Q Will
the crown be noticeable?
A No.
The crown will be made to match your other teeth
exactly. The shade of the neighbouring teeth will
be recorded, to make sure that the colour looks
natural and matches the surrounding teeth. A temporary
crown, usually made in plastic, will be fitted
at the end of the first appointment to last until
the permanent one is ready. These temporary crowns
may be more noticeable, but they are only in place
for about two weeks.
Q How
long does the treatment take?
A You will
need to have at least two visits: the first for the
preparation, impression, shade taking and fitting
the temporary crown, and the second to fit the permanent crown.
Q Does
it hurt to have a tooth prepared for a crown?
A No. A local
anaesthetic is used and the preparation should feel
no different from a filling. If the tooth does not
have a nerve, and a post crown is being prepared,
then local anaesthetic may not be needed.
Q Are
post crowns different?
A Post
crowns may be used when the tooth has been root
filled. The weakened crown of the tooth is drilled
off at the level of the gum. The dentist makes
a double-ended 'post' to fit into the root canal.
This can be either prefabricated stainless steel
or custom made of gold. One end of the post is
cemented into the root canal, and the other end
holds the crown firmly in place.
Q Are
there any alternatives to post crowns for root-filled
teeth?
A If a root-filled
tooth is not completely broken down, it may be possible to build
it up again using filling material. This 'core' is then prepared
in the same way as a natural tooth and the impressions are taken.
Q How
long will a crown last?
A The life
of a crown will depend on how well it is looked after.
The crown itself cannot decay, but decay can start
where the edge of the crown joins the tooth. It is
very important to keep this area as clean as your
other teeth, or decay could endanger the crown. Properly
cared for crowns will last for many years - your
dentist will be able to tell you how long.
Q How
are crowns fixed to teeth?
A Once the fit and
appearance of the crown has been checked - and approved by you -
it will be cemented in place with special dental cement. The cement
also forms a seal to help hold it firmly in place.
Q Will
the crown feel different?
A Because
the shape of the crown will be slightly different
from the shape of you tooth before it was crowned,
you may be aware of it to begin with. Within a
few days it should feel fine, and you will not
notice it. The crown may need some adjustment if
it feels higher than the surrounding teeth. If
it is at all uncomfortable ask your dentist to
check and adjust it.
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