Dental crowns are a common restorative solution that help protect and strengthen damaged teeth. At Mount Zion Dental in North Miami Beach, our team often recommends crowns for patients with severe tooth decay, cracked teeth, or those who need to support a dental bridge. But despite their benefits, not everyone is an ideal candidate for this treatment.
In this blog, we’ll dive into the cases where dental crowns may not be recommended and what options you may consider instead.
What Is a Dental Crown?
A dental crown is a tooth-shaped “cap” placed over a damaged or decayed tooth. It restores the tooth’s shape, size, and function, and helps protect the remaining structure. Crowns are typically made from materials like porcelain, ceramic, metal alloys, or a combination of these.
While they offer both aesthetic and functional benefits, there are situations where a dental crown might not be the best option.
Who Is NOT a Suitable Candidate for Dental Crowns?
1. Patients with Severe Gum Disease
If you have advanced periodontal disease, a crown may not last long. Crowns rely on a stable foundation, and gum disease can weaken the structures supporting your teeth. Placing a crown on a tooth with loose or infected gums can lead to further complications.
Alternative: Gum treatment and periodontal therapy should be prioritized before considering restorative options.
2. People with Insufficient Tooth Structure
Dental crowns require a minimum amount of healthy tooth structure for support. If the tooth is too decayed, broken down, or has been worn away, a crown might not be feasible—even with buildup material.
Alternative: Tooth extraction followed by a dental implant or bridge may be more appropriate.
3. Patients with Poor Oral Hygiene
A crown does not eliminate the risk of decay. Individuals who don’t brush or floss regularly are more likely to experience decay under the crown, leading to failure of the restoration.
Alternative: Improving oral hygiene habits and getting regular professional cleanings are essential before any crown placement.
4. Bruxism Patients (Teeth Grinders)
People who suffer from chronic teeth grinding (bruxism) can wear down or crack dental crowns over time. Although stronger materials like zirconia or metal can be used, they may still not withstand the pressure.
Alternative: Nightguards and stress management may be necessary before considering a crown.
5. Those Allergic to Crown Materials
Some individuals may have allergic reactions to metals or other materials used in dental crowns, although it’s rare. This makes them poor candidates for certain types of crowns.
Alternative: Opting for all-ceramic or zirconia crowns, which are metal-free and biocompatible, might be a safer option.
6. Young Children with Developing Teeth
Permanent crowns are generally not used in children unless it’s a stainless-steel crown for a baby tooth. For young children with developing permanent teeth, a crown may interfere with natural growth.
Alternative: In such cases, pediatric dentists may opt for fillings or temporary solutions until the teeth mature.
7. Patients Who Avoid Dental Visits
Crowns often require multiple dental visits, from initial impressions to fitting and final placement. If you have severe dental anxiety or frequently miss appointments, the crown procedure may be difficult to complete.
Alternative: Discuss sedation options or alternative restorations with your dentist.
What Are the Alternatives to Dental Crowns?
If you’re not a good candidate for a dental crown, there are several other options depending on your specific dental needs:
- Dental Fillings: For minor decay or damage.
- Inlays/Onlays: Partial restorations that fit into or onto a tooth.
- Dental Bonding: Ideal for small chips or cracks.
- Dental Implants: A long-term solution if the tooth needs to be extracted.
- Bridges: For replacing missing teeth when surrounding teeth are strong.
Your dentist at Mount Zion Dental will carefully evaluate your oral condition and recommend the best option for you.
FAQs
Can I get a dental crown if I have cavities?
Yes, but the cavity must be treated first. If too much of the tooth is decayed, a crown may not be possible.
What happens if I delay getting a crown?
Delaying a crown can lead to further damage, infection, or tooth loss.
Are there different types of crowns for different people?
Yes, your dentist may recommend ceramic, porcelain-fused-to-metal, metal, or zirconia crowns depending on your needs and preferences.
Can crowns be done in one visit?
Some practices offer same-day crowns using CAD/CAM technology, but traditional crowns usually require two visits.
What if my crown falls off?
Call your dentist immediately. Do not attempt to glue it back yourself.
Do crowns feel like real teeth?
Yes, once placed properly, crowns are designed to mimic the look and function of natural teeth.
How long do dental crowns last?
With proper care, they can last 10 to 15 years or longer, depending on the material and your oral hygiene.
Conclusion
Dental crowns are a valuable solution for restoring damaged teeth, but they aren’t suitable for everyone. At Mount Zion Dental in North Miami Beach, our goal is to provide personalized dental care based on each patient’s unique oral health.
If you’re unsure whether a dental crown is right for you, let us help. With over 20 years of experience, Dr. Maria Teresa Cook and our dedicated team will evaluate your condition, explain your options, and guide you toward the best possible treatment.
Call Mount Zion Dental today at (305) 330-9330 or (786) 565-5913 to schedule your consultation. We’re conveniently located at: North Miami Beach, FL
Your healthiest smile starts here!