Name of the Procedure:

Crown - Porcelain/Ceramic
Common Name: Porcelain Crown, Ceramic Crown
Technical Term: Dental Restoration with Porcelain/Ceramic Crown (HCPCS Code D6740)

Summary

A porcelain/ceramic crown is a type of dental restoration used to cover and protect a damaged or decayed tooth. This cap-like structure is custom-made to fit over the entire visible portion of the tooth, restoring its shape, size, strength, and appearance.

Purpose

Medical Conditions or Problems Addressed:

• Severe tooth decay
• Fractured or broken teeth
• Discolored or misshapen teeth
• Post-root canal protection

Goals or Expected Outcomes:

• Restored tooth functionality
• Improved aesthetic appearance
• Enhanced durability and strength of the tooth

Indications

Specific Symptoms or Conditions:

• Substantial decay not amenable to fillings
• Significant wear or damage
• Cosmetic improvements

Patient Criteria or Factors:

• Suitability of the tooth structure to support the crown
• General oral health

Preparation

Pre-procedure Instructions:

• Maintain good oral hygiene
• No specific fasting required
• Inform the dentist of any medications or allergies

Diagnostic Tests or Assessments:

• Dental X-rays to assess the extent of damage

Procedure Description

1. Tooth Preparation: The dentist reshapes the tooth to accommodate the crown.
2. Impressions: An impression of the reshaped tooth and the surrounding teeth is taken.
3. Temporary Crown: A temporary crown is placed while the permanent one is being made.
4. Permanent Crown Fabrication: The impression is sent to a lab where the permanent ceramic crown is custom-made.
5. Fitting the Crown: The temporary crown is removed, and the permanent crown is fitted, adjusted, and cemented in place.

Tools, Equipment, or Technology:

• Dental drill
• Impression materials
• Temporary crown materials
• Permanent porcelain/ceramic crown

Anesthesia or Sedation:
Local anesthesia is usually administered to numb the area during tooth preparation.

Duration

The entire process typically requires two visits:

• First visit: 1 - 2 hours for preparation and impressions.
• Second visit: 30 minutes to 1 hour for fitting and cementing the crown.

Setting

• The procedure is performed in a dental office or outpatient dental clinic.

Personnel

• Dentist: A general dentist or prosthodontist primarily carries out the procedure.
• Dental Assistant: Assists the dentist during the procedure.

Risks and Complications

Common Risks:

• Temporary sensitivity to hot and cold
• Discomfort or soreness around the affected area

Rare Risks:

• Crown dislodgement or loosening
• Allergic reaction to materials used
• Tooth decay underneath the crown

Complications Management:

• Fitting adjustments or replacement of the crown
• Repairing any underlying tooth damage

Benefits

• Expected Benefits: Enhanced tooth functionality and aesthetic appeal, improved oral health.
• Realization Time: Benefits are usually noticeable immediately after the procedure, with ongoing improvements over weeks as the area heals.

Recovery

Post-procedure Care:

• Avoid eating hard or sticky foods for the first 24 hours.
• Maintain good oral hygiene with regular brushing and flossing.

Expected Recovery Time:

• Most patients fully adjust to the crown within a few days to weeks.
• Follow-up appointments typically scheduled as needed.

Alternatives

Other Treatment Options:

• Dental fillings
• Composite resin fillings
• Dental veneers

Pros and Cons of Alternatives:

• Fillings: Less invasive but not suitable for large-scale damage.
• Veneers: More aesthetic but less durable and protective compared to crowns.

Patient Experience

During the Procedure:

• Minimal discomfort due to local anesthesia.
• Pressure and vibrations from dental instruments.

After the Procedure:

• Possible mild pain or sensitivity, managed with over-the-counter pain relievers.
• Gradual comfort as the gum and surrounding area adjust to the new crown.