Modern dentistry offers many ways to restore the health and aesthetics of teeth. One of the most reliable solutions is the installation of a dental crown—a "cap" that completely covers a damaged tooth and protects it from decay.
What is a Dental Crown?
A dental crown is a durable, tooth-shaped prosthetic that is placed over a natural tooth, like a cap. Before it is fixed, the dentist removes a small layer of enamel to ensure a perfect fit. Crowns are made from various materials: metal, ceramic, porcelain, resin, and combinations of these. The choice depends on the clinical situation and the patient's wishes.
When Is a Crown Needed?
A crown may be needed in a variety of cases:
• when a tooth is badly decayed or severely worn down
• to strengthen a weakened tooth
• for cracks and chips
• after root canal treatment
• to anchor a bridge
• for pronounced changes in enamel color
• after an implant
The main goal is to save the natural tooth, restoring its function and aesthetics.
Varieties of Dental Crowns
Metal
Made from gold, palladium, nickel, or chromium. They are known for their durability, resistance to chewing forces, and minimal tooth preparation. The main disadvantage is the metallic color, so they are more often placed on back teeth.
Porcelain-Fused-to-Metal (PFM)
They combine the strength of metal with the aesthetics of porcelain. Their color can be matched to natural teeth. A disadvantage is that the porcelain can chip over time, and they can also wear down the enamel of opposing teeth.
Pressed Ceramic
A ceramic frame is used instead of a metal one. These crowns are very similar in appearance to natural teeth, but have the same risk of chipping as PFM crowns.
All-Ceramic / Porcelain
These have the most natural appearance, and crowns made of zirconium dioxide are especially popular. They are strong, durable, and suitable for patients with a metal allergy.
Pros and Cons
Advantages of crowns:
• restoration of chewing function
• protection of the tooth from decay
• improved appearance
• lifespan of 5 to 15 years (and sometimes up to 30 with good care)
Disadvantages:
• requires removal of enamel
• possible sensitivity in the first few weeks
• risk of chipping or coming loose
• high cost (depending on the material)
Care for Dental Crowns
For a crown to last a long time, you need to:
• brush your teeth twice a day with a soft-bristled brush and fluoride toothpaste
• floss daily
• use antiseptic mouthwash
• avoid very hard and sticky foods
• visit the dentist for check-ups and cleanings
• use a night guard for bruxism
Possible Sensations After Placement
Immediately after the procedure, the patient may feel slight sensitivity to hot and cold, as well as gum discomfort. These symptoms usually disappear within a few days.
Veneers or Crowns: What to Choose?
Veneers solve cosmetic problems: they hide cracks, chips, and pigmentation. Crowns are for restorative treatment: they strengthen and protect the tooth, restoring its function and aesthetics.
Conclusion