Navigating the world of dental treatments can be a complex task, especially when faced with terms like "dental crowns" that may seem intimidating or unclear.
Whether you're dealing with tooth pain, a cracked tooth, or simply curious about what situations warrant a crown, understanding the scenarios that necessitate this treatment can empower you to make better decisions about your dental health.
This article will demystify the reasons behind needing a dental crown, explore alternative treatments, and help you identify when it might be time to consider one.
What is a Dental Crown?
A dental crown is essentially a "cap" that covers a damaged or decayed tooth. Its primary function is to restore the tooth's shape and function, while also improving its appearance.
Situations That Warrant a Dental Crown
Tooth Decay
Sometimes, fillings can't adequately restore a decayed tooth, especially if the decay is extensive. In such cases, a crown offers more comprehensive coverage and strength.
As a general rule, if more than 50% of the tooth is compromised, a crown is needed. In many cases, decay or fractures can occur at a disadvantageous location and thus require a crown even if the involved portion of the tooth is less than 50%.
After Root Canal Treatment
Root canals weaken teeth, making them prone to fractures. Additionally, most teeth only need a root canal because they have already been weakened by decay or a fracture. A crown is almost always recommended after a root canal to provide additional strength and protection.
Fractured or Broken Teeth
Crowns can restore and protect fractured or broken teeth, preventing further damage and improving function. If one or more cusps is broken off of a tooth, fixing it with a filling is often difficult or impossible. In this situation, a crown would likely be a more appropriate fix.
Cosmetic Reasons
If you have misshapen or discolored teeth, crowns can significantly improve their appearance.
Dental Implant
A crown is often the final step in a dental implant procedure, serving as the replacement tooth.
Worn Teeth
Teeth that are worn down due to age or grinding can be restored with crowns to prevent further wear and tear, while also rebuilding the tooth to an esthetic shape and size.
Do I Really Need a Crown?
Dentists have varying approaches to recommending crowns. Some are more conservative and may suggest large fillings instead.
Signs that you might genuinely need a crown include extensive decay or a fractured tooth that a filling can't adequately restore. If your dentist recommends a crown and you're not sure it's necessary, it may be wise to seek a second opinion.
The Crown Placement Procedure
Typically, you'll need two visits for crown placement—one for preparation and impression-taking, and another for the actual placement. Temporary crowns are often placed in the interim.
Some dental offices provide “same day crowns,” since they are able to fabricate the crown in their office. Often this will require a longer appointment and/or an additional fee.
Types of Dental Crowns
There are different materials for crowns, including porcelain, ceramic, gold, and metal. Each has its advantages and drawbacks, and your dentist can guide you in choosing the best one for your needs.
Costs and Insurance
Crown costs can vary widely depending on the material and location. At most dental offices, a single crown will cost $1,000 to $2,000 with no insurance discount or benefit.
Dental insurance often covers part of the cost, but it's essential to check with your provider for specifics. With a good dental insurance benefit, many patients pay less than $500 out-of-pocket for a crown.
Final Thoughts
Knowing when you might need a dental crown can take the stress out of dental visits and help you make informed decisions.
If you're experiencing any symptoms like tooth pain, cracks, or decay, it's worth discussing the possibility of a crown with your dentist.
Remember that some dentists may recommend more conservative treatments, so if you're unsure about getting a crown, don't hesitate to seek a second opinion. At the end of the day, the best treatment for you is one that aligns with both your dental needs and personal preferences.
FAQs
What are the symptoms of needing a crown?
If you have a visibly cracked or decayed tooth, this could be an indicator that a crown might be necessary. Large fillings that have chipped or failed are another common indicator. As a general rule, any time a tooth has ~50% of its structure damaged by decay, fractures, or failed fillings, a crown will be needed.
Is it common to need a dental crown?
Yes, needing a dental crown is quite common and they are often used to treat a variety of dental issues, from significant decay to tooth fractures or cosmetic imperfections. Many adults have one or more crowns. In fact, it is not uncommon to have ten or more crowns.
How long can I wait without a crown?
The urgency depends on why you need the crown in the first place. If it's for a root canal, it's advisable not to delay the crown, as the tooth is more susceptible to fracture. If it's for other less urgent issues (such as a fractured cusp with no decay), waiting for weeks or months shouldn’t cause any trouble. However, it's best to follow your dentist's advice.
What age do most people need crowns?
There's no specific age when people "most commonly" need crowns, as they can be necessary for anyone from children to the elderly. However, the likelihood increases with age due to wear and tear, as well as other age-related dental issues. By age 40, many adults have one or more crowns.
* Though the author of this post is a licensed dentist in the state of Kansas, this information is provided for informational and educational purposes only. Please use your best judgment and contact emergency medical services in the event of an emergency.