
Crowns are designed to replace missing tooth structure, reinforce cracked teeth, and restore teeth to proper function. Crowns may also be used to change the color and shape of teeth. Crowns are made to fit over, or “cap” teeth. All crowns should fit properly and porcelain ones should look like natural teeth.
Crowns can be made entirely of porcelain or have a gold alloy on the inside surface. Sometimes gold crowns may be preferred on back molar teeth for better durability. Remember, not all crowns are the same. How the tooth is prepared, the type of material selected, and the laboratory expertise are critical to the success of a crown. A person’s oral hygiene habits and occlusion (biting forces) are also important to a crown’s longevity.
Getting a custom crown begins with the tooth or teeth being prepared and impressions made. At this time, the proper shade is selected, a temporary crown made, and photographs taken, if necessary, for laboratory communication. At the following appointment, the prepared tooth is carefully cleaned and the crown is cemented.