Dental Crowns: Before and After Analysis


Dental Crowns

Dental crowns are a common restorative treatment used to protect, cover, and restore the functionality of damaged or decayed teeth. These custom-made caps fit over the entire visible portion of a tooth, providing strength, durability, and an improved appearance. Whether due to extensive decay, cracks, fractures, or root canal treatment, dental crowns offer a comprehensive solution to preserve the natural tooth structure and prevent further damage or extraction.

In this comprehensive article, we will delve into the world of dental crowns, analyzing the before and after scenarios, exploring the reasons for their recommendation, the materials used, the procedural steps involved, and the potential complications that may arise. By understanding the intricacies of this restorative treatment, you can make an informed decision about whether dental crowns are the right choice for your oral health needs.

Reasons for Recommending Dental Crowns

Dentists may recommend dental crowns for various reasons, each aimed at preserving the tooth’s integrity and functionality. According to a survey conducted by the National Dental Practice-Based Research Network , practitioners frequently recommend crowns for the following scenarios:

  1. Endodontically Treated Teeth: Teeth that have undergone root canal treatment are more susceptible to fractures and cracks due to the removal of the pulp and subsequent brittleness. Crowns provide the necessary reinforcement and protection for these teeth, ensuring their longevity.
  2. Fractured or Cracked Teeth: Teeth with visible fractures or cracks are at a higher risk of further breakdown or splitting. Crowns act as a protective barrier, preventing the propagation of these cracks and preserving the remaining tooth structure.
  3. Large Restorations: When a tooth has a substantial portion of its structure replaced with a filling or restoration, it becomes weaker and more susceptible to fractures. Crowns are recommended to reinforce these teeth and distribute the biting forces evenly, reducing the risk of future complications.
  4. Cosmetic Enhancements: Dental crowns can also be used to improve the appearance of misshapen, discolored, or severely stained teeth, providing a natural-looking and aesthetically pleasing solution.

Materials Used for Dental Crowns

Dental crowns are available in various materials, each offering unique advantages and characteristics. The choice of material depends on factors such as the location of the tooth, the desired aesthetics, and the patient’s specific needs. Some of the most commonly used materials include :

  1. Porcelain Crowns: These crowns are known for their natural-looking appearance and ability to mimic the translucency of natural teeth. They are an excellent choice for front teeth or visible areas of the mouth.
  2. Zirconia Crowns: Made from a strong, lightweight, and tooth-colored material called zirconium, these crowns offer a combination of durability and aesthetics. They are often used for both front and back teeth.
  3. Porcelain-Fused-to-Metal (PFM) Crowns: These crowns feature a metal base covered by a porcelain outer layer, providing strength and a natural appearance. They are a popular choice for back teeth due to their durability.
  4. All-Metal Crowns: Crafted from materials like gold, palladium, or base metal alloys, these crowns are known for their exceptional strength and longevity. They are typically used for back teeth or in cases where aesthetics are not a primary concern.

The Dental Crown Procedure: Before and After

The process of receiving a dental crown typically involves two appointments with your dentist. Here’s a step-by-step overview of what to expect:

Before: Preparation Appointment

  1. Tooth Examination: Your dentist will perform a thorough examination of the affected tooth, including X-rays and vitality tests, to ensure it can support a crown.
  2. Tooth Reshaping: The tooth will be reshaped and reduced in size to accommodate the crown. This process involves removing a small amount of enamel from the tooth’s surface.
  3. Impressions or Digital Scans: Your dentist will take impressions or digital scans of your prepared tooth and surrounding teeth. These impressions or scans will be sent to a dental laboratory for the fabrication of your custom crown.
  4. Temporary Crown Placement: A temporary crown will be placed over the prepared tooth to protect it until your permanent crown is ready.

After: Crown Placement Appointment

  1. Removal of Temporary Crown: Your dentist will remove the temporary crown and thoroughly clean the prepared tooth.
  2. Fitting and Adjustments: The permanent crown will be carefully fitted onto your tooth, and your dentist will make any necessary adjustments to ensure a proper fit and bite.
  3. Cementing the Crown: Once the fit and bite are satisfactory, the crown will be permanently cemented onto your tooth using a special dental adhesive.
  4. Final Adjustments: Your dentist will make any final adjustments to ensure your comfort and proper bite alignment.

