First your dentist looks closely at the crown and the tooth beneath it. They may take an X-ray if theres concern about decay or an infection hiding below the gum line. The crown itself gets checked for cracks, movement, poor fit or changes in your bite.<\/p>\r\n
This first appointment matters more than people think. A loose crown isn’t always the problem. Sometimes the tooth underneath needs attention before a new crown goes on.<\/p>\r\n
Your dentist will explain whether the old crown can simply be replaced or whether the tooth needs treatment first. If theres decay, the damaged area needs to be dealt with. If the tooth has lost much structure you may need a build-up before the replacement crown is made.<\/p>\r\n
\u2022 A worn crown with a tooth underneath is usually the simpler situation.<\/p>\r\n
\u2022 Pain, swelling or a bad taste around the crown deserves attention before replacement especially if it keeps happening.<\/p>\r\n
Once you’re ready the dentist carefully removes the existing crown. Local anaesthetic is used when needed so you shouldn’t feel pain during the procedure.<\/p>\r\n
The old crown may need to be cut into sections before it can be lifted away. This sounds alarming. Its a routine part of crown replacement. You mostly notice pressure and movement.<\/p>\r\n
Any decay or damaged material is removed. The dentist then reshapes the tooth if necessary so the replacement crown has room and a secure surface to sit on.<\/p>\r\n
If theres not tooth left a filling material may be used to rebuild it. The goal is simple. Give the crown a stable foundation.<\/p>\r\n
Your dentist takes a scan or an impression of the prepared tooth. This gives the laboratory the information needed to create a crown that fits your tooth and matches your bite.<\/p>\r\n
You’ll usually receive a crown while the permanent one is being made. Treat it with a care. Sticky foods are a bad idea because they can pull it loose.<\/p>\r\n
At the appointment the dentist removes the temporary crown and checks the new one. They’ll look at the fit and your bite make small adjustments if needed.<\/p>\r\n
This is the part where you get to speak up. If the crown feels too high when you bite say so. A tiny adjustment can make a difference.<\/p>\r\n
After that your mouth usually needs a time to get used to the new shape. Some sensitivity can happen, around the gum. It should settle than steadily getting worse.<\/p>\r\n