Cosmetic & Family Dentistry

Crowns

When you are suffering from a damaged or chipped tooth, all you want is the functionality of the tooth back and a complete smile which is not marred by unsightly impairment.  Here at Yurovsky Dental our goal is to provide dentistry the traces of which are virtually undetectable.  We offer a wide array of options for teeth replacement, including comfortable, natural looking dental implants to help patients through Philadelphia feel more confident in the way they look. Our Center City dental office have advanced the science of dental crowns to offer solutions which remedy tooth damage safely and restore a full, attractive smile.

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

In the event that decay or damage has completely overtaken the tooth, the process of reducing the tooth will begin when the procedure does. Once the decayed portion of the tooth has been completely reduced, a custom-made tooth bond will be applied to the tooth’s surface.  This kind of restoration is called a “crown.”  The primary function which 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 which are fashioned in a dental laboratory by trained technicians which specialize in the creation of 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 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 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. 

Following this, an impression will be made of your tooth by the doctor so she can recordhow 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.

Upon 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 and functionality. 

Post-Operative Instructions

Once you have completed the procedure of acquiring a new crown, you may continue with your normal eating habits. However, in order to avoid injury, you should ensure 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.

Common and 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 disappear within a few days to a couple of weeks. In some cases, the sensitivity may last longer than a couple of weeks, but you need not worry about this so 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 longer than a couple of weeks or worsen over time, contact our office to arrange a follow-up appointment.

Temporary Crowns or Bridges

It is crucial 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 may inhibit the placement of your permanent crown. You can also experience sensitivity if your temporary comes off.


If your temporary comes off or becomes loose, please carefully replace it and call the office immediately. It is impossible to replace it incorrectly because it only fits in one way.

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

Flossing is an essential 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.

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