When is a Crown Necessary?

Dental crowns are generally placed on teeth that have had severe wear and tear. “It is many times considered the best restoration in that it completely covers the entire top of the tooth,” says Dr. Judith Ko of HemetValley Dental Care in California.

But how do you know if a crown is the right restoration for you? Here are a few things to ask and consider when discussing your treatment with your dentist.

     1.    What percentage of the tooth has been impacted? Most of the time a crown is recommended when a substantial part of the tooth structure is decaying or fracturing. “A fracturing tooth can many times impact the nerve, resulting in endodontic or root canal treatment,” adds Dr. Ko.

     2.    What other options exist? Generally your dentist will thoroughly discuss all options for treatment with you prior to beginning your crown. They may discuss the option of a filling, inlay or onlay and should explain why they do not believe they are the best options for you.

     3.    If the tooth is so damaged, will the tooth need a root canal? As mentioned above, teeth where crowns are recommended are generally in trouble. This could mean that your dentist will advise you to have endodontic treatment immediately, or they may wish to wait and see how extensive the damage is before taking any further action.

     4.    How soon should the crown be done? Almost always the answer to this question is now. Teeth requiring crowns for treatment are in serious trouble – how serious may be unknown, but they will never get better by waiting.

Dental Infection

Infections in the mouth can be so difficult. “Not only do infections cause pain, there is the fear of what it means that goes along with it,” says Dr. Judith Ko from her Hemet Valley, California dental practice.

Oral infections are currently generating more hospitalizations in the United States than ever before, ()

And many times a trip to see your dentist is a better option. Generally speaking there are two types of dental infections: infections of the gum tissue and infections of the teeth.

A patient who is experiencing an infection of the gum tissue may notice bleeding, swelling, pus and in some instances acute pain. This type of infection is caused from bacteria in the mouth. “Periodontal disease, or gum disease, is an infection that can be treated by your dentist,” adds Dr. Ko. “Several visits may be necessary to remove the calculus and other debris from the pockets that form around the teeth, but if treated early and maintained, the prognosis can be quite good.” Which means that tooth loss can many times be prevented.

An abscessed tooth is also caused by an infection. It affects the root of the tooth and the result is pain and swelling. “The key is to catch things before they progress if at all possible. When a tooth is sensitive to hot beverages and foods like tea, coffee or soup it may be a sign that the nerve is damaged,” says Dr. Ko. “Call your dentist immediately as the sooner the problem is identified the more likely it can be treated relatively easily.”

Infections of the oral cavity should not be ignored. While not often, they have been known to cause death. “Your dental provider wants to help keep you healthy,” Dr. Ko adds. “See them on a regular basis.”

The Crown: A Great Restorative Procedure!

Is a crown the right choice for you? Why can’t a filling do the job?

“A crown is the correct option when the majority of the tooth structure has been damaged due to decay or through injury,” says Dr.Judith Ko from her Hemet California Dental Practice.

Your dentist will generally recommend a filling when the tooth decay is minimal – which is why dentists are always talking about coming in for regular visits – but when decay has been left untreated for a period of time, the only choice is for a full protective covering.

In addition, when nerve damage has compromised a tooth, and endodontic treatment has occurred, the tooth will become brittle and be more susceptible to breakage. With this in mind, your dentist will generally recommend a crown, especially when the tooth affected is a back tooth that is used for grinding and chewing food.

Sometimes the tooth has no symptoms – is not causing any discomfort – but your dentist can see lines showing that the tooth is fracturing. In this case your dentist may recommend a crown to prevent pain in the future or a broken or fractured tooth that cannot be saved due to the breakage occurring so close or even below the gum tissue. 

As with any procedure recommended, ask questions.  Your dentist will be happy to share the reasons for the recommendation and explain the process thoroughly with you.