Dental Crown Replacements: What to Expect

Nov 22, 2024 | Dental Care | 0 comments

When Dental Crowns are properly cared for with good oral hygiene habits, they can last a long time. But, at some point, your crown may still need to be replaced. A dental crown replacement restores your tooth’s functionality and improves your oral health. 


In this article, we will explain why you might need a replacement, what to expect during the process, and answer our patients most-asked questions. We want you to feel prepared and confident when you visit your dentist for the repair.

Why Might You Need a Dental Crown Replacement?

Over time, our teeth can face wear and tear due to regular use, accidents, or underlying oral health issues. Dental crowns are no different. Here are some common reasons why you might need a dental crown replacement:

  • Wear and tear. Normal use over time can lead to cracks or damage.
  • Discomfort or pain. A poorly fitted or damaged crown may cause pain or sensitivity.
  • Decayed tooth structure. The natural tooth under the crown can develop decay and lead to a poor fit. This is especially prevalent when good oral hygiene habits are not developed.
  • Cosmetic reasons. Modern crowns can look more natural than older versions and blend seamlessly with your teeth.

What Is the Dental Crown Replacement Process Like?

Replacing a dental crown involves several standard steps to help the new crown fit properly and function well. Here is what you can expect during the replacement process:

1. Initial Evaluation

Your dentist will begin with an initial evaluation, examining the current crown and the underlying tooth structure. This may involve:

  • X-rays to assess the health of the tooth and surrounding bone.
  • Checking for signs of decay, damage, or infection.

2. Removal of the Old Crown

Once the evaluation is complete, the dentist will carefully remove the old crown. This is done with precision and care to prevent damaging the underlying tooth.

3. Cleaning and Preparation

After the old crown is removed, your dentist will:

  • Clean the tooth to remove any debris or decay.
  • A restoration of a filling will be placed when an old filling or decay is removed.

4. Taking Impressions

To ensure a perfect fit, impressions of your tooth will be taken. This can be done using:

  • Traditional impression material.
  • Digital scans for a quicker and more comfortable experience.

When traditional impressions are taken, they are sent to a local dental lab where the custom crown is milled. If digital scans are taken, crowns are created in-house on the same day.

5. Temporary Crown Placement

If your replacement crown cannot be made in-house on the same day, a temporary crown is placed over your tooth to protect it while you wait. This provides:

  • Comfort and functionality during the interim period.
  • Protection from sensitivity and damage.

6. Fitting the Permanent Crown

Here are the steps you can expect when you visit the dentist for a permanent crown fitting.

  • Remove the temporary crown if one was put in place.
  • Check the fit and color match of the new crown.
  • Bond or cement the new crown securely to your tooth..

Tips for Post-Replacement Care

Your dentist will recommend proper after-care so your new dental crown will last as long as possible. The American Dental Association (ADA) recommends:

  • Good oral hygiene. Carefully brush your teeth 2X per day and floss daily to prevent plaque buildup around the crown.
  • Regular dental check-ups. Routine visits help monitor your oral health and the well-being of your crown.
  • Avoid hard foods. Chewing on ice or hard candies can damage the crown.
  • Wear a mouthguard. If you tend to grind your teeth when you sleep, a mouthguard can help protect your crown from stress damage.

FAQs About Dental Crown Replacements

What Materials Are Used for Crowns?

Common materials include:

  • Ceramic. Most common, durable, and aesthetically pleasing.
  • Metal alloys. Often used for molars small in height.
  • Porcelain-fused-to-metal (PFM). Combines the strength of metal with the natural aesthetic of porcelain.

How Long Does a Dental Crown Last?

Dental crowns can last a long time if you care for them well. Some crown materials are more durable than others, but the care you take is the primary factor in their longevity.  

How Do I Know If I Need to Consult My Dentist?

If you notice any of the following signs, it’s time to contact your dentist for an evaluation:

  • Persistent pain or sensitivity in a crowned tooth
  • Visible cracks or damage to your crown
  • Gum recession around the crowned tooth
  • Looseness or mobility of your crown

Does the Process Hurt?

The process is generally pain-free with modern techniques and local anesthesia. Patients may experience mild sensitivity after the procedure, but this usually subsides within a few days.

Full Heart Dentistry: Same-Day Crown Replacement Services

Full Heart Dentistry’s same-day crown replacement services use state-of-the-art technology to streamline the process in just one appointment. We fit your new crown using computer-aided design (CAD) and mill your finished product in-house so you can leave with a new, natural-looking crown the same day.

Our team at Full Heart Dentistry in Rochester understands that dental procedures can cause anxiety. We are committed to compassionate care and helping patients feel at ease during their visit. We take pride in our gentle approach, prioritizing your comfort every step of the way. 


If you have an issue with a dental crown, schedule an appointment with us at Full Heart Dentistry today and experience the difference with personalized, anxiety-free, same-day dental crown replacement.