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What is the process for getting a dental crown?

At the first visit in preparation for a dental crown, your dentist may take a few X-rays to check the roots of the tooth receiving your dental crown and also to check the surrounding bone. If your tooth has extensive decay or if there is a risk of infection or injury to the tooth's pulp, a root canal treatment may first be performed.

Before the process of making your dental crown begins, your dentist will anesthetize (numb) the tooth and the gum tissue around your tooth. Next, the tooth receiving the crown is filed down along the chewing surface and sides to make room for the dental crown. The amount removed depends on the type of crown used. If, on the other hand, a large area of the tooth is missing (due to decay or damage), your dentist will use filling material to "build up" the tooth to support your porcelain crown.

After reshaping the tooth, your dentist will use impression paste or putty to make an impression of the tooth to receive the crown. Impressions of the teeth above and below the tooth to receive the dental crown will also be made to make sure that the crown will not affect your bite.

The impressions are then used to make your dental crown. At Accent Dental we make a lot of our crowns on-site, using our CEREC machine, which is considerably time saving for you. Alternatively, and for certain teeth, these will be made by a dental laboratory and returned to the dentist's office in two to three weeks. If the crown is made of porcelain, your dentist will also select the shade that most closely matches the color of the neighboring teeth. During this first office visit your dentist will make a temporary crown to cover and protect the prepared tooth while the crown is being made. Temporary crowns usually are made of acrylic and are held in place using a temporary cement.

At the second visit, your dentist will remove the temporary crown and check the fit and color of the permanent crown. If everything is acceptable, a local anesthetic will be used to numb the tooth and your new denal crown is permanently cemented in place.

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