In the event of inclement weather conditions our office follows Lake Washington School District in regards to delays or full-day closures. On such days we will notify you of office closure, or late opening, as soon as possible and reschedule your appointment.

Dental Crowns

Dental Crown Restoration in Redmond, WA

Crowns, or caps, are restorations that cover the entire tooth and are cemented.  They are used in situations where a large filling would quickly fail and/or to prevent a tooth from splitting.  This usually occurs when teeth are cracked, had a root canal, or have been heavily damaged from decay or trauma.

The procedure involves removing the outer part of the tooth and then sending an impression of the area to a laboratory. After a couple of weeks, the custom made crown is checked for accuracy and then cemented to the tooth.  During the lab time, the tooth is fitted with a temporary crown.

Types of Crowns

Types of crowns and their properties:

Gold crowns    

  • Mostly made of gold with other metals for strength.
  • Typically last the longest because they cannot break.
  • They are gold colored.
  • May be more expensive due to the cost of gold.
  • Compared to other crowns, they require less tooth removal.
  • They are softer than tooth structure (they will not wear down the tooth it chews against).

Porcelain-fused-to-metal crowns (PFM)

  • Has a gold/metal core with porcelain baked to the outside.
  • The color can be matched to the surrounding teeth.
  • Porcelain is harder than natural tooth structure (the tooth it chews against is more prone to wear).
  • Although relatively infrequent, the porcelain can fracture off of the metal base. Large breaks may require replacement of the crown.
  • Requires more tooth removal than other crowns.
  • Sometimes results in a dark line when the gums have receded.

All porcelain crowns

  • No metal at all, they are ceramic.
  • Looks the most like natural tooth.
  • Does not have a dark line when the gums recede.
  • Requires less tooth removal than a PFM.
  • Although newer materials are promising, they are still prone to fracturing. Because of this, they may not be a good option on load bearing back teeth or in people who grind.
  • These crowns can be bonded to the tooth and may be a good option when little tooth structure is remaining.

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