A Crown Is Needed When A Filling Does Not Work
There are a number of reasons why your tooth may need a crown or “cap,” which include the following:
- Old amalgam or “silver” filling with new decay
- Old amalgam or “silver” filling on a fractured tooth
- New decay that is too large to be replaced with a composite or “white” filling
During your dental appointment, we encourage you to relax and listen to your iPod while Dr. Mark Davis begins the process of restoring your tooth to its optimal health. Although having a crown made in our office is a two-appointment procedure, the majority of the work is completed during the first appointment and you should only need to be numb once.
After Dr. Mark Davis numbs your mouth and tooth, a small impression will be taken so that you can leave our office with a functioning temporary tooth. Next, Dr. Mark Davis will remove any old filling material and all of the decay on your tooth. Although Dr. Mark Davis is meticulous in his removal and cleaning of your tooth, he also wants to ensure your comfort and so will work as quickly as possible while ensuring that he neither cuts your tooth down too much nor damages your adjacent teeth. There are times when the removal of the old filling and the new decay leave only the shell of the tooth behind, and in those cases a build-up is required. A build-up is most simply described as a composite or “white” filling inside your tooth that creates a more stable foundation for your final crown. In almost every case requiring a build-up, Dr. Mark Davis will have already informed you of its necessity, having seen the extent of the decay on your x-rays and during his complete examination of your mouth. After removing the old filling and any decay, and after having placed the build-up when necessary, Dr. Mark Davis will refine the shape of your tooth, creating smooth edges and allowing for maximum retention for your crown. The next step during your first appointment will be to take a second impression of your tooth so that a custom crown can be fabricated at our dental lab. Despite what you may have heard, or even remember from your own history about large trays that gag you, this impression will typically be taken of only the affected side of your mouth. After Dr. Mark Davis creates your custom white temporary tooth, you will be done with your first appointment.
Approximately two weeks after your first “prep” appointment, you will have a second appointment with Dr. Mark Davis. Relatively fast and pain-free, this appointment consists of three easy steps. First, Dr. Mark Davis will remove the temporary tooth. Second, Dr. Mark Davis will ensure that your new custom crown fits your tooth smoothly and sits tightly with your other teeth. Finally, Dr. Mark Davis will cement your new crown. You will be completely done, able to walk out of our office with a stable and healthy tooth!
For our patients who need to have more than one crown, we offer a variety of treatment options. The first option, and the most popular, is to have your dental treatment condensed so that all of your teeth are prepared for your crowns in one appointment and then all of your new crowns are placed during your second appointment. Not only does this save you time by condensing four or more appointments into only two appointments, but you get the added benefit of only having to be numb once. A second option for your treatment, and also often chosen by our patients, is to have a series of appointments that overlap. While Dr. Mark Davis would concentrate on only one tooth during your first appointment, the following appointments would combine both the placement of crowns and the preparation of other teeth. The third option for your treatment would be to spread out your treatment over time, so that each tooth would require two appointments, one for its preparation and one for the placement of your new crown.
As Dr. Mark Davis knows that his patients prioritize both comfort and comprehension, he encourages you to ask questions about your teeth and your treatment. Dr. Mark Davis believes that when you understand not only the “what” of your treatment but also the “why” and the “how,” then you will find your appointments to be much more comfortable. In addition, Dr. Mark Davis understands that some of his patients require more than simple discussions and explanations to ensure their comfort, so he does offer oral sedation for not only your appointments with him but also for appointments with his hygienist.