When Do You Need a Dental Crown? Common Signs and Symptoms

Your teeth are designed to last a lifetime, but they endure a lot of wear and tear over the years. From biting into tough foods to accidental injuries, your teeth can face challenges that may compromise their strength, appearance, or function. When a tooth is damaged beyond what a filling or other minor restoration can repair, a dental crown often becomes the best solution.

A dental crown acts like a protective cap that covers your tooth, restoring its shape, size, strength, and appearance. But how do you know if you need one? This blog will explore the common signs and symptoms that indicate a dental crown might be the best option for your oral health.

What Is a Dental Crown?

A dental crown is a custom-made restoration that completely encases the visible portion of a damaged tooth, providing protection and support. Crowns can be made from various materials, including porcelain, ceramic, metal, or a combination of these.

The procedure typically involves two visits. During the first visit, your dentist prepares the tooth by removing the damaged portion, takes an impression, and places a temporary crown. At the second visit, the permanent crown is fitted and cemented in place.

Dental crowns are versatile and can address a wide range of dental issues. Let us explore the most common situations where a crown is recommended.

Common Signs You Might Need a Dental Crown

1. Severe Tooth Decay

Tooth decay starts as small cavities that can usually be treated with dental fillings. However, when decay becomes extensive and compromises a large portion of the tooth’s structure, a filling may not be enough to restore its strength and function. In such cases, a dental crown is often necessary to cover and protect the weakened tooth, preventing further damage.

Signs to watch for:

• Persistent toothache or sensitivity to hot and cold.
• Visible holes or dark spots on the tooth.
• A feeling of weakness when chewing.

2. Cracked or Fractured Tooth

Teeth can crack or fracture due to trauma, biting down on hard objects, or grinding your teeth. If left untreated, a crack can deepen, leading to pain, sensitivity, and potential tooth loss. A dental crown helps to hold the cracked tooth together, restoring its structural integrity and protecting it from further damage.

Signs to watch for:

• Sharp pain when biting down.
• Visible cracks or chips in the tooth.
• Intermittent sensitivity to temperature or pressure.

3. Post-Root Canal Treatment

Root canal treatment saves a tooth by removing infected or damaged pulp from inside the tooth. However, the process leaves the tooth hollow and more susceptible to fractures. To reinforce the tooth and restore its full functionality, a dental crown is often placed after a root canal.

Signs to watch for:

• Recent root canal treatment.
• Fragile or brittle feeling in the treated tooth.
• Dentist recommendation for a crown after the procedure.

4. Worn-Down Teeth

Teeth can wear down over time due to conditions like bruxism (teeth grinding) or acid erosion caused by a diet high in acidic foods and beverages. Excessive wear can weaken the enamel, making your teeth more vulnerable to chips, cracks, and sensitivity. A dental crown can restore the worn tooth’s shape, strength, and appearance.

Signs to watch for:

• Shortened or flattened teeth.
• Increased sensitivity to temperature or touch.
• Jaw pain or discomfort caused by grinding.

5. Cosmetic Concerns

Dental crowns are not only functional but also cosmetic. If you have a tooth that is severely discolored, misshapen, or has an irregular size, a crown can enhance its appearance while improving your smile. Crowns made from porcelain or ceramic can be color-matched to blend seamlessly with your natural teeth.

Signs to watch for:

• Visible discoloration or staining that does not respond to whitening treatments.
• A tooth that looks out of place or negatively affects your smile.
• Desire to improve the overall appearance of your teeth.

6. Broken or Chipped Tooth

Whether due to an accident, injury, or biting down on something hard, a broken or chipped tooth can leave you in discomfort and affect your ability to chew properly. A dental crown can cover and protect the damaged tooth, restoring its function and appearance.

Signs to watch for:

• Pain or sensitivity in the damaged tooth.
• Difficulty chewing or speaking clearly.
• Visible damage to the tooth’s surface.

7. Large Fillings That Compromise the Tooth

When a tooth has a large filling, it can become weak and prone to cracking. Over time, the filling may no longer provide adequate support. A dental crown can replace the filling and protect the tooth from further damage, ensuring its longevity.

Signs to watch for:

• Old or deteriorating fillings.
• Cracks or breaks near a large filling.
• Dentist recommendation to replace a large filling with a crown.

8. Dental Implants

If you have a missing tooth and opt for a dental implant, a crown is the final step in the restoration process. The implant acts as the tooth root, while the crown serves as the visible tooth, completing the functional and aesthetic replacement.

Signs to watch for:

• A missing tooth requiring a replacement.
• Dentist recommendation for an implant-supported crown.

Why Timely Treatment Matters

If you are experiencing any of the signs mentioned above, it is important to address them promptly. Ignoring the need for a crown can lead to more severe complications, such as:

• Tooth Loss: A weakened or damaged tooth may eventually need extraction if not treated in time.
• Infection: Untreated cracks or decay can allow bacteria to reach the inner layers of the tooth, leading to infection or abscesses.
• Increased Costs: Delaying treatment often leads to more complex and expensive procedures, such as root canals or extractions followed by tooth replacement.

Getting a dental crown at the right time can save your tooth, protect your oral health, and prevent the need for more extensive dental work.

What to Expect During the Dental Crown Procedure

The dental crown procedure typically involves two main appointments:

First Appointment: Preparation and Temporary Crown

• The dentist examines your tooth and takes X-rays to assess its condition.
• The tooth is prepared by removing damaged or decayed portions.
• An impression of the tooth is taken to create a custom crown.
• A temporary crown is placed to protect the tooth until the permanent crown is ready.

Second Appointment: Crown Placement

• The temporary crown is removed, and the permanent crown is checked for fit and color.
• The crown is cemented in place, restoring the tooth’s full functionality and appearance.

Caring for Your Dental Crown

To ensure the longevity of your dental crown, follow these care tips:

• Maintain Good Oral Hygiene: Brush and floss regularly to prevent plaque buildup around the crown.
• Avoid Chewing Hard Objects: Do not chew on ice, pens, or other hard items that could damage the crown.
• Visit Your Dentist Regularly: Routine checkups will help monitor the condition of your crown and address any issues early.
• Wear a Nightguard if Needed: If you grind your teeth, a nightguard can protect both your crown and your natural teeth.

With proper care, dental crowns can last 10-15 years or longer.

A dental crown is a versatile and effective solution for a variety of dental issues, from severe decay and cracks to cosmetic concerns and tooth wear. Recognizing the signs that you might need a crown and seeking timely dental treatment can save your tooth, restore your smile, and improve your oral health.

If you are experiencing any of the symptoms mentioned in this blog or suspect that you might need a dental crown, schedule a consultation with a prosthodontist. With their expertise and modern dental technology, they can provide you with a tailored solution to meet your needs. Remember, addressing dental problems early not only preserves your smile but also saves you from unnecessary pain and expense in the future.