Most Common Complaints About Dental Crowns

Most Common Complaints About Dental Crowns

Dental crowns are among the most common restorative dentistry services, second to tooth fillings. They protect damaged or weak teeth caused by tooth decay or gum disease. Crowns are also used in root canal therapy and as dental implants.

Sometimes, dental crowns don’t work as planned, leading to some myths about their effectiveness. However, most issues with dental crowns can be avoided. If you have a skilled dentist and practice good oral hygiene, your chances of having problems with a dental crown are low.

Let’s explore some common myths about dental crowns and how to avoid them.

Fake Appearance

Most Common Complaints About Dental Crowns

Gone are the days when dental crowns looked fake!  Elite Dental and Orthodontics, which specializes in cosmetic and restorative dentistry, knows how important both function and appearance are. His crowns are lifelike and match the color of your natural teeth. Often, patients can’t tell the difference between their old crown and the new one when they look in the mirror.

Darkness at the Gum Line

Dark lines at the gum line are a common issue with porcelain-fused-to-metal (PFTM) crowns. These crowns have a metal core that can leave a dark band near the gums. Specialists use metal-free crowns made of zirconia or same-day CEREC crowns, which look natural and blend seamlessly with your teeth.

Tooth Decay Under the Crown

While crowns themselves do not decay, the tooth underneath can still get cavities. If a tooth isn’t properly cleaned before placing the crown, or if plaque builds up along the gum line due to poor hygiene, decay can occur under the crown. Regular cleanings with Elite Dental and Orthodontics and good home care, including flossing around the crown, can prevent this.

Most Common Complaints About Dental Crowns

Sensitivity & Discomfort

It’s normal to feel some sensitivity with a new crown for a few weeks. However, extreme sensitivity, pain, or discomfort isn’t normal and can be due to a poorly prepared tooth or an ill-fitting crown. If you have pain long after getting a crown, it might be a sign of decay. Dr. Alhadef can quickly diagnose the problem and provide a solution to make you comfortable.

Loosened Crown

A loose crown can result from improper tooth preparation or inadequate adhesive. It can also happen if the crown is too large and doesn’t fit well. Elite Dental and Orthodontics follows strict guidelines when preparing teeth and uses high-quality adhesives and cements to ensure the crown stays secure. He also uses 3D imaging to create detailed and precise crowns.

Cracks or Chips

Crowns can crack or chip for several reasons. Often, it’s due to low-quality ceramic or improper shaping. A poorly shaped crown can chip if it doesn’t align well with neighboring teeth. Same-day ceramic crowns are designed to be durable. To avoid damage, don’t bite on hard objects like ice.

Nerve Damage

Nerve damage from a dental crown can range from a slight itch to sharp pain. This usually happens if too much tooth enamel is removed, exposing the nerves. It uses a conservative approach, removing only enough enamel to ensure the crown fits well. If a tooth has extensive decay and nerve damage, other treatments may be needed.

Allergic Reactions

Allergic reactions to dental crowns are rare but can happen, especially with metal or PFTM crowns. These reactions can cause pain and damage to the gums and teeth. Uses hypoallergenic materials like zirconia and Emax ceramic to prevent allergies.

Bite Misalignment

A crown that’s the wrong shape or size can cause bite misalignment, making it hard to chew or causing pain and carefully shapes crowns to fit perfectly, often improving bite alignment even if the original tooth was crooked.

What to Expect During a Dental Crown Procedure

Getting a dental crown typically involves two steps. Here’s what you can expect:

First Visit: Preparation and Temporary Crown

  1. Creating a Model: During your first visit, the dentist will create a model or mold of your tooth. This mold helps in making the crown that will fit perfectly over your tooth.
  2. Preparing the Tooth: The dentist will then prepare your tooth for the crown. This might involve:
    • Root Canal (if needed): If there is decayed or infected pulp inside your tooth, the dentist may perform a root canal to remove it.
    • Filing the Tooth: The dentist will file down the top and sides of your tooth to make space for the crown. If your tooth has a lot of decay, the dentist may need to rebuild part of it before filing.
  3. Taking an Impression: After preparing the tooth, the dentist will take an impression, or mold, of the filed tooth. This impression is sent to a lab, where they will create your permanent crown. The crown must fit well and not interfere with your bite.
  4. Applying a Temporary Crown: Before you leave the office, the dentist will place a temporary crown over your tooth. This temporary crown protects your tooth until the permanent one is ready.

Second Visit: Placing the Permanent Crown

  1. Numbing the Tooth: During the second visit, your dentist will numb the tooth to prevent any discomfort while placing the crown.
  2. Fitting the Crown: The dentist will remove the temporary crown and check if the permanent crown fits well over your tooth and matches your other teeth.
  3. Cementing the Crown: If the crown fits perfectly, the dentist will cement it into place.
  4. Care Instructions: Finally, the dentist will give you instructions on how to take care of your new crown to make sure it lasts a long time.

Same-Day Crowns

Some dentists offer same-day crowns. With this option, you can get your permanent crown in just one visit, without needing a temporary crown or a second appointm


To avoid problems with dental crowns, choose a dentist with experience. Elite Dental and Orthodontics offer advanced, gentle care. Schedule a consultation with us by filling out our online form or calling our office.

Elite Dental and Orthodontics
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