Since crowns are one of the more common restorations that people need on their teeth, most dentist are regularly asked the question, Do I really need a crown. It is a completely fair question because even with insurance, crowns may cost you hundreds of dollars at a time. The reason they are recommended frequently is that a dental crown is often the best option to extend the life of a tooth for years to come. However, there are options in treating a tooth which may delay the need for a crown. You should be cautious when a dentist you are seeing for the first time recommends a number of crowns. At Sage Dental, we evaluate all options and review them with you before recommending a crown or set of crowns. We consider you our partner in maintaining your dental health and we will take the time to fully explain our treatment plan recommendations. If you have been told by another dentist that you need a crown, please
for a free second opinion. 1. Show me and tell me why a crown is needed. If it hurts when you bite down, it is possible that your tooth is cracked. If a tooth is cracked, it is a serious condition and does usually require a crown. Unlike a broken bone, the fracture in a cracked tooth will not heal. Vertical cracks that travel to the gumline may require a full-coverage crown. If the crack goes below the gumline, the tooth may require a root canal, with crown lengthening or possibly even extraction. However, make sure that the tooth is cracked and not just Бcrazed. Б б Craze lines are very common and not harmful. Most every adult back tooth has craze lines. These are just simple stress lines that do not necessarily indicate a crown. Since craze lines do notб effect the structural integrity of your tooth, you can choose from a number of different options to fix them. The least invasive of theseб is, which can bleach the stains from the crack to significantly reduce its visibility. However, craze lines that exhibit deep stains or are very long could suggest a developing crack. б Ask your dentist for either an inter-oral photograph or a hand held mirror to show you the crack. 2.
What are my options? In some cases, while a crown is one option, there can be others. You might opt for a instead. Keep in mind, however, that a filling does not prevent you from needing a crown later on. Also, if a substantial portion of your tooth needs filling, a better solution is usually the crown because fillings do not give you the same kind of protection as crowns do. Also, if the filling is extremely large, it can cause the tooth to break, making it irreparable. 3. What are the implications of waiting? Nothing will happen. The tooth could chip- simple repair. Or it could crack and would need a crown. In rare cases waiting could cause a root canal to be needed. The tooth could split, which could require crown lengthening or extraction. These are things that your dentist should be prepared to talk over with you. 4. Is a Root Canal needed? Most crowns do not need root canals. If a tooth is not infected or acutely inflamed, it will not need a root canal. 5. Does an old, really large silver filling mean I need a crown? If a silver filling is 2/3 the width of the tooth or more, it could require a crown. The small amount of tooth that is left in an old filling like this can get compromised. It is up to your approach. If you want to be proactive and prevent it from cracking, go with a crown. If you are more conservative, you can take the approach if its not broke, donБt fix it. At Sage Dental Our Philosophy is Prevention. We strive to keep your teeth and gums disease-free and we believe it is important to treat issues early, when they are less serious. We offer the a complete range of restorative and cosmetic services, including, and БЕБЕWe are comprehensive in our approach, but committed to never over treating our patients.
If you are in need of a crown and donБt have dental insurance, we have an option for you. Our The fee to sign up for the discount program runs from $60 for Seniors and Students to $120 for a family. See details You just visited your dental office for a cleaning and exam. Your teeth felt fine going in, but your dentist just told you that one of your teeth needs a crown. What now? In most cases, a tooth needs a crown when the decayed or broken portion is salvageable, but too large for a filling to predictably last. The crown is normally made from tooth colored ceramic, covers the visible area of the entire tooth, or, covers only the problem area. In addition to repairing large or deep areas of decay and missing portions of teeth, crowns are also used to control fractures, correct bite and alignment problems, and improve esthetics. When Will I Need a Crown? Dentists sometimes disagree about when a crown is needed. Because dental treatment can be very subjective, itБs normal for dentists to have different but valid opinions about how to fix the same problem. For example, a fracture running through a molar might not have symptoms, yet. But many dentists know that a fracture could split later and cause you to lose your tooth. What we donБt know, because x-rays normally donБt show us, is how deep the fracture is. Looking at other clues, we have to decide whether a less expensive filling would work, be a temporary fix, or just make things worse. For example, if you chew ice, experience tells us a crown might be the best solution because of its added strength. These are judgment calls you and your dentist will decide upon together. There are different types of crowns you and your dentist can choose from, depending on your budget and the condition of your teeth. Partial Crown:б If only a portion of a tooth is to be covered, a БpartialБ crown made from tooth-colored ceramic or metal, such as gold, can be used.
Full Crown:б If the entire tooth is to be covered by a БfullБ crown, the choices are broader, including different types of tooth-colored ceramic, ceramic covered metal, or 100% gold or silver metal. As you discuss the options with your dentist, you may want to consider if your teeth need whitening or if you would like to correct other areas near your new crown. Your dentist might point out, for example, that if an adjacent misshapen filling is not managed it will cause your new crown to also be misshapen. Your dentist can identify other potential improvements, explain your options, and help you reach the right decision. Fortunately, when you need more than a cleaning, most dentists are trustworthy and only want what is best for you. They will take the time to make sure you are well informed and your questions have all been thoroughly answered, including anticipated costs, insurance, and required appointments. It should be the kind of experience that makes you feel good about your visit and want to refer others. You might want to reconsider, however, if you feel rushed or pressured, or that a non dentist is making your treatment decisions. Also make sure the dentist is the one adjusting and permanently placing your new crown, two functions dental assistants are not legally allowed to perform. So, Do I really Need a Crown? When your dentist says you need a crown, you probably do, even if the tooth doesnБt hurt. Ask your dentist to explain their findings and all your options, including fillings. Make sure you have a clear understanding of the procedures and finances, and that you havenБt been rushed or pressured. If you have any additional questions or concerns head on over toб review our section on crowns, and make sure you read our membersБ. These are great first steps in making sure you you can trust, and receive the quality care you deserve.