFM crowns combine the strength of metal with the aesthetic benefits of porcelain. The metal base provides durability, while the porcelain coating offers a natural tooth-like appearance.

Pros:

• Strong and durable
• Aesthetic appearance
• Suitable for both front and back teeth
  

Cons:

• Can cause wear on adjacent teeth
• The metal underneath may become visible if the gum recedes

Zirconia crowns

Zirconia crowns are made from zirconium dioxide, a type of extremely durable ceramic. These offer a good balance between aesthetics and strength.

Pros:

• Extremely strong and durable
• Can be color-matched to natural teeth
• Less likely to cause allergic reactions
  

Cons:

• Can be more expensive
• May cause wear on opposing teeth if not polished properly

Composite resin crowns

Composite resin crowns are made from a mixture of plastic and ceramic compounds. They are often used as a more affordable option.

Pros:

• More affordable than other types
• Can be color-matched to natural teeth
• Easier to repair than other crown materials
  

Cons:

• Less durable and prone to wear and discoloration over time
• Not as strong as metal or ceramic crowns

What is a dental crown procedure like?

Getting a dental crown placed typically involves two visits to the dentist. 

At the first appointment, your dentist will start with a thorough examination of the tooth that needs the crown. This may include taking X-rays to assess the tooth’s roots and surrounding bone. If the tooth has extensive decay or damage, a root canal treatment may be recommended before placing the crown. 

Once the tooth is ready for the crown, your dentist will numb the area with a local anesthetic to ensure you’re comfortable throughout the procedure. The dentist will then reshape the tooth by filling down its outer surface to make space for the crown. After the tooth is reshaped, they’ll take an impression of the prepared tooth and surrounding teeth to create a custom crown that fits perfectly. While this permanent crown is being made, a temporary crown will be placed to protect the prepared tooth.

On the second visit, the temporary crown is removed. Your dentist will clean the tooth underneath then place the permanent crown to check its fit, color and alignment — bonding it to the tooth with a special dental cement. They will use a light or chemical process to harden the cement, then make any final adjustments to make sure your bite feels natural.

After the procedure, you may experience some sensitivity to hot or cold foods and drinks initially, but this should subside after a few days. Over-the-counter pain relievers can help if you experience any discomfort. Maintain good oral hygiene practices like brushing and flossing to keep your crowned tooth and surrounding gums healthy. Regular dental check-ups are essential to monitor the crown and ensure it stays in good condition. 

Is getting a dental crown worth it? 

Deciding whether to get a dental crown can feel like a big decision, but understanding the benefits can help clarify its value. 

Dental crowns are beneficial because they:

• Restore functionality of damaged or decayed teeth
• Enhance the appearance of teeth
• Protect teeth from further damage or decay
• Ensure comfort and a natural feel
• Maintain overall oral health

How long will a dental crown last?

The lifespan of a crown can vary depending on several factors, including the material used and the location of the crown. On average, dental crowns can last between five and 15 years — and even longer with proper care and maintenance.

High-quality materials like porcelain or zirconia, coupled with diligent oral care routines can significantly extend the longevity of the crown. Additionally, avoiding habits that can damage your teeth, such as grinding, clenching or biting hard objects, will help preserve your crown’s integrity. 

How much do dental crowns cost?

The cost of dental crowns can vary widely based on several factors, including the materials used, the complexity of the procedure, the dentist’s expertise and your geographic location. On average, you can expect to pay between $800 and $1,500 per crown. 

While the upfront cost may seem significant, it’s important to consider the long-term benefits. A well-made crown has effects that can save you money on more extensive treatments in the future. 

How dental insurance helps you save on dental crowns 

Dental insurance can significantly reduce the out-of-pocket costs associated with getting a dental crown. Understanding your insurance benefits and coverage can help you make more informed decisions and potentially save a substantial amount of money. 

Here are some ways dental insurance helps you save on dental crowns:

1. Coverage for restorative procedures: Most dental plans cover a portion of the cost of restorative procedures, including dental crowns — anywhere from 50-80%.
2. Preventive care incentives: Regular cleaning and exams are often fully covered by insurance, reducing the likelihood of needing costly restorative procedures.
3. Lower deductibles and copayments: Dental insurance plans often have lower deductibles and copayments for in-network dentists.
   

By understanding and using your dental insurance benefits effectively, you can ensure your dental health needs are met without straining your budget. Remember to consult with your dentist and insurance provider to make the most of your coverage and keep your smile healthy and strong.