A dental crown is a tooth-shaped cap made from materials such as porcelain or metal. It is placed over a damaged or decayed tooth to protect it from further harm and can also be used to improve the tooth's appearance. Dental crowns are typically customized to match the color and shape of the patient's existing teeth.

Dental crowns may be needed when a tooth is weakened due to decay, a large filling, or a root canal. They can also be used to cover a cracked, broken, misshapen, or discolored tooth, or to restore the function of a tooth damaged by trauma or injury. As an airway-focused dentist, I also consider the patient's overall oral health and the impact of a dental crown on their airway and breathing patterns when deciding if a crown is necessary.

The terms "dental crown" and "dental cap" are often used interchangeably and refer to the same type of restoration. Both are tooth-shaped restorations made from materials such as porcelain, metal, or a combination of materials, and are used to protect and restore a damaged or decayed tooth.

While the term "dental cap" may sometimes specifically refer to a metal crown, in modern dentistry, both terms can refer to a variety of materials used to customize the restoration to the patient's specific needs.

Dental crowns can be made from several materials, each with strengths and weaknesses. Some popular materials for dental crowns include porcelain, known for its natural appearance and ability to match the color of the patient's teeth, and zirconia, a strong and durable ceramic material. Metal alloys, such as gold or silver, are also used for their strength and durability. The composite resin may serve to create temporary crowns.

Ultimately, the choice of material will depend on the specific needs and each patient's preferences, along with their overall health, the potential for allergies, and the impact on the airway and breathing patterns.

Most commonly, the dental crowns we recommend are made of porcelain/glass ceramic or zirconia, with occasional gold.

Getting a dental crown process involves one - two appointments at the dental office. If being completed in two visits, during the first appointment the tooth is prepped for the crown and an impression is taken to create a custom-fitted crown. A temporary crown is attached to protect the tooth while the permanent crown is created. At the second appointment, the permanent crown is checked for fit, shape, color, and bite, and then cemented in place over the prepared tooth.

An airway-focused dentist will consider not only the dental health of the patient but also their airway and breathing patterns when preparing the tooth and placing the crown.

If not being completed in a single day, the two step process, from the initial appointment to the permanent crown placement, takes two to three weeks. However, some dental offices offer same-day crown services, using technologies such as CAD/CAM systems to create the crown on-site, which can reduce the time required to get a crown. As airway-focused dentists, we consider the dental health of the patient as well as their overall health and airway function when planning and scheduling the process of getting a dental crown.

The lifespan of a dental crown typically ranges from 5 to 15 years or more, depending on various factors such as the materials used, oral hygiene habits, and forces placed on the crown. Maintaining good oral hygiene, avoiding hard or sticky foods, and scheduling regular dental check-ups can help to extend a dental crown's life. As airway-focused dentists, we also consider the impact of the crown on the patient's airway and breathing patterns when recommending a dental crown.

Option 1: The cost of a dental crown can vary depending on several factors, such as the type of material used, the location of the dental office, and the complexity of the procedure. Crowns made from high-quality materials such as porcelain or zirconia may be higher than the ones made from metal alloys or composite resin. Dental insurance may cover a portion of the cost of a crown, so it is essential to check with the provider to understand the available benefits and any out-of-pocket costs. 

Dental insurance will at times provide you a discount on the crown, but you will still have an out-of-pocket payment, no matter how good your benefits through your employer are!

Option 2: The dental crown cost typically ranges from $800 to $2,000 or more per tooth, depending on factors such as the material used, the procedure complexity, and the dental office location. High-quality materials such as porcelain or zirconia may be more expensive than metal alloys or composite resin. Dental insurance may cover a portion of the cost, and flexible payment options or third-party financing companies may be available. As an airway-focused dentist, we work with patients to create customized treatment plans that meet their needs and budget while ensuring high-quality dental care to prevent further complications and costs.

The insurance coverage for dental crowns varies depending on the individual policy and provider. Some policies may cover a portion or all of the crown's cost, while others may not cover the amount at all. The type of crown and the reason for it may also impact the amount of coverage. Patients should review their policies to determine the range, annual maximum, deductible, and copayment amounts.

We work with patients to understand their insurance coverage and any out-of-pocket expenses associated with a dental crown. 

After a dental crown is placed, patients should avoid eating or drinking for at least 30 minutes and avoid sticky or hard foods that could damage the crown. Patients should also practice good oral hygiene habits, such as brushing and flossing regularly and schedule regular dental check-ups and cleanings to maintain the crown and prevent decay and gum disease. Patients should also contact their dentist if they experience discomfort or changes in their breathing or airway function.

A dental crown may need to be removed or replaced if it is damaged, worn, or decayed or if there are issues with the fit or bite. The cement holding it in place must be broken to remove a crown, and the tooth underneath has to be examined to ensure there's no damage. Once the crown is removed, a new custom-fitted crown is created. As an airway-focused dentist, We may recommend the removal and a crown replacement if is impacting the patient's airway function or breathing patterns, which may involve exploring alternative options to improve their airway function.

Getting a dental crown benefits includes the tooth's appearance restoring, strength, and function, preventing further damage or tooth decay, and providing a natural-looking appearance that blends seamlessly with the surrounding teeth. Dental crowns can also help address dental issues before they worsen, improving overall oral health and hygiene and potentially having a positive impact on a patient's overall health and well-being.

Additionally, we consider the impact of dental crowns on a patient's airway and breathing patterns, which can be improved by addressing dental problems and restoring the proper alignment and function of the teeth.

The potential risks and complications of dental crowns include tooth sensitivity, damage to the tooth during the crown placement process, and irritation of the tooth nerve, which may require additional treatment. That is not the crown’s fault!  If a tooth is damaged, sometimes the act of actually fixing it can “stir up” some symptoms that are waiting to rear their ugly heads!  A poorly fitted crown (too short or too tall.) A poorly fitted crown can also impact a patient's airway function, potentially affecting their breathing or tongue position. As an airway-focused dentist, I prioritize addressing any potential issues with the fit or function of a crown to ensure optimal oral health and airway function.