When there is not enough tooth structure remaining to hold a filling or an Onlay a full coverage restoration such as a crown will be recommended. Crowns are also recommended to protect root canalled teeth from future fracture and breakage. Crowns can be made of ceramic, ceramic fused to metal or all metal. For the back teeth we traditional recommend ceramic fused to metal for strength and durability. For higher esthetics or appearance an all ceramic crown will be recommended. Most of the time an all ceramic crown will be recommended for front teeth unless there are bite issues.
A “smile makeover” can be done with all ceramic crowns in the front six to eight teeth. This is further discussed under the cosmetic tab.
Gold crowns are still used today but mainly in the very back teeth.
The area around the tooth and the tooth itself will be numbed with local anesthetic. The compromised portion of the tooth will be removed. A core build up will be used to build the tooth back up. The tooth will be reduced to a smaller version of itself, shaped and smoothed. An impression of the tooth, teeth next to apposing be made and your bite recorded. A temporary will be made and temporarily cemented on the tooth so that you will be comfortable while until your crown is returned from the lab ready to be permanently cemented.