Crowns & Bridges: Common Questions
What is a dental crown, and when do I need one?
A crown is a custom cap that covers a damaged tooth to restore its shape, strength, and appearance. It is typically needed when a tooth is cracked, has a large or failing filling, is badly worn, or has had a root canal — situations where a simple filling would not hold. Dr. Skiba will tell you honestly whether your tooth truly needs a crown or whether a smaller repair will do.
What is the difference between a crown and a filling?
A filling repairs a small-to-moderate cavity by filling the hole; the tooth keeps most of its own structure. A crown covers and holds together a tooth that has lost too much structure for a filling to be safe — for example a cracked tooth or one with a very large old filling. Put simply: fillings patch, crowns cap and protect the whole tooth.
What are crowns made of?
The main options are all-ceramic or zirconia (metal-free, most natural-looking, and now strong enough for back teeth), porcelain-fused-to-metal (a proven balance of strength and appearance), and gold or metal alloy (extremely durable and gentle on opposing teeth, but metal-colored). Dr. Skiba will recommend based on which tooth it is, how much force it takes, and how much appearance matters to you.
How many visits does a crown take?
Usually two. At the first visit the tooth is prepared, an impression or scan is taken, and a temporary crown is placed while the dental lab makes your permanent one. At the second visit, a couple of weeks later, the permanent crown is fitted, adjusted, and cemented. We do not currently offer same-day milled crowns, so we plan the two visits around your schedule.
Does getting a crown hurt?
The procedure itself is done with the tooth fully numbed, so you should not feel pain during it. Some mild sensitivity or tenderness for a few days afterward is normal, especially around the gum, and it usually settles. If a crowned tooth stays sensitive or the bite feels high, tell us — that is an easy adjustment, not something to live with.
How long do crowns and bridges last?
With good home care and regular checkups, crowns and bridges commonly last many years — often a decade or more, and sometimes far longer. Lifespan depends on the material, the bite, grinding habits, and how well the tooth and gum underneath are kept healthy. We check your existing crowns and bridges at every visit so a small problem is caught before it becomes a big one.
What is a dental bridge, and how is it different from an implant or denture?
A bridge replaces a missing tooth by anchoring a replacement to crowns on the two neighboring teeth; it is fixed in place. An implant replaces the missing tooth with a titanium root and crown without touching the neighbors, and lasts longest, but involves surgery. A partial denture is removable and the most accessible option. Dr. Skiba will lay out the honest trade-offs for your situation — you can also compare dental implant vs. bridge and dentures vs. implants on our site.
Do you do same-day crowns?
Not at this time — we use traditional lab-made crowns, which means two visits with a temporary crown in between. The upside is a crown crafted and checked carefully to fit your bite; the downside is the short wait. We are upfront about that rather than overpromising.
Do you perform root canals before placing a crown?
When a tooth needs a root canal before it can be crowned, we refer the root canal to a trusted endodontist — a specialist in that procedure — and then restore the tooth with a crown here once it is done. That way each part is handled by the right hands and the tooth is finished properly.
How do I take care of a crown or bridge, and does insurance cover it?
Care for them like natural teeth: brush twice a day, and clean under a bridge daily with floss threaders or a small interdental brush, since food and plaque collect there. Avoid chewing ice or very hard objects that can crack any crown. On coverage: many dental plans contribute toward crowns and bridges, though amounts, annual maximums, and waiting periods vary. We file claims as a courtesy and can submit a pre-treatment estimate for larger work so you know where you stand first. We are not in HMO or managed-care networks.