What is a dental crown? A dental crown is a custom-made cap that covers the entire visible portion of a damaged tooth, restoring its shape, size, strength, and appearance. Crowns are one of the most common restorative dentistry procedures, used when a tooth is too damaged for a filling but can still be saved. At Saratoga Smiles, we use crowns conservatively, recommending them only when they are clinically necessary.
When Is a Dental Crown Necessary?
- A tooth is cracked or fractured and at risk of splitting
- A large cavity has destroyed too much tooth structure for a filling to hold
- A tooth has undergone root canal therapy and needs protection
- An existing large filling is failing and the remaining tooth structure is insufficient
- A tooth is severely worn from grinding
- A dental implant needs a final restoration
Robert had a large amalgam filling in a back molar that was placed 20 years ago. During his exam at Saratoga Smiles, Dr. Dennis identified a crack forming at the filling margin. Rather than waiting for the tooth to break, a porcelain crown was placed to prevent a more complex problem.
What Crown Materials Are Available?
Porcelain (Ceramic)
All-porcelain crowns provide the most natural appearance and are ideal for front teeth and visible areas. They are metal-free and biocompatible. Modern ceramics like zirconia offer both aesthetics and strength.
Porcelain-Fused-to-Metal (PFM)
PFM crowns have a metal core for strength with a porcelain exterior for appearance. They are durable but can show a dark line at the gum margin over time as gums recede.
Gold and Metal Alloys
Gold crowns are extremely durable and gentle on opposing teeth. They are rarely used today for aesthetic reasons but remain an excellent choice for back teeth in patients who prioritize longevity over appearance.
What Does the Crown Procedure Involve?
The procedure typically requires two visits. At the first visit, Dr. Dennis or Dr. Dennis prepares the tooth by removing damaged structure and shaping it to receive the crown. An impression or digital scan is taken and sent to a dental laboratory. A temporary crown protects the tooth until the permanent crown is ready.
At the second visit, the temporary crown is removed and the permanent crown is fitted, adjusted for bite comfort, and cemented in place. The entire process takes about two weeks from preparation to final placement.
How Much Do Dental Crowns Cost in Saratoga Springs?
Dental crowns typically cost $1,000 to $2,500 depending on the material and complexity. As a fee-for-service practice, we select materials based on what is best for your situation, not what insurance reimburses. We provide transparent estimates before any work begins and offer third-party financing options.
How Long Do Dental Crowns Last?
Well-made crowns typically last 10 to 20 years, with many lasting significantly longer. Longevity depends on oral hygiene, grinding habits (a night guard helps), the material chosen, and the quality of the underlying tooth preparation. Regular dental checkups allow us to monitor crown integrity over time.
Frequently Asked Questions
Does getting a crown hurt?
The procedure is performed under local anesthesia and should not be painful. Some sensitivity for a few days after placement is normal and typically resolves quickly.
Can a crowned tooth get a cavity?
The crown itself cannot decay, but the natural tooth beneath it can. Brushing, flossing, and regular checkups protect the tooth under the crown.
What is the difference between a crown and a veneer?
A crown covers the entire tooth for structural reinforcement. A veneer covers only the front surface for cosmetic improvement. Crowns are used when significant structure is compromised; veneers when the goal is purely aesthetic.
How do I care for my crown?
Care for a crowned tooth the same way you care for natural teeth: brush twice daily, floss daily, avoid biting hard objects, and maintain regular dental visits.
Need a crown evaluation? Call (518) 584-5060 or schedule your appointment.
Reviewed by Dr. Richard Dennis, Saratoga Smiles, 6 Carpenter Lane, Saratoga Springs, NY 12866.