Name of the Procedure:

Crown - Porcelain/Ceramic Substrate (D2740) Common names include "Porcelain Crown" or "Ceramic Crown."

Summary

A porcelain or ceramic crown is a type of dental restoration that covers a damaged, decayed, or unsightly tooth to restore its shape, size, strength, and appearance. It is designed to mimic the natural look and function of your teeth.

Purpose

The procedure addresses various dental issues such as large cavities, fractures, root canal treatments, and cosmetic problems. The primary goal is to reinforce weakened teeth, prevent further damage, and improve aesthetics.

Indications

• Large cavities that are not amenable to fillings
• Fractured teeth
• Teeth that have undergone root canal treatments
• Discolored or misshapen teeth
• Dental restorations requiring both function and cosmetic improvements

Preparation

• Dental examination and X-rays to assess the condition of the tooth
• Sometimes, a root canal or other preliminary treatment may be required
• Avoid eating and drinking a few hours before the procedure if sedation will be used
• Adjustments in medication per dentist’s instructions if necessary

Procedure Description

1. Tooth Preparation: The dentist numbs the tooth and surrounding gums with local anesthesia.
2. Shaping: The tooth is filed down to make space for the crown.
3. Impression: An impression of the prepared tooth and surrounding teeth is taken, usually with a dental putty or digital scanner.
4. Temporary Crown: A temporary crown is placed to protect the tooth while the permanent crown is being fabricated.
5. Fabrication: The impression is sent to a dental lab where the permanent crown is customized.
6. Placement: During a follow-up visit, the temporary crown is removed, and the permanent crown is placed and adjusted for proper bite and comfort. It is then permanently bonded to the tooth with dental cement.

Duration

Typically, the initial appointment lasts about 1-2 hours with a follow-up visit of approximately 30 minutes.

Setting

This procedure is usually performed in a dental office or outpatient dental clinic.

Personnel

• General dentist or prosthodontist
• Dental assistants
• Occasionally, dental lab technicians

Risks and Complications

• Sensitivity to hot or cold
• Discomfort or mild pain, usually temporary
• Risk of the crown loosening or falling off
• Rarely, allergic reactions to materials used
• Potential for incorrect fit, requiring adjustments

Benefits

• Improved aesthetics and confidence
• Restoration of tooth function for better chewing and speaking
• Long-lasting solution that can last for many years with proper care
• Protection of the underlying tooth from further decay or damage

Recovery

• Avoid eating until anesthesia completely wears off
• Mild discomfort can be managed with over-the-counter pain medications
• Good oral hygiene must be maintained to ensure longevity of the crown
• Follow-up visits may be necessary to check the fit and function

Alternatives

• Dental fillings or inlays/onlays for less severe damage
• Dental implants for completely missing teeth
• Veneers for purely cosmetic issues
• Each alternative has its pros and cons related to durability, aesthetics, and cost

Patient Experience

• During the procedure, the patient will experience minimal discomfort due to anesthesia.
• After the procedure, some sensitivity or mild soreness may occur, usually managed with pain relievers.
• Temporary crowns may feel different, but permanent ones blend seamlessly with natural teeth.
• Regular dental hygiene and avoiding hard foods initially are crucial for recovery and maintenance.