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Cracked tooth

Crowns to restore the natural look and strength of teeth

What is a crown?

Crowns are dental restorations that fully cover, or 'cap', the natural tooth in order to restore the tooth's shape or improve it's strength when it has been heavily filled or damaged in an accident.  Crowns can also be used to improve the appearance of teeth that are stained, spaced or slightly out of position where veneers are considered unsuitable.

What are they made from?

Crowns can be made from metals such as stainless steel or gold,  composite resin, dental porcelain or a combination of porcelain and metal alloy.


Full gold crown


All ceramic crowns


Porcelain-fused-to-metal crowns

How long do they last?

At Dental Excellence* we believe that crowns are one of the strongest restorations for heavily filled and root treated teeth.  We only use materials of the highest quality and contract with dental technicians that we know produce quality laboratory work.  When we place a crown or bridge we expect it to provide decades of service.  However, for this to become a reality you, the patient, need to take proper care of your teeth and gums.  While crowns are very durable, plaque bacteria produce acids and toxins that can attack the tooth under the crown and the gums around the crown causing it to fail prematurely.

What if I don't crown a heavily filled or root treated tooth?

All fillings weaken teeth to some degree.  While newer bonded composite resin ("white") restoratives have a lesser impact than silver amalgam,  any filled tooth may develop cracks over a period of time.  Root treated teeth especially become brittle due to the absence of the natural pulpal fluids inside the tooth.  As the stress cracks at the base of the cusps get bigger the tooth may become painful to bite on, the nerve inside the tooth may be so affected that a root treatment is required or part of the tooth may break away.  Sometimes the tooth may split so badly that the tooth must be removed and replaced artificially.

What are the benefits of having a crown?

  • Improved strength of your tooth - the crown will help prevent cracks

  • Improved appearance of your tooth - large fillings can be hidden under a natural looking ceramic crown

  • Improved shape (contour) of your tooth - the gum around the tooth will be healthier if the tooth has a natural shape and there are no gaps between teeth that allow food to get caught

  • flossing your teeth can be easier if large, rough fillings are eliminated

  • worn down or chipped teeth can be built up to their natural shape again

  • discoloured teeth can be made to look lighter and more natural again

Steps in making crowns

Root treated teeth with gum recession. Dark root necks are visible above the old crowns.  The gums above the crowns are red and swollen from the ill-fitting crowns.

The old crowns removed and the teeth prepared for new crowns.  Gold posts placed down the root canals and cores build up the damaged teeth.  Impressions are made and the teeth protected with plastic temporary crowns while the final crowns are manufactured.

The new all-ceramic crowns are tried in and checked for fit, colour and shape.  The new  crowns are then cemented in place with a permanent cement.  A very natural look is achieved with healthy gums at the crown margins.

More information:

New Zealand Dental Association topic - crowns
American Dental Association
topic - crowns

 

Dr Zaf Khouri Limited      Dental Excellence*     Dr Alan Miller Limited
* an association of independent dental practices

1100 VICTORIA STREET    HAMILTON    NEW ZEALAND
 Phone: +64 7 839 5831   Fax: +64 7 839 3278    Email:
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