After the procedure, your new dental crown should blend seamlessly with your natural teeth, restoring the tooth’s function, strength, and appearance. With proper care and maintenance, including regular dental check-ups and good oral hygiene practices, your dental crown can last for many years.

Potential Complications with Dental Crowns

While dental crowns are a highly effective and durable solution, it’s important to be aware of potential complications that may arise. According to Dentistry of West Bend , some common issues include:

  1. Tooth Decay: Although crowns protect the underlying tooth, there is still a risk of decay if plaque and tartar accumulate around the crown’s margins. Proper oral hygiene and regular dental visits are crucial to prevent this.
  2. Sensitivity: If the crown does not fit properly or exposes a portion of the tooth’s dentin, sensitivity to hot or cold temperatures may occur. Your dentist can address this issue by adjusting the crown or providing a desensitizing treatment.
  3. Allergic Reactions: While rare, some individuals may experience allergic reactions to the materials used in dental crowns, particularly metals. Your dentist can recommend alternative materials if an allergy is suspected.
  4. Bite Problems: If the crown is not properly fitted or aligned, it can cause discomfort or excessive wear on neighboring teeth. Regular follow-up appointments can help identify and address any bite issues.

By being aware of these potential complications and maintaining good oral hygiene practices, you can minimize the risks associated with dental crowns and enjoy their benefits for years to come.

To better understand the transformative power of dental crowns, let’s take a look at some before and after images from reputable dental practices:

Case 1: Smile Stories

Before: A patient with a severely discolored and misshapen tooth, affecting their smile and confidence. After: A beautifully crafted porcelain crown, restoring the tooth’s natural appearance and blending seamlessly with the surrounding teeth.

Case 2: McOmie Family Dentistry

Before: A patient with broken old veneers, stained gumlines, and discolored restorations, resulting in an unsightly smile. After: A stunning transformation with expertly crafted veneers and crowns, creating a radiant and confident smile that has stood the test of time.

Case 3: Dentistry of West Bend

Before: A patient with a severely decayed or fractured tooth, posing a risk of further damage or infection. After: A durable and functional crown, protecting the remaining tooth structure and restoring the ability to chew and bite comfortably.

These before and after examples showcase the incredible impact dental crowns can have on a patient’s oral health, appearance, and overall confidence.


Dental crowns are a versatile and effective restorative treatment that can address a wide range of dental issues, from protecting weakened teeth to enhancing the appearance of your smile. By understanding the reasons for recommending crowns, the materials used, the procedural steps involved, and the potential complications, you can make an informed decision about whether this treatment is right for you.

Remember, every case is unique, and it’s essential to consult with your dentist to determine the best course of action. With the guidance of a skilled dental professional and proper care, dental crowns can provide a long-lasting solution, restoring your teeth’s functionality, strength, and natural beauty.

We encourage you to share your experiences, ask questions, or provide feedback in the comments section below. Your input can help others gain valuable insights and make informed decisions about their dental health.

What is the most natural-looking type of dental crown?

All-ceramic or porcelain crowns offer the most natural look, closely mimicking the translucency and color of natural teeth.

How long do dental crowns last?

Dental crowns typically last between 5 and 15 years, depending on the material, oral hygiene, and personal habits. Certain types, like gold crowns, may last even longer.

Are dental crowns painful to get?

The procedure for getting a dental crown is usually not painful, as it is performed under local anesthesia. Some sensitivity or discomfort may be experienced after the procedure, but it typically subsides quickly.

Can a dental crown be done in one day?

Yes, with advancements in dental technology, such as CAD/CAM, some types of crowns can be designed, fabricated, and placed in a single dental visit.

How do I care for my dental crown?

Care for a dental crown involves regular brushing and flossing, avoiding hard and sticky foods, and regular dental check-ups. It’s also important to avoid habits that can damage the crown, like grinding teeth or chewing on hard objects.

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