You Don’t Have to Be Royal to Get a Crown

CrownsCrowns are usually made of a combination of gold, inset with gems, and they’re usually only the domain of a lucky family few. Unless you come to Dr. Miller’s practice where we put crowns on our patients every day…dental crowns. Dental crowns are one of the most common dental tooth restorations.

Dr. Miller uses crowns to repair teeth that are damaged and to anchor bridges onto adjacent healthy teeth. We only use porcelain all-ceramic crowns in our practice.

Non-royal reasons to get a crown

Crowns can have a wide variety of uses other than covering the head of some stuffed shirt. The most common are:

  • If a tooth is deeply cracked or worn
  • If a tooth has a very large cavity
  • If a tooth has a root canal procedure
  • If a tooth is abnormally small, oddly shaped, or very discolored
  • To act as anchors for a bridge to replace missing teeth

How are crowns placed?

Fitting and placing a crown with Dr. Miller is two-appointment process. First, the tooth in question is evaluated using x-rays to determine the damage. Once a crown is deemed necessary (for instance, when a cavity is so large that too much of the tooth mass will be lost), Dr. Miller will discuss your options with you. He’ll then match the porcelain color options to your adjacent teeth.

Now we’re ready to prepare the tooth to take the crown. If there is decay, we remove it, fill the cavity, and thoroughly clean and polish the tooth. If a portion of a damaged tooth needs to be removed to make the tooth stable, we will do that. Next, a portion of the healthy remaining tooth is removed to make room for the crown to be placed atop the tooth. This sounds odd, removing some of the healthy tooth. But this is necessary so that when the crown is atop the tooth the diameter of the tooth is not larger than it was without the crown on it. Then, we take precise measurements of the tooth to be crowned and the adjacent teeth. We send these measurements to the dental lab for the fabrication of your crown. For the time during this process, Dr. Miller places a temporary crown onto your tooth.

When your crown is finished, usually in a week or so, you return to our office and Dr. Miller first checks it for fit and color match. Some minor grinding may be needed for the perfect fit. Once satisfied, he then bonds the crown permanently onto your tooth. Any final shaping and polishing is done, and you’re good to go.

You don’t have to be royalty to wear a crown. If you have a tooth that needs attention, call Dr. Miller at 503-640-9310 and let’s take a look at it.


Posted in: Dental Crowns

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