Dental crowns are, in the most basic form, a helmet or protective restoration for your tooth. Teeth may need crowns for a variety of reasons and although they are sometimes perceived as a scary or painful procedure to patients, they are actually just the opposite, and if your tooth requires a crown it is an attempt to keep the tooth healthy and in your mouth for as long as possible.
Here are some of the most common reasons a tooth may need a crown:
- Your tooth has had a root canal. All back teeth that require a root canal will also require a crown to prevent the tooth from fracturing. If a root canal procedure has been performed, your tooth’s internal structure has been weakened to the extent that it cannot survive without something to protect it.
- Your tooth has had a previous metal or large composite filling that has caused stress fractures in your natural tooth structure. Your tooth is composed of a crystalline structure, similar to glass, and as such fractures or cracks will continue to propagate or get larger unless something is done to hold your tooth together.
- Your tooth has lost a significant amount of tooth structure. This may have happened due to a very large cavity that requires removal of the decay to the extent that there isn’t enough tooth structure remaining to support a filling. Additionally, this may have happened previously and the large filling is starting to leak, fail, or a cavity is again forming around the filling, which will require complete removal of the filling and the tooth structure damaged by the cavity.
- Another reason you may need a crown is the loss of a significant amount of tooth structure due to trauma, in which case a crown may be needed to restore the missing tooth structure.