Getting a dental crown can significantly improve your oral health and restore your smile. This guide will walk you through the crown placement process, from your initial consultation to aftercare, helping you understand what to expect at each stage.
What is Dental Crown Placement?
Dental crown placement is a restorative procedure where a custom-made cap is fitted over a damaged or weakened tooth. This 'crown' restores the tooth's shape, size, strength, and appearance.
Why Might You Need a Dental Crown?
- To protect a weak tooth from breaking
- To restore a broken or severely worn tooth
- To cover and support a tooth with a large filling
- To hold a dental bridge in place
- To cover misshapen or severely discoloured teeth
- To cover a dental implant
The type of crown you receive will depend on your specific needs and preferences. For more information on the various types available, visit our Types of Dental Crowns page.
Initial Consultation and Examination
Your crown placement journey begins with a thorough consultation and examination.
What to Expect During Your First Visit
- Dental history review: Your dentist will discuss your oral health history and any concerns you may have.
- X-rays and imaging: Digital X-rays or 3D scans may be taken to assess the tooth's condition and surrounding bone structure.
- Treatment planning: Your dentist will explain the procedure, discuss material options, and create a tailored treatment plan.
- Addressing concerns: This is your opportunity to ask questions and discuss any anxieties about the procedure.
Tooth Preparation
Once you've decided to proceed with the crown, your tooth will be prepared to receive it.
The Preparation Process
- Anaesthesia: Local anaesthetic will be administered to ensure your comfort.
- Cleaning: Any decay or damaged portions of the tooth will be removed.
- Reshaping: The tooth is filed down to make room for the crown.
- Building up: If a significant portion of the tooth is missing, it may be built up with filling material to support the crown.
This process typically takes 60-90 minutes, depending on the tooth's condition.
Taking Dental Impressions
Accurate impressions are crucial for creating a well-fitting crown.
Traditional vs Digital Impressions
Your dentist may use either:
- Traditional putty impressions: A mould filled with dental putty is placed over your teeth to create a physical impression.
- Digital scans: An intraoral scanner creates a 3D digital model of your teeth, offering greater precision and comfort.
Bite Registration and Shade Selection
Your dentist will also record your bite and select the appropriate shade to ensure your crown matches your natural teeth.
Temporary Crown Placement
While your permanent crown is being fabricated, a temporary crown will protect your prepared tooth.
Living with a Temporary Crown
- Avoid sticky or hard foods that could dislodge the temporary crown
- Brush gently around the crowned tooth
- Floss carefully, sliding the floss out rather than lifting it up
- Contact your dentist if the temporary crown comes loose or falls off
Temporary crowns are typically worn for 2-3 weeks while your permanent crown is being made.
Crown Fabrication
Your permanent crown is custom-made to fit your tooth perfectly.
The Making of Your Crown
Crowns can be fabricated in two ways:
- In-house: Some dental practices use CAD/CAM technology to create same-day crowns.
- Dental laboratory: Impressions are sent to a specialised lab where skilled technicians craft your crown.
The fabrication process typically takes 1-2 weeks for lab-made crowns, or a few hours for in-office CAD/CAM crowns.
Fitting and Cementing the Permanent Crown
Once your permanent crown is ready, you'll return to the dental practice for fitting.
The Fitting Process
- Removal of the temporary crown
- Cleaning of the prepared tooth
- Trying on the new crown to check fit, colour, and bite
- Making any necessary adjustments
- Permanently cementing the crown in place
Your dentist will use a strong dental cement to bond the crown to your tooth, ensuring a secure fit.
Aftercare and Recovery
Proper care after your crown placement is crucial for longevity and comfort.
Post-Procedure Care
- Avoid eating until the anaesthesia wears off to prevent accidental biting of your cheek or tongue
- Take over-the-counter pain relief if you experience discomfort
- Use sensitive toothpaste if you experience temperature sensitivity
- Maintain good oral hygiene, brushing twice daily and flossing regularly
- Avoid hard or sticky foods for the first 24 hours
For more detailed advice on maintaining your oral health, visit our Oral Hygiene page.
Potential Complications and Troubleshooting
While crown placements are generally successful, it's important to be aware of potential issues.
Common Crown Issues
- Sensitivity: Some sensitivity to hot and cold is normal for a few weeks
- Discomfort when biting: The crown may need adjustment if it feels too high
- Crown comes loose or falls off: This requires immediate attention from your dentist
- Chip in a porcelain crown: Small chips can often be repaired; larger ones may require replacement
Contact your dentist if you experience persistent pain, severe sensitivity, or if your crown feels loose or uncomfortable.
Follow-up Appointments
Regular check-ups are essential for monitoring your crown and overall oral health.
What to Expect in Follow-up Visits
- Examination of the crown's fit and condition
- Checking for any decay around the crown margins
- Assessing your bite and making any necessary adjustments
- Reviewing your oral hygiene practices
Most dentists recommend check-ups every 6 months, but follow your dentist's specific advice.
Cost and NHS Coverage for Crown Placement
The cost of crown placement can vary depending on the type of crown and whether you're receiving NHS or private treatment.
NHS Treatment
Dental crowns fall under Band 3 NHS dental treatment. As of September 2024, the charge for Band 3 treatment in England is £306.80. This covers all treatment necessary to provide the crown.
Private Treatment
Private costs for dental crowns can range from £250 to £1,500 per crown, depending on the type of crown and the complexity of the treatment.
Factors Affecting Cost
- Type of crown material (e.g., porcelain, zirconia, metal)
- Location of the dental practice
- Complexity of the procedure
- Additional treatments required (e.g., root canal)
For more detailed information on NHS charges, visit our NHS Dental Charges page.
Final Thoughts
The crown placement process, while involving several steps, is a routine and effective way to restore damaged teeth. With proper care, your new crown can last for many years, providing both functional and aesthetic benefits.
If you think you might need a crown or have questions about the procedure, don't hesitate to book a consultation with your dentist. They can provide personalised advice and ensure you receive the most appropriate treatment for your dental health needs.