Dental crown are used to restore a chipped and damaged tooth. Teeth crowns strengthen existing teeth by providing a strong outer covering. Your dentist removes damaged portion of existing tooth and uses a dental crown to cap or cover over the entire outer tooth surface. The crowned tooth is restored with better aesthetic and strength for chewing.
Dental Crown Content Table (Click to Learn More)
What is dental crown?
A dental crown is a tooth cap or covering placed over an existing tooth. Deep cavities or damaged portion of teeth is first removed from the existing tooth before a crown is made. For teeth that has fractures, cracks or chips, the new crown protects and strengths the overall tooth structure. Aside from function, crowns provides a better looking outer surface and your dentist can use crowns to improve the look of your tooth by choosing specific shape, shade and size for better aesthetics.
Types of Dental Crowns
Dental crowns can be made from all dental metal alloys, all gold, full ceramics or a combination of outer ceramics and inner metal alloys sub-structure called porcleain-fused-to-metal (PFM) crowns.
Full Metal Crowns
The color of all metal crowns is typically silver and used for posteriror teeth where there is heavy chewing force. Full metallic crowns may not be a good choice for front teeth as it can be clearly seen. Metal crowns tend to be economical and is the most afforable for crowns costs, but metal alloys can oxidize and possibly stain gums causing black margins over time.
Full Gold Crowns
Gold crowns are adaptable, inert and is able to take the full chewing force of posterior teeth. Full gold crowns can consists of varying percentages of gold alloy content.The higher the percetage of gold within the crown, the more expensive the crowns.
All Ceramic Crowns
All ceramic dental crowns is tooth-colored and enable translucency similar to natural teeth. They provdie good aesthetics as dental crowns and will not cause dark gumline margins that may be an issue for metal crowns because there is no metal in the crown. All ceramic or all porcelain crowns are typically suited for front teeth. Today, stronger ceramics such as zirconia can now also be used for molar posterior teeth.
Porcelain-Fused-to-Metal-Alloy Crowns or PFM Crown
Learn more on teeth crowns : Prosthodontic dental crowns
Composite Crowns vs Porcelain Crowns
Composite Crowns
Composite crowns are made of composite resin material. They may be applied directly by your dentist during the day of your visit completed in one day; or indirectly whereby your dentists takes an impression and have the composite crowns pre-fabricated by the dental laboratory that is later applied onto your teeth.
Direct composite crowns are normally temporary crowns placed on whilst waiting for your permament dental crowns to be made. Indirect crowns are normally worn over a short to medium term period and are commonly done as provisional therapeutic crowns used for bite adjustments in full jaw or full mouth rehabilitation cases.
Porcelain Crowns
- Althought both composite and porcelain crowns both have good survival rates lasting more than 4 years, porcelain crowns tend to provid a higher acceptable clinical performance and lower need for re-intervention [1]
- Composite crowns are normally temporary crowns and will need maintenance over time. Porcelain crowns are a more permament solution used for the long-run.
Free Checkup & Consult
If you have chipped, fractured, damaged teeth or deep cavities, get a complimentary dental consult to check if dental crowns is the solution for you.
Types of All Ceramic Crowns
Just like metal alloys (silver, gold, dental alloyed crowns), there are different types of porcelains (silicate, zirconia crowns) offered on the market. The 2 most common type of all ceramic crowns at BIDH Dental Hospital are IPS eMax all ceramic crowns by ivoclar vivadent and zirconia crowns.
Porcelain Siliciate (IPS eMax)
Known for its excellent esthetics and high strength Excellent esthetics of 500 MPa [2], IPS eMax crowns is one of the top all ceramic crowns used for front teeth. IPS e.max crowns are made from lithium disilicate that is a glass-ceramic is ideally suitable for the fabrication of monolithic restorations or veneered restorations.
Zirconia Crowns
Zirconia is one of the strongest known ceramics. Due to its ability to take tough biting load pressure, zirconia crowns can be used for both front and back molar posterior teeth. There are different brands of zirconia crowns, popular brands include 3M Lava crowns, Cercon crowns and Zirconia Amann Girrbach crowns.
Learn More on All Ceramic Crowns : Cosmetic Dentist Crown Types
How crowns are made
- On-site dental lab provides faster treatment timings
- Immediate color shade, shape, size selection for more accurate quality crowns
Learn More : Dental Digital Lab
Tooth Crown Procedure
Prosthodontists are dentists that specialize on dental crowns that resolves chipped, fractured and damaged teeth. At BIDH dental hospital, the hospital has an on-site digital dental lab that uses advance CAM/CAD technologies to personalized your dental crown according to the characteristics and specifications of your teeth. Porcelain and all ceramic crowns are attached onto existing teeth to prevent bacteria from into the inner dentin of teeth that proects and strengthen teeth. Below is the tooth crown procedure:
1. Your dentist does a dental diagnoses to determine if dental crown is the treatment option for your teeth and confirms your treatment plan. During the consultation visit, your dentist does an physical examination and requests for x-ray(s) to check the condition of the tooth root, bone and area.
2. If your first appointment was with the consulting dentist at BIDH dental hospital, the dentist refers you to a prosthodontist. A prosthodontist is a dental specialist for dental crowns. During your first crowns appointment visit, your prosthodontist prepares and adjust the shape of your existing tooth. Any caviities and damaged portion is removed. Thereafter, an model impression is taken and digital scanned to be sent to the dental labatory for your new permanent crown to be made.
A temporary composite crown is normally fttted onto your tooth whilst waiting for your permament porcelain crown to be delivered. Composite crowns are made from resin and can chip easily meant to be worn over a short period. Your final porcelain crown takes at least 5 to 7 days to be made.
3. When your final porcelain crown is ready, your prosthodontist makes a second appointment to try on and/or fit the porcelain crown. The temporary composite crown is removed and your dentist confirms with you to permamently fix the final porcelain crown. Before permanently fix the porcelain, if you or your dentist requires any adjustments to be made to the porcelain crown, you will need to specify the changes. Once confrimed and cemented, the porcelain crown can no longer be removed and your new crown acts as a new outer surface covering.
4. A followup visits is recommended after 5 to 7 days from using your new dental crowns. During the followup visit, your prosthodontist checks on your occlusion bite. This ensures your new crowns is comfortable and functioning properly.
5. Bi-annual dental check-ups should be done every 6 months to maintain good oral health.
dental crown benefits
- Protects and strengthen teeth after root canal treatment from chipping and fracture over time
- Restores fractured, broken, chipped and damaged teeth enabling chewing function
- Dental crowns form dental bridge used to replace missing gaps between teeth
- Cover discolored, mishapped and unsightly old teeth with beautiful new surface and aethetics where porcelain veneers may not be suffice
Dental crown care instructions
Dental crowns are maintained simliar as caring for your natural teeth.
- Maintain good oral hygiene by daily brushing and flossing
- Eat healthy foods
- Avoid biting over hard, tough foods. Although porcelain veneers are strong, like your natural teeth, dental crowns can crack and chip with heavy use.
Dental Crown Price
Book an free consultation appointment today to get a full cost quotation on dental crown options for your specific case
Where for Dental crowns clinic ?
When you thinking about where to get your dental crowns, aside from the costs of crowns, other factors you may like to consider in choosing your dental crownsd clinic are:
- Safety and sterilization: going to a dental center or dental hospital assures of on patient safety standard and a clean environment.
- Crowns materials :
- Qualifications of your dentists : treatment is done by a dentist who specializes in prosthodontics enables higher sucess rates and get the results you want
- Quality of dental lab : turnaround time for crowns delivery
Bangkok International Dental Hospital (BIDH) is an official specialized dental hospital focusing only on dentistry with hospital- based safety standards and is equiped with advanced dental technologies.
BIDH Cosmetic Dental Center is one of the few providers in Thailand with its own dedicated digital dental laboratory for porcelain and all ceramic crowns. CAD/CAM technology and miling is utilized for faster, safer and more precision creation of your porcelain dental crowns.
Digital dentistry with personalization technologies for all ceramic crowns is offered at BIDH Cosmetic Dental Center not just for function for natural-looking beautiful looking teeth
Dental crowns before and after
Disclaimer: Above actual case photos are for illustration purposes. Treatment results will vary with individual cases.
Dental Crown Dentists
The category of dentists at Bangkok International Dental Hospital that specializes on dental crowns and cosmetic dentistry are prosthodontists, cosmetic dentists, restorative dntists and operative dentists. At BIDH Dental Hospital, our dental team are award-winning aesthetic clinic and top tier specialists that consists of:
- professors, lecturers and international speakers on prosthodontics and/or cosmetic dentistry at leading Thai dental schools/ universities/ dental organization
- Many are overseas graudates from USA, UK, Australia and Europe
- American Board, Thai or overseas board certified
- Each has more than 10 years of experienced having treated numerous celebrities and social elites on cosmetic dentistry
Read More: BIDH Dentists and Dental Specialists
When do you need crowns?
A dental crown is done for repair cracked or chipped teeth. it is also used to fix teeth that has been damaged by decay and so much dentin has been lost that dental filling is insufficient to repair the tooth. For teeth that has had root canal treatment, a crown is always recommended after healing to protect the tooth from long-term chipping.
“Cracked teeth” is a commonly occurance and should not be left unattended over the long run that could otherwise lead to a permanent loss of teeth.
Do Dental Crowns Hurt?
Pain is a concern for many people when visiting the dentist that can cause dental anxiety. A common question asked is doing dental crowns painful? During your first dental consultation visit, your dentists simply confirms your treatment plan. If you are afraid or anxious about treatment, please do highlight this to the dentist or our staff during consult or at anytime. BIDH dental hospital is then able to provide with some safe and simple dental sedation options during the crowns tooth preparation visit or simply make an alert note to your working prothodontist for additional local anaesthesia and talking through each step of treatment to you. We are a specialized dental hospital and one of the few dental providers in Thailand that treats dental anxiety patients. If you dentist is aware of your anxiety or worry on pain, additional precautions can be taken for you.
Local anesthesia is typically adminstered prior to crowns tooth preparation when there are deep cavities or based on where and how much of existing tooth needs to be prepared. In general, having dental crowns is not a painful process. However, before, during or after crowns treatment, there may be symptoms of pain from swollen soft tissues gums, nerve impact or simply getting used to the new crowns. Pain relieve medications can be taken to alleviate sensitivy and pain. Any pain symptoms is usually mild and will go away gradually over time.
Anti-Anxiety Options for Dental Crowns Treatment
As a specialized hospital on dentistry, BIDH dental hospital offers the full range of dental sedation ranging from mild laughing gas (nitrous oxide), moderate to deep sedation with IV (Intraverous sedation) to full total sleep sedation (general anaesthesia). For all moderate to deep sedation options, experienced and certified anesthesiologists doctors using guidelines of the American Society of Anaesthesiologists (ASA) monitor our paitents during dental treatments to ensure the patient safety.
Read More : Dental Sedation Process and Faciltities
How long does a dental crown lasts?
Composite crowns are typically meant to function as temporaries and can chip over time biting over any hard foods. They will need maintenance and its color shades tends to change over time. Porcelain crowns or all ceramic crowns, on the other hand, normally lasts for years and are longer-term crown material options. Based on studies, all ceramic crowns have a survival rate of 96% of over 3 years [3]. How long dental crowns lasts will vary with its care and use. With proper oral hygiene, annual dentist check and avoiding hard foods, porcelain crowns lasts for as long as proper care is taken.
Conclusion
Dental crowns is an option solution for damaged teeth with cavities or decay beyond dental fillings treatment. It is used to resolve chipped teeth, cracked and fractured teeth. Porcelain crowns helps protect and strengthen your existing tooth as well as provide improved aesthetics for more beautiful teeth.
There are several types of dental crown materials including temporary composite resin crowns. metallic crowns, PFM and all ceramic crowns, The recommend crown material depends on teeth position (front or back teeth) as well as aesthetics. Its tooth crowns procedure and how crowns are made is straightforward and predictable taking about one week to complete the treatment. Crowns care instructions follow those simliar to taking care of your natural teeth.
Bangkok International Dental Hospital (BIDH)
98 Sukhumvit Soi 2, Khlong Toei,
Ploenchit area, Bangkok 10110
Entrance by Soi Duang Phithak Rd and Sukhumvit Soi 2
Tel : 02-115-8977
Whatsapp : +66 95-517-1587
Email : contact@dentalhospitalthailand.com
LINE ID : @DentalHospital
BIDH Dental Hospital Sukhumvit 2
References
[1] Crown vs. composite for post-retained restorations: A randomized clinical trial, Jovito Adiel Skupien, Maximiliano Sérgio Cenci, Journal of Dentistry Elsevier, May 2016
[2]. IPS e.max Lithium Disilicate, Ivoclar, 2020
[3]. Survival of In-Ceram crowns in a private practice: A prospective clinical trial, Edward A. McLaren & Shane N. White, The Journal of Prosthetic Dentistr, February 2000
