Comprehensive Guide to Dental Crowns and Tooth Decay

Dental crowns are a great option for fixing teeth damaged by decay. They help protect and restore teeth, making them a popular choice for both dentists and patients. In this guide, we’ll break down what dental crowns are, how they work, and why they’re useful in dealing with tooth decay.

Dental crowns play an essential role in restoring both the function and appearance of your teeth after suffering decay.

What Are Dental Crowns?

A dental crown is like a cap for your tooth. It covers the visible part of a tooth to restore its shape, size, and strength. Crowns are custom-made to fit perfectly and blend with your other teeth, so they look natural. Materials like porcelain, metal, or a mix of both usually make depending on your needs.

Dentists recommend crowns for various reasons, but they’re especially helpful when tooth decay has done a lot of damage. Decay weakens the tooth, making it more likely to crack or break. A crown adds strength and protects the tooth from further harm.

How Tooth Decay Happens

Tooth decay begins when bacteria in your mouth creates acid and breaks down tooth enamel. This can happen if you don’t brush and floss regularly, or if you eat a lot of sugary or acidic foods. Small cavities form and grow bigger over time.

Once decay reaches the inner layers of the tooth, it can cause pain, sensitivity, and even infections. That’s when a crown might come into the picture. If a regular filling isn’t enough to fix the damage, the dentist will use a crown to cover and protect the tooth.

When Do You Need Dental Crowns?

Dentists often suggest crowns for teeth that:

  • Have large cavities that can’t be filled.
  • Are cracked or weak after sustaining damage.
  • Have undergone a root canal.
  • Are worn down from grinding or other issues.

If you’ve had a root canal, the tooth is more fragile and needs extra support. The new crown adds that much-needed support. Crowns also help if a filling isn’t strong enough to hold the tooth together or if decay has reached a large portion of the tooth.

The Process of Getting a Crown

Getting a crown usually takes two visits. During the first visit, Dr. Lazer or your dentist prepares your tooth by removing the damaged part and shaping it to fit the crown. They’ll take impressions of your tooth to create a custom crown that matches your bite and smile. You’ll likely get a temporary crown to wear while waiting for the permanent one.

At the second visit, the dentist removes the temporary crown and cements the permanent one in place. Once it’s set, the crown feels and functions just like a natural tooth.

How to Take Care of Your Crown

Crowns are durable, but they still need care to last. Here’s how to keep them in great shape:

  • Brush twice a day with fluoride toothpaste.
  • Floss daily to clean around the crown and gumline.
  • Avoid biting down on hard objects like ice or pens.
  • Visit your dentist regularly for check-ups and cleanings.

Even though crowns aren’t prone to decay, the tooth underneath can still get cavities if you don’t take care of it. Good oral hygiene is key to keeping your crown healthy.

Frequently Asked Questions

Can crowns help protect teeth that are worn down from acid erosion?

Yes, we often recommend crowns for teeth damaged by acid erosion. They cover the entire tooth surface, protecting it from further wear and restoring strength. A crown also helps rebuild lost tooth structure and improves function. It’s a reliable option when enamel is too thin for other treatments.

Are crowns recommended for teeth that have had multiple fillings?

Yes, when a tooth has had several fillings, it can become weak or prone to cracking. A crown covers and supports the remaining tooth structure, providing long-term protection. It also seals the tooth completely, reducing the risk of further decay. Dr. Lazerr will recommend a crown if the tooth can no longer support another filling.

Will a crown feel different than my natural tooth?

At first, a crown may feel slightly different due to its shape or how it fits your bite. Most patients adjust quickly, usually within a few days. Once you’re used to it, the crown should feel like a natural tooth when chewing or speaking. If it continues to feel off, we can make small adjustments.

Is it normal to feel sensitivity after getting a crown?

Yes, it’s common to feel some sensitivity to temperature or pressure for a few days after placement. This usually fades as your tooth adjusts and the gum tissue heals. Using a toothpaste for sensitivity can help ease discomfort. If the sensitivity lasts more than a week, your dentist should evaluate the fit.

How do I know if I need a crown instead of a filling?

If the tooth is cracked, badly worn, or has more filling than the natural tooth is left, a crown is usually a better choice. Fillings work for smaller repairs, but a crown provides full coverage and added strength for weakened teeth. Dr. Lazer will examine the damage and let you know which option gives the best long-term result.

Can I eat normally after getting a dental crown?

Yes, but it’s best to wait until any numbness wears off to avoid biting your tongue or cheek. Once that happens, you can eat normally, though it’s smart to chew on the opposite side for the first day or two. Avoid very sticky or hard foods right away, especially if you still have a temporary crown.

What should I avoid doing right after getting a new crown?

Avoid chewing hard foods, sticky candy, or ice on the crowned tooth for at least 24 hours. If you had a temporary crown earlier, be cautious until your bite fully adjusts. Also, don’t grind your teeth or use them to open packages. Gentle brushing and flossing will help keep the area clean and support healing.


Why Choose a Crown for Tooth Decay?

Crowns are a reliable way to save a tooth that’s been badly damaged by decay. They protect the tooth from further harm and restore its strength, allowing you to chew and smile with confidence. While fillings are great for small cavities, crowns are the better option when decay is extensive.

If you’re dealing with tooth decay or have questions about dental crowns, don’t hesitate to talk to your dentist. They’ll help you decide if a crown is the right choice for you and guide you through the process.

Dental crowns are a fantastic solution for preserving your teeth and keeping your smile healthy. With proper care, they can last for many years, giving you one less thing to worry about. At Cosmetic & Advanced Dentistry in Owings Mills, MD, we provide expert care and guidance throughout the crown placement process. Call us today or request an appointment online to get a dental crown.