Dental Crown When Can I Chew Gum Again
Dental Crowns
Medically Reviewed by Evan Frisbee, DMD on Oct 31, 2021
A dental crown is a tooth-shaped "cap" that is placed over a tooth -- to cover the molar to restore its shape and size, strength, and better its appearance.
The crowns, when cemented into identify, fully encase the entire visible portion of a molar that lies at and above the gum line.
Why Is a Dental Crown Needed?
A dental crown may be needed in the following situations:
- To protect a weak tooth (for instance, from decay) from breaking or to hold together parts of a cracked tooth
- To restore an already broken molar or a tooth that has been severely worn down
- To cover and support a molar with a large filling when there isn't a lot of tooth left
- To concord a dental bridge in place
- To cover misshapened or severely discolored teeth
- To cover a dental implant
- To brand a corrective modification
For children, a crown may be used on primary (baby) teeth in social club to:
- Save a tooth that has been then damaged by disuse that it can't support a filling.
- Protect the teeth of a kid at high risk for tooth decay, especially when a child has difficulty keeping upwards with daily oral hygiene.
- Decrease the frequency of general anesthesia for children unable because of age, beliefs, or medical history to fully cooperate with the requirements of proper dental care.
In such cases, a pediatric dentist is probable to recommend a stainless steel crown.
What Types of Crowns Are Available?
Permanent crowns can be made from stainless steel, all metallic (such as gold or another alloy), porcelain-fused-to-metallic, all resin, or all ceramic.
- Stainless steel crowns are prefabricated crowns that are used on permanent teeth primarily as a temporary measure. The crown protects the tooth or filling while a permanent crown is made from some other material. For children, a stainless steel crown is commonly used to fit over a primary molar that'south been prepared to fit it. The crown covers the unabridged tooth and protects it from further decay. When the principal tooth comes out to make room for the permanent tooth, the crown comes out naturally with it. In full general, stainless steel crowns are used for children's teeth because they don't require multiple dental visits to put in place and so are more cost- effective than custom-made crowns and rubber dental care needed to protect a molar without a crown.
- Metals used in crowns include alloys that accept a high content of gold or platinum, or base-metallic alloys (for example, cobalt- chromium and nickel-chromium alloys). Metal crowns withstand biting and chewing forces well and probably terminal the longest in terms of wearable downwards. As well, metallic crowns rarely chip or intermission. The metal color -- and the loftier price of gold -- is the principal drawback. Metal crowns are a good choice for out-of-sight molars.
- Porcelain-fused-to-metal dental crowns can be color matched to your adjacent teeth (unlike the metal crowns). However, more than wearing to the opposing teeth occurs with this crown type compared with metallic or resin crowns. The crown's porcelain portion can likewise fleck or intermission off. Next to all-ceramic crowns, porcelain-fused-to-metallic crowns look most like normal teeth. Notwithstanding, sometimes the metallic underlying the crown's porcelain can show through as a dark line, peculiarly at the gum line and even more so if your gums recede. These crowns can be a good choice for front or back teeth as well as long bridges where the metallic is needed for strength.
- All-resin dental crowns are less expensive than other crown types. Yet, they clothing down over time and are more decumbent to fractures than porcelain-fused-to-metallic crowns.
- All-ceramic or all-porcelain dental crowns provide meliorate natural color match than any other crown type and may be more suitable for people with metal allergies. All-ceramic crowns can be used for front and dorsum teeth.
- Temporary versus permanent. Temporary crowns tin can be made in your dentist's office, whereas nigh permanent crowns are typically made in a dental laboratory. Typically, temporary crowns are made of an acrylic-based material or stainless steel and can be used as a temporary restoration until a permanent crown is constructed past a lab.
What Steps Are Involved in Preparing a Molar for a Crown?
Preparing a tooth for a crown commonly requires 2 visits to the dentist -- the first step involves examining and preparing the tooth, the second visit involves placement of the permanent crown.
First visit: Examining and preparing the tooth
At the commencement visit in preparation for a crown, your dentist may have a few 10-rays to check the roots of the tooth receiving the crown and surrounding bone. If the tooth has extensive decay or if there is a adventure of infection or injury to the tooth's lurid, a root canal handling may first be performed.
Before the process of making a crown begins, your dentist will anesthetize (numb) the tooth and the mucilage tissue around the tooth. Next, the tooth receiving the crown is reshaped along the chewing surface and sides to make room for the crown. The amount removed depends on the blazon of crown used. If, on the other hand, a large surface area of the molar is missing (due to disuse or damage), your dentist will use filling material to "build up" the tooth to support the crown.
After reshaping the tooth, your dentist typically will utilize a paste or putty to make an impression of the tooth to receive the crown. Sometimes, though, impressions are made with a digital scanner. Impressions of the teeth above and below the tooth to receive the dental crown volition also be fabricated to make sure that the crown will not affect your bite.
The impressions or scans are sent to a dental lab where the crown will be manufactured. The crown is usually returned to your dentist's part in ii to three weeks. If the crown is made of porcelain, your dentist will as well select the shade that well-nigh closely matches the colour of the neighboring teeth. During this first office visit your dentist will brand a temporary crown to cover and protect the prepared molar while the crown is beingness made. Temporary crowns normally are made of acrylic and are held in identify using a temporary cement.
2d visit: Receiving the permanent dental crown
At the second visit, your dentist will remove the temporary crown and check the fit and colour of the permanent crown. If everything is adequate, a local anesthetic will be used to numb the tooth and the new crown is permanently cemented in place.
How Should I Care for My Temporary Dental Crown?
Because temporary dental crowns are just that -- a temporary prepare until a permanent crown is prepare -- nigh dentists suggest that a few precautions. These include:
- Avert sticky, chewy foods (for example, chewing gum, caramel), which have the potential of grabbing and pulling off the crown.
- Minimize apply of the side of your rima oris with the temporary crown. Shift the bulk of your chewing to the other side of the mouth.
- Avoid chewing hard foods (such equally raw vegetables), which could dislodge or intermission the crown.
- Slide rather than lift out dental floss when cleaning between your teeth to avert pulling off the temporary crown.
What Problems Could Develop With a Dental Crown?
- Discomfort or sensitivity. Your newly crowned molar may be sensitive immediately after the process as the anesthesia begins to wearable off. If the molar that has been crowned still has a nerve in it, you may feel some estrus and cold sensitivity. Your dentist may recommend that you brush teeth with toothpaste designed for sensitive teeth. Pain or sensitivity that occurs when you bite downward usually means that the crown is too high on the tooth. If this is the instance, phone call your dentist. They can easily fix the problem.
- Chipped crown. Crowns made of all porcelain or porcelain fused to metal tin can sometimes fleck. If the chip is small, a composite resin tin be used to repair the chip with the crown remaining in your mouth. This is usually only a temporary fix. If the chipping is all-encompassing, the crown may need to exist replaced.
- Loose crown. Sometimes the cement washes out from under the crown. Non only does this permit the crown to go loose, information technology allows leaner to leak in and crusade decay to the tooth that remains. If a crown feels loose, contact your dentist's office.
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Crown falls off. Sometimes crowns fall off. Reasons include decaying of the underlying tooth and loosening of the cementing cloth used to place the crown. If your crown comes off, clean the crown and the front end of the tooth. You can replace the crown temporarily using dental adhesive or temporary tooth cement that is sold in stores for this purpose. Contact your dentist's office immediately. They will give you specific instructions on how to care for the tooth and crown for the twenty-four hours or so until you tin can be seen for an evaluation. Your dentist may be able to re-cement the crown in place; if not, a new crown volition need to be made.
- Allergic reaction. Considering the metals used to brand crowns are usually a mixture of metals, an allergic reaction to the metals or porcelain used in crowns can occur, simply this is extremely rare.
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Dark line on crowned tooth adjacent to the glue line. A dark line adjacent to the mucilage line of your crowned tooth is normal, particularly if y'all take a porcelain-fused-to-metal crown. This dark line is just the metallic of the crown showing through. While not a problem in itself, the dark line is cosmetically unacceptable and your dentist may take to replace the crown with an all porcelain or ceramic one.
What Are "Onlays" and "3/four Crowns?"
Onlays and 3/4 crowns are variations on the technique of dental crowns. The difference between these crowns and the crowns discussed previously is their coverage of the underlying molar. The "traditional" crown covers the entire tooth; onlays and three/4 crowns embrace the underlying tooth to a bottom extent.
How Long Do Dental Crowns Terminal?
On average, dental crowns last betwixt five and xv years. The life bridge of a crown depends on the corporeality of "wear and tear" the crown is exposed to, how well you follow good oral hygiene practices, and your personal mouth-related habits (you should avoid such habits as grinding or clenching your teeth, chewing ice, biting fingernails, and using your teeth to open packaging).
Does a Crowned Tooth Require Special Intendance?
While a crowned molar does not crave any special care, call up that but because a tooth is crowned does not mean the tooth is protected from decay or glue disease. Therefore, continue to follow good oral hygiene practices, including brushing your teeth at to the lowest degree twice a day, flossing daily -- especially around the crown area where the mucilage meets the tooth -- and rinsing with an antibacterial mouthwash at least once a day.
How Much Do Crowns Price?
Costs of crowns vary depending on what part of the country yous live in and on the type of crown selected (porcelain versus gilded, for example). By and large, crowns can range in cost from $800 to $1700 or more per crown. A portion of the price of a crown is mostly covered by insurance. To be sure, check with your dental insurance company.
Source: https://www.webmd.com/oral-health/guide/dental-crowns
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