Dental Crowns: How to Know if You Need One

When it comes to restoring and protecting a damaged tooth, dental crowns are one of the most reliable and effective treatments available. But how do you know if a crown is right for you?

While some dental procedures are straightforward, the need for a crown depends on a combination of factors, including the condition of the tooth, your overall oral health, and your dentist’s professional recommendation.

At Brandon Smiles Dentistry, we believe in empowering our patients with clear, simple explanations. Whether you’re dealing with tooth pain, visible damage, or have been told you might need a crown, this guide will help you understand what a crown is, when it’s needed, and what your options are.

What Is a Dental Crown?

A dental crown is a custom-made cap that fits over a damaged or weakened tooth. It is designed to restore the tooth’s shape, strength, appearance, and function. Crowns are commonly used when a filling won’t be strong enough, or when too much of the natural tooth structure is compromised.

Crowns are typically made from materials such as porcelain, ceramic, metal, or a combination of materials, and are color-matched to blend seamlessly with your natural teeth. Once placed, a crown acts like a protective shell that allows you to bite and chew normally without worrying about further damage to the tooth underneath.

Do You Need a Crown for Your Tooth?

You might not always feel pain or see obvious signs that a tooth needs a crown, but there are several common reasons why your dentist might recommend one.

One of the most frequent reasons is a large cavity that’s too big for a regular filling. If more than half of the tooth is decayed or has already been filled, a crown can help hold the tooth together and prevent it from breaking.

A cracked or broken tooth is another situation where a crown can save the day. Sometimes a tooth might have a vertical crack or be worn down due to grinding, and a crown can reinforce the structure and reduce sensitivity or discomfort.

If you’ve recently undergone a root canal, a crown is often recommended to protect the now-fragile tooth. After removing the pulp inside, the tooth is more prone to breaking, so capping it with a crown provides long-term protection.

Crowns are also used for cosmetic purposes. For example, if a tooth is severely discolored, misshapen, or out of alignment, a dental crown can be used to restore it. In this case, a crown not only improves the tooth’s function but also enhances your smile’s appearance.

Other Signs You Might Need a Crown

There are also more subtle indicators that you might need a crown. If you’re experiencing frequent toothaches or sensitivity, especially when biting or chewing, this could be a sign of a compromised tooth structure. Similarly, if an older filling keeps falling out or if your tooth feels weak, a crown may be a better long-term solution.

In some cases, you may have a missing tooth and need a crown as part of a dental implant or bridge. Crowns can anchor these restorations in place and allow you to regain full functionality.

The best way to know for sure is to schedule an exam with your dentist. Using X-rays and a visual inspection, we can determine whether a crown is the right choice for your dental needs.

Types of Dental Crowns

Not all crowns are created the same. Depending on the location of the tooth, the amount of natural tooth remaining, and your personal preferences, your dentist may recommend one of several types of crowns.

• Porcelain-fused-to-metal (PFM) crowns: Strong and durable while maintaining a natural appearance. They’re often used for back teeth that require more strength but still need to look natural.
• All-ceramic or all-porcelain crowns: Offer the best match to natural tooth color and are ideal for front teeth. They are metal-free, making them a great option for patients with metal allergies.
• Metal crowns: Extremely durable and resistant to wear. Often made of made of gold or other alloys. While not as natural-looking, they are often used for molars that are out of sight and need extra strength.
• Zirconia crowns: Newer option that combines durability with a tooth-like appearance. They are strong enough for molars and aesthetically pleasing enough for visible teeth.

The choice of material often comes down to balancing appearance, strength, cost, and the specific location of the tooth being restored.

What to Expect When Getting a Crown

Getting a dental crown typically involves two visits. During the first visit, your dentist will prepare the tooth by removing any decay and shaping it so that the crown can fit snugly. Impressions or digital scans are then taken to create a crown that fits your bite perfectly. In most cases, you’ll receive a temporary crown to protect the tooth until your permanent one is ready.

At your second visit, the permanent crown is placed and adjusted for fit and comfort before being bonded into place. Once it’s secure, you can resume normal eating and speaking with a tooth that feels natural and functions fully.

Caring for Your Crown

While dental crowns are strong and long-lasting, they still require good oral hygiene. Brushing twice a day, flossing daily, and visiting your dentist for regular cleanings and checkups will help keep your crown, and the tooth beneath it, healthy for years to come.

Avoid using your crowned tooth to bite on hard items like ice or pens, and if you grind your teeth at night, a custom nightguard can protect your investment.

Dental Crowns at Brandon Smiles Dentistry

If you’ve been experiencing tooth pain, sensitivity, or notice visible cracks or large fillings, it might be time to consider a dental crown. Crowns don’t just restore your smile—they protect your teeth from further damage and help preserve your oral health in the long run.

At Brandon Smiles Dentistry, we’re here to help you make the best decision for your smile. Our team will evaluate your needs, discuss your options, and guide you through the process with comfort and care.

Book your appointment with Brandon Smiles Dentistry today.