Most people are aware that the number one way to avoid extra trips to the dentist for restorative procedures is to practice good oral hygiene by brushing and flossing daily. But even the most conscientious of dental patients are occasionally faced with issues such as tooth decay, trauma that leads to tooth loss, or cosmetic issues such as permanent discoloration or chips and cracks. When these issues crop up, Dr. Stephen Matarazzo in Quincy, MA is here to help! With a variety of tooth restoration options available, including dental crowns and bridges, as well as same-day treatment for a patient suffering dental emergencies, Dr. Matarazzo’s office can help you get your old smile back as quickly as possible.
When a dental crown or bridge is needed
When a tooth has suffered trauma or has extensive decay, a simple filling may not be sufficient to address the issue at hand. Instead, Dr. Matarazzo may recommend a more robust tooth restoration option, such as a dental crown or bridge. Also known as a “tooth cap,” a crown covers your natural tooth, whereas a bridge usually consists of two crowns with a false tooth between them to “bridge the gap” due to a missing tooth.
Dental crowns or bridges are commonly necessary after the following types of issues have occurred with teeth:
- A root canal has been performed to remove infected material from the pulp chamber of the tooth. After a root canal, a dental crown is typically necessary to protect the tooth from further damage and restore function to the tooth, such as biting and chewing.
- A tooth has extensive decay and would require too large of a filling that would compromise the tooth’s function and put it at risk of further decay. In this case, the dentist can remove the decayed material and place a crown over the remaining tooth.
- A significant chip or crack has occurred in the tooth. When this happens, simpler procedures such as dental bonding often cannot be used to repair the tooth because the integrity of the tooth has been compromised and the tooth is too weak. In this case, a dental crown may be recommended.
- There is a cosmetic issue with the tooth that can’t be addressed with other options such as bonding. If a tooth is significantly discolored, misshapen, or too small in comparison to other teeth, a crown can be a good option for improving the appearance of the tooth in some cases.
- A tooth is lost due to trauma or decay. When this happens, there are a few options for replacing the missing tooth. The most common options for replacing a single tooth that is missing are dental bridges and dental implants. A dental bridge typically consists of a false tooth that is anchored in place by placing crowns on the two adjacent healthy teeth, whereas a dental implant is a post that is surgically placed in your jaw bone to serve as a “tooth root” for the lost tooth, and then a crown is placed on top to replace the actual tooth.
How a crown or bridge is placed
The process to get a dental crown or bridge placed typically consists of two appointments after an initial consultation to determine the best treatment plan. The first visit is typically the longer of the two appointments. In this visit, the following steps will be taken:
- The teeth that will have crowns placed are filed down by the dentist so that they are the proper shape and size to receive the crown; otherwise, they would become too large and bulky once the crown is placed
- Impressions of the teeth are taken so that the crowns can be fabricated to look like your existing teeth in both shape and size for a seamless appearance
- The dentist places temporary crowns on the prepared teeth to protect them and help reduce sensitivity that you would otherwise experience due to the shaping of the teeth
Then, the crowns or bridge will be custom-created in a laboratory based on the dentist’s specifications and dental impressions that were taken. When the restoration is ready, you will come back to Dr. Matarazzo’s office for your second appointment. At this time, any temporary crowns will be removed from your teeth and your new crown or bridge will be placed on your teeth. After the dentist checks it over in your mouth and you are both happy with the fit and feel, he will attach it with a permanent adhesive, and you can begin enjoying the benefits of your new restored smile!
Frequently Asked Questions About Dental Crowns
When does a tooth need a full crown instead of a smaller repair?
A crown is usually suggested when a tooth no longer has enough healthy structure to support a simple filling. This can happen after deep decay, fractures, or significant wear. Rather than patching a weakened area, a crown reinforces the entire tooth from all sides. This approach helps prevent further breakdown and allows the tooth to function more reliably during everyday use, like chewing and biting, without risking additional structural failure.
What should I expect during the crown preparation process?
The first visit involves reshaping the tooth so the crown can fit securely without feeling bulky. Detailed measurements or digital scans are taken to guide the design of your final restoration. A temporary covering is typically placed to protect the tooth while the permanent crown is being made. At the second visit, the final crown is adjusted for fit and comfort before being secured into place for long-term use.
Is it normal for a crowned tooth to feel different at first?
Yes, it’s common for a newly restored tooth to feel slightly unfamiliar in the beginning. Your bite may feel a bit different as your mouth adjusts to the new shape and surface. This usually settles within a short period. If the crown feels too high or uneven, your dentist can make small adjustments to improve comfort and ensure your bite feels natural again.
Can a crown help prevent a tooth from breaking further?
Yes, one of the main purposes of a crown is to protect a weakened tooth from additional damage. By covering the entire visible portion, it distributes pressure more evenly when you bite or chew. This added support can significantly reduce the risk of cracks worsening or the tooth fracturing further, especially if it has already been compromised by decay or prior treatment.
What happens if I delay getting a crown when it’s recommended?
Waiting too long can allow the tooth to deteriorate further, sometimes beyond the point where it can be saved. Small cracks can deepen, and weakened areas may break under normal pressure. In some cases, delaying treatment may lead to the need for more extensive procedures or even the removal of the tooth. Addressing the issue earlier often keeps treatment simpler and more predictable.
Are there different types of materials used for dental crowns?
Yes, crowns can be made from several materials, including porcelain, ceramic blends, or metal-based options. The choice depends on factors like the tooth’s location, bite pressure, and aesthetic preferences. Tooth-colored materials are often selected for visible areas, while stronger materials may be used for back teeth. Your dentist will recommend the most suitable option based on your specific needs and goals.
How can I make my dental crown last as long as possible?
Maintaining a crown involves consistent oral hygiene and mindful habits. Brushing and flossing daily helps protect the surrounding teeth and gums. Avoiding habits like chewing ice or using teeth to open objects reduces unnecessary stress on the restoration. Regular dental visits in Quincy, MA, also allow your dentist to monitor the crown and address any early concerns before they become bigger issues.
Learn more in a consultation
If you have been suffering from a painful or broken tooth or have an old crown or bridge that needs to be replaced, there is no need to delay any longer. At the dental practice of Dr. Stephen Matarazzo, you will find compassionate, thorough care that is completely focused on you, the patient. The whole team of professionals at Dr. Matarazzo’s office is here to give patients hope when they are faced with dental issues, and we love to see our patients’ beautiful, restored smiles!
Whether you are a new or existing patient in the Quincy, MA area or surrounding communities, you are welcome to schedule an appointment today at (617) 405-3939.
