Have you ever wondered why your dentist suggests a crown? Dental crowns are unique restorations that can address multiple issues. They are custom-made caps that cover the entire tooth to restore its function, strength and appearance. Dental crowns are prescribed for various reasons, but most commonly to treat teeth that have been largely compromised due to decay or trauma, and also for esthetic purposes to enhance appearance. Here are some indications that may require crown placement:

Cracked or fractured teeth

Dental crowns restore strength to cracked or fractured teeth. Old restorations, such as amalgam fillings, take up a large majority of the tooth and are more prone to cracks over time. They may require a crown to replace and restore function and prevent further cracking.

Tooth decay

Have you ever been told you need a filling even though you do not feel pain? There is a large misconception that cavities are always accompanied by pain. When a small cavity in the tooth crosses the junction between the enamel and dentin, a filling is usually recommended. It is not until the cavity is much larger and near the nerve that you start to feel pain. Therefore, treating cavities sooner rather than later prevents them from extending deeper because, when left untreated, a larger portion of tooth is broken down by the decay, which requires a dental crown. When a tooth with a large cavity is treated with a crown, the decay is essentially removed and the crown will seal the tooth and ultimately restore function.

Root canal treatment

If decay extends deep enough into the nerve of a tooth, a root canal may also be needed. When a root canal is completed, a tooth becomes more susceptible to fracture as a larger portion of the tooth is standardly removed. Therefore, after undergoing root canal therapy, a dental crown is usually recommended to provide protection and restore function.

Esthetic treatment

Dental crowns and dental veneers are common restorative treatments used for cosmetic purposes. Some indications include changing the shape of current teeth, changing the overall shade of teeth and restoring a more uniform smile by treating multiple teeth. A more comprehensive treatment plan may be developed to ultimately plan for the best esthetic treatment outcome.

When deciding whether or not to cap a tooth, consider the tooth’s longevity, function and appearance. Dental crowns are effective restorations that can address multiple dental concerns.

Sarah Khoshniyati (“Dr. Sarah”) is a dentist with Palm Desert Smiles and can be reached at (760) 568.3602.