Cosmetic & Family Dentistry

Crowns

At some point in our lives, most of us will experience some sort of damage to the surface (enamel) of our teeth.  This can be as mild as discoloration, or more dramatic, such as enamel chipping caused by the consumption of certain drinks and foods, some of which initiate acid erosion.

In the event that decay or damage has completely overtaken the tooth, the initial process of reducing the tooth will be initiated at the beginning of the procedure. Once the tooth has been completely reduced from decay, a custom-made tooth bond will be applied to the tooth’s surface.  This type of restoration is called a “crown.”  The primary function that the application of a crown provides is the prevention of further damage to the surface area of the tooth.  Our dental office provides porcelain crowns that are fashioned in a dental laboratory by trained technicians who specialize in creating these porcelain bonds.  The crown itself will be carefully matched to the color of your surrounding teeth, and will provide the same amount of strength as a healthy tooth would. 

If decay or damage has extended down to the foundation (root) of the tooth, a dental implant or bridge would be better suited for the health of your mouth. After your first initial consultation at our dental office, Dr. Yurovsky will discuss your options for restorations with you.

Procedure

At the beginning of the procedure, Dr. Yurovsky will remove any decay that is present on the surface of the tooth, and shape your tooth to fit the proportions of the crown.  The structure of the crown must ultimately be thick enough to withstand chewing forces; therefore the natural tooth below the crown must be reduced. 

Next, an impression will be made of your tooth by the doctor so she can note how your teeth fit together.  A temporary crown will be fitted to the surface of your tooth while the permanent one is constructed in a dental lab.

On your second visit, your temporary crown will be taken off and the fit of the new crown will be carefully checked. The permanent crown will then be bonded to the surface of your tooth, restoring your tooth to its natural strength in functionality. 

Post-Operative Instructions

Once you have completed the procedure of acquiring a new crown, you may continue on with your normal eating habits. However, to avoid injury, you should make sure your local anesthesia has completely worn off before you eat again. Taking this precaution will prevent you from inflicting any self-injuries, such as biting your tongue, cheeks, or lips.

Normal reactions to these procedures include gum tenderness and sensitivity to hot, cold, and pressure. Sensitivity will increase with the invasiveness of the procedure. These symptoms should go away within a few days to a couple of weeks. In some cases, the sensitivity can last longer than a couple of weeks, but this is okay as long as your gums and teeth are progressively feeling better.

If inflammation has affected the area in which the crown was bonded to, we recommend you take ibuprofen as an anti-inflammatory.  Also, if pain and sensitivity continue for more than a couple of weeks or worsens over time, contact our office for a follow-up appointment.

Temporary Crowns or Bridges

It is very important for the temporary crown or Bridge to remain on your tooth until Dr. Yurovsky sets your permanent crown. If the temporary crown becomes loose or comes off at any time, please call the office immediately. Your tooth can shift within a few hours if your temporary crown is missing, which can inhibit the placement of your permanent crown. You may also experience sensitivity if your temporary comes off.
If your temporary comes off or becomes loose, please carefully replace it and call the office. It is not possible to replace it incorrectly because it only fits one way.

Please avoid hard and chewy foods, such as ice, hard candy, gum, and taffy, as they may pull your temporary off of the prepared tooth.

Flossing is an important part of caring for your temporary. Please release one end of the floss and pull it through the side of the tooth instead of pulling it up between your teeth.

Once the anesthesia has worn off, and if your bite feels uneven, please give the office a call immediately. This imbalance of your bite may cause further discomfort, and should be adjusted.