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A dental
crown or dental cap is a custom made restoration that covers
a tooth with sustained significant loss of structure. They
are analogical to being a thimble capped over your finger.
Dental crowns are used to restore teeth to a certain shape
and size. They provide strength and improves the appearance
of the tooth.
Benefits of Dental Crowns
• Protects severely damaged tooth or
tooth weakened by decay, fracture, large fillings or root
canal therapy from fracturing. Teeth with large fillings tend
to "flex more" forcing the tooth apart possibily
causing stress fractures
• Holds together cracked or weaken teeth and seal the tooth
from decay
• Covers discolored and irregularities in teeth in improving
cosmetic appearance
• Helps preserve the natural function and position of the
teeth
• Restores tooth with large decay, cavities or filings
• Supports the replacement teeth in a bridge
• Restores and maintains natural bite
• Covers a dental implant
• Restore your smile
Types of Dental Crowns
There are three basic types of materials
for dental crowns:
1. Porcelain fused to metal (PFM) dental crowns
2. All porcelain dental crowns
3. All metal dental crowns (Gold)
Porcelain fused to metal (PFM) dental crowns and all porcelain
crowns are tooth colored crowns. PFM dental crowns offer the
best combination of aesthetics and durability. PFM dental
crowns are usually used to restore back teeth where the forces
of chewing and grinding are strongest. All porcelain crowns
are the most aesthetic and are used primarily used for front
teeth where the need for strength is not as critical. Gold
dental crowns are the most durable and offer the most precise
fit. Gold dental crowns does not chip.
The all-ceramic porcelain crowns used at Bangkok International
Dental Center include the IPS Empress Esthetics crowns from
Ivoclar Vivadent and Procera NobelEsthetics from Nobel Biocare.
Procedure for Dental Crowns Treatment
The course of treatment described here
is one of several options available at our dental clinic.
Consult your dentist to find out what the best solution is
for you, given your specific condition.
1. First evaluation and crowns tooth preparation
o Local anesthesia is first adminstered at the region for
crown tooth preparation
o The natural tooth is reshaped to receive the new dental
crown
o Records are taken and approved with the patient to determine
the color, bite, length and shape of the crown
o An impressionis taken for a replica model of the teeth
o This model is sent to a lab where the individual personal
crown is fabricated
o A temporary crown is placed on whilst the permanent crown
is made
2. Fitting of crowns on delivery
o The temporary crown is removed
o The permanent crown is fitted and cemented into place on
the teeth
o A quality assurance check is done for any re-adjustments
or re-works of the dental crowns
3. Care of crowns
o Brush and floss the crowns as recommended by your dentist
or dental hygienist.
Dental Crown Recovery Expectations
Both the preparation and placement of
the temporary bridge as well as the bonding of the permanent
bridge may cause some minor tenderness in the area. Some individuals
may experience sensitivity in teeth. This sensitivity will
disappear gradually over a few days to weeks.
Postcare Instructions for Dental Crowns
1. Avoid chewing on or eating hard foods
on the restorations for 24 hours from the time they were cemented
2. To help with discomfort or swelling rinse your mouth 3xd
with warm salt water. (1tsp. of salt in 8oz of water)
3. Keep crown area clean to maintain tissue compatibility
(the contour of the prosthesis must allow the surrounding
tissue to conform to a natural, healthy position)
4. Some sensitivity in teeth may be experienced by certain
patients. This sensitivity will disappear gradually over a
few days to weeks. If teeth are sensitive
o Avoid hot, cold or acidic food and beverages
o Pain medication be taken as directed as long as there is
no medical contradiction based upon your medical history
o Use flouride rinse and toothpaste for sensivity teeth
o Clean teeth properly
Care for Dental Crowns
Dental crowns require the same regular
and consistent home and professional dental care, as your
natural teeth to prevent decay at the tooth-dental crown junction.
To provide optimum longevity for your restorations, please
follow the home care tips below:
1. Brush after eating and before bedtime around the crown
with a soft toothbrush, especially where the crown meets the
gum line. At the gum line harmful bacteria can be harbored
to cause decay and gum disease.
2. Floss at least once to twice a day. Use the proxy brush
or floss threader to remove plaque under and around these
areas to maintain good oral hygiene. Buildup of food debris
and plaque on your teeth and gums can become infected.
3. Rinse with fluoride rinse before bed. Swish the fluoride
rinse vigorously in your mouth for at least one minute. Do
not swallow any of the rinse and do not eat or drink anything
for 30 minutes
4. Be careful about chewing toffees, gum, grainy rolls and
tough food in this area
5. See your dentist for regular professional check-ups and
cleanings
Phuket
Dental Crown By Phuket International Dental
Center, Phuket, Thailand
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