Dental Crowns in Mesa, AZ

What Is a Dental Crown?

A tooth crown, also called a dental crown, is a custom-made cap that fits over a prepared natural tooth. Unlike a filling, which rebuilds a portion of the tooth, a crown surrounds the visible tooth structure above the gumline. This support can help a weakened tooth withstand everyday biting and chewing forces.

The dentist designs each tooth restoration around the affected tooth’s size, shape, color, position, and relationship with your bite. Although crowns are primarily used in restorative dentistry, they can also improve appearance by rebuilding worn or misshapen teeth, covering severe discoloration, and creating a more balanced tooth shape.

What Types of Dental Crowns Are Available?

Crowns can be made from several materials. No single material is right for every tooth. Selection depends on the tooth’s location, visible appearance, biting forces, available space, existing dental work, and the patient’s preferences.

Porcelain Crowns

Porcelain crowns offer a translucent appearance that can resemble natural enamel. Their color can be selected to coordinate with nearby teeth, making them a common consideration for visible areas of the smile.

Ceramic Dental Crowns

Ceramic dental crowns are tooth-colored and do not contain metal. Different ceramic materials provide varying levels of translucency and strength. The dentist considers both appearance and function when deciding whether a ceramic crown may be suitable.

Zirconia Crowns

Zirconia is a strong type of dental ceramic that can withstand substantial chewing pressure. It may be considered for back teeth or other areas where durability is a priority. Its appearance depends on the type and design selected.

Porcelain-Fused-to-Metal Crowns

Porcelain-fused-to-metal crowns combine a metal base with a tooth-colored porcelain surface. The metal provides support, while the outer layer creates a more natural appearance. In some cases, a dark line may eventually become visible near the gumline.

Metal Crowns

Metal crowns may be made from gold-containing alloys or other dental metals. They are highly durable and require less tooth reduction in some situations, but their metallic color makes them more noticeable. They are generally considered for areas where appearance is less important.

During your consultation, Dr. Josephson will discuss the materials available for your case and explain the advantages and limitations of each option.

What Happens During the Dental Crown Process?

Receiving a traditional custom crown usually involves more than one appointment because the final restoration is created to fit the prepared tooth and surrounding bite.

Initial Consultation

Dr. Josephson examines the tooth and may take digital X-rays to assess the roots, bone, decay, and remaining structure. He also reviews your symptoms, dental history, and goals. If the tooth needs root canal therapy or other care before receiving a crown, the team will explain the recommended sequence.

Tooth Preparation

The tooth is numbed for comfort. The dentist cleans away decay or compromised material and reshapes the tooth to make room for the crown. If much of the structure is missing, a buildup may be placed to support the restoration.

Impressions or Digital Scans

An impression or digital scan records the prepared tooth, the surrounding teeth, and the bite. These records guide the creation of a crown that fits securely and supports a comfortable bite.

Temporary Crown

A temporary crown protects the prepared tooth while the final crown is being made. It may not feel or look exactly like the finished restoration, so patients should avoid sticky or very hard foods that could loosen or damage it.

Final Crown Placement

At the final appointment, the temporary crown is taken off, and the custom crown is evaluated. Dr. Josephson checks the fit, shape, color, and contact with neighboring teeth. He also checks the bite and makes adjustments as needed before securely bonding the crown in place.