When a tooth needs a restoration, sometimes the best choice is a crown.  A crown is a type of dental restoration which completely covers a tooth or dental implant.  Crowns are made from many materials, which can be made to match your natural tooth color, so we will talk with you about the best type for your situation.  We can then begin the steps necessary to create and place your new crown.

When a tooth is severely broken down, there may not be enough tooth structure left to securely hold a crown.  We use a core buildup to replace the missing portion of the tooth before placing the crown.  Although there are several materials that we can choose from, the one we most commonly use is a composite resin that is bonded to the tooth.

We first numb the area to keep you comfortable.  Then we make sure the tooth is free of decay.  To prepare the tooth for the buildup material, if needed, we apply a mild etching solution.  Next, we build up the tooth by carefully placing the buildup material.  Some core materials harden on their own, while others are cured with a high-intensity light.

The core material and the tooth are then shaped to accept the crown.  We then begin the steps necessary to create and place a new crown to cover and protect your tooth.

Building up a tooth before placing a crown has several benefits.  A core build

• supports the remaining tooth structure
• provides better stability and retention for the crown
• may reduce sensitivity by providing insulation between the crown and the inner pulp layer of the tooth

A core buildup is a necessary and important step before crowing teeth that have been severely damaged due to decay or fracture.

Prior to beginning your procedure, we will choose a color that matches your natural teeth.

Then we remove any decay and shape the tooth with the handpiece.

Next, a small impression string is placed between the tooth and gum to gently push the gum away from the tooth structure.  This step helps us get an accurate fit for your custom crown.

When the area is ready, we will remove the string, and take an impression or digital scan of your teeth (depending on the type of crown you will have).  We use the impression or digital scan to create a crown that precisely fits your tooth and your bite.

It is sometimes necessary to place a temporary crown while your custom restoration is being fabricated.

Once your new custom crown is ready, we will try it in to assure you love the way it looks and feels before cementing the crown into place.