How Do Dentists Prepare Teeth for Crowns?

Dental crowns are one of the most reliable ways to restore a damaged, weakened, or heavily decayed tooth. They not only protect the remaining tooth structure but also restore strength, function, and appearance. But before a crown can be placed, your dentist must prepare the tooth to ensure a proper fit and long-lasting result. Here’s a step-by-step look at how dentists prepare teeth for crowns.

1. Examining and Numbing the Tooth

Before any procedure begins, your dentist examines the tooth and surrounding tissues to ensure that a crown is the best option. X-rays may be taken to assess the root and bone health. Once the plan is confirmed, the dentist numbs the area with local anesthesia to ensure you remain comfortable throughout the procedure. Even though crown preparation is painless, numbing helps prevent sensitivity and makes the experience more relaxing.

2. Removing Decay and Shaping the Tooth

To place a crown, the damaged tooth must be reshaped so the crown can fit securely over it. The dentist carefully removes decay, old fillings, or weakened tooth structure. Then, they shape the tooth by reducing its size along the top and sides. This creates enough space for the crown’s material—whether porcelain, ceramic, or metal—without making the tooth look bulky.

The amount of reduction varies depending on the type of crown. For example, porcelain crowns require slightly more space than metal ones.

3. Addressing Extensive Damage (If Needed)

If the tooth is significantly worn down or fractured, the dentist may need to build it up using filling material. This step provides a stable foundation so the crown sits properly and lasts long-term. Additionally, if the decay extends into the pulp, a root canal may be necessary before crown placement to prevent infection and discomfort.

4. Taking Impressions or Digital Scans

Once the tooth is shaped, your dentist captures either a traditional impression or a digital scan. These molds create a precise model of your tooth and bite. This information is sent to a dental lab, where skilled technicians craft a custom crown tailored to your mouth.

5. Placing a Temporary Crown

Because creating a custom crown takes time, a temporary crown is placed to protect your prepared tