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Brightside Restorative dentistry

A crown holds
a tooth together.

A cap that covers the whole tooth, used when there is not enough sound tooth left for a filling to work, or when a tooth has cracked.

What it is

It is about what is left, not what is missing.

A filling replaces missing tooth structure. A crown holds the remaining structure together, which is a different job. Once a tooth is mostly filling, or has a crack running through a cusp, adding more filling material makes it more likely to split, not less.

  • A tooth hurts sharply when you bite and then stops
  • A large old filling keeps chipping at the edges
  • A cusp has broken off
  • The tooth has had root canal therapy
  • There is more filling than tooth
  • A crack is visible in the enamel

What the visit is like

Two visits, usually.

  1. Shaping and an impressionThe tooth is freezed and reduced so the crown has room, then scanned or impressioned. This is the longer of the two visits.
  2. A temporary crownYou leave with a temporary while the permanent one is made. It is not as strong, so avoid anything very hard or sticky on that side.
  3. Fitting the permanent crownShorter visit. We check the fit, the contact with neighbouring teeth and the bite before it is cemented.
  4. Bite check and a follow-up if neededSame as a filling, a high crown is the usual reason for aching afterwards and it is a quick adjustment.

Cost and coverage

You should never be surprised by a bill.

Every plan arrives with the fee beside each line and the insurance estimate beside that, before you agree to anything. We submit to your plan directly where it allows it, and we are set up for the Canadian Dental Care Plan.

Fees for this are quoted in writing after an exam, per tooth and per surface. Nobody can price it accurately from a website or over the phone.


Common questions

Asked on the phone most weeks.

How long does a crown last?
It varies with the tooth, your bite and whether you grind. Many last a long time and some do not, and anyone giving you a fixed number is guessing. If you grind, a night guard protects the investment.
Can I just have another filling instead?
Sometimes, and where that is reasonable we will offer it. Where the tooth is mostly filling or has a crack, another filling raises the chance of the tooth splitting, which can end with losing it altogether.
Do I need a crown after a root canal?
On back teeth, usually yes, because a root-treated tooth is more brittle and these teeth take the most force. Front teeth sometimes do not. We will tell you which applies to your tooth.

Booking

Say what it is when you call.

If it is pain, say that -- it changes how the day gets arranged. If it is a checkup for three people, say that too and we will try to put you in one morning.

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