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What are the Disadvantages of Crowns?

August 23, 2024

A dental crown addresses various dental problems, including chipped, cracked, broken, decayed, or misshapen teeth. It encases the tooth's visible portion, restoring its appearance and functionality. 

Getting a dental crown usually requires two dental visits: the first is for preparing the tooth for the crown, and the second is to fit and secure the custom crown in place. Dental crowns offer numerous benefits, but like any dental treatment, they also have some drawbacks.

Let's explore the disadvantages of crowns and if there are any alternatives that you can explore. 

Exploring What Are the Disadvantages of Crowns

 

Cost 

One drawback of dental crowns is their cost. While the price varies based on factors like the type of crown and the procedures required, the average expense is approximately $1000. Individual costs may differ depending on your specific needs. 

Tooth Sensitivity

It's common to feel sensitivity and discomfort in a crowned tooth once the anesthesia wears off after the procedure. Additionally, if the crowned tooth still has a nerve, you might experience sensitivity to heat or cold.

Removal of Tooth Enamel

A major drawback of crowns is that your tooth enamel needs to be shaved to make space for crown placement. This permanently alters the structure of your tooth. 

Crown May Chip

Although a dental crown, particularly one made of porcelain, is designed to cover a chipped tooth, it can occasionally chip itself over time. Small chips in the crown can often be repaired while it remains in place, but if there is a large chip or multiple small chips, the crown will need to be replaced, leading to further costs. 

Risk of Nerve Damage

If a tooth is filed too thin, there is a risk of nerve damage. In cases like this, root canal therapy may be necessary, or in severe instances, the complete removal of the nerve might be required. However, your dentist will conduct a thorough examination to ensure your tooth can support the crown before proceeding with any filing.

Crown May Become Loose 

Over time, the cement that secures the crown to the tooth can deteriorate, causing the crown to become loose. This can also allow bacteria to enter and cause decay in the underlying tooth. Additionally, insufficient cement or an improper fit can result in the crown falling off.

Gum Irritation 

A dental crown may sometimes irritate the surrounding gum tissue, causing inflammation and gum recession accompanied by pain and sensitivity.

Allergic Reaction

Allergic reactions to dental crowns are very uncommon. However, because crowns are often made from a mix of metals, it's possible to have an allergic reaction to a metal or porcelain crown.

Dark Line Near the Gum

If you have a porcelain-fused-to-metal crown, you might notice a dark line near the gum line of the crowned tooth. This dark line is not plaque or tartar but rather the metal from the crown showing through.

Bite Issues

Before ordering and fitting a dental crown, our dentist always takes impressions and images of the patient's teeth to ensure a proper fit and comfort. However, if your crown doesn't seem to fit properly or feels rough when you bite down, it's important to schedule an examination.

Improper fit can lead to excessive wear on the adjacent teeth. 

Alternative Treatments to Dental Crowns

Dental Fillings

Dental Fillings are used to restore small to moderate cavities and damage by filling the affected area. They are less invasive and often less expensive than crowns.

Inlays & Onlays 

These are custom-made fillings that fit into the tooth's cavity or on the surface. Inlays and onlays are made from materials like porcelain, gold, or composite resin. They provide a strong and durable restoration.

Dental Bonding

Dental bonding is a quick and minimally invasive treatment where your dentist applies a tooth-colored resin to the affected area and cures it with a special light. This procedure is commonly used to fix chips, cracks, and gaps in teeth.

Root Canal Therapy

Root canal therapy removes the damaged or infected nerve and pulp from inside a tooth. The tooth is then sealed and often restored with a filling. This treatment helps preserve the natural tooth if it's severely damaged or infected.

Conclusion 

Dental crowns are a great way to restore the health of your teeth, but they may not be suitable for every situation. Knowing the disadvantages of dental crowns can help you make the right decision for your dental health. 

Find out if a dental crown is suitable for you by consulting with the dentists at Sunflower Dental Spa. Our team can conduct a complete evaluation to understand the nature of the issue and develop a customized treatment plan. 

Schedule your appointment today

FAQs

 

Are dental crowns expensive?

Yes, dental crowns can be costly, with the average price around $1000, depending on the type and procedures involved. Insurance may help offset some of the costs, so it's advisable to check with your provider for coverage details.

Can dental crowns cause discomfort?

Yes, it's common to experience sensitivity or discomfort in a crowned tooth, especially after the anesthesia wears off. If you experience ongoing pain or sensitivity, it's important to consult your dentist to ensure proper fit and address any issues.

What happens if a dental crown becomes loose?

If a dental crown becomes loose, bacteria can enter and cause decay in the underlying tooth. You should visit your dentist as soon as possible to have the crown re-cemented or replaced if necessary.

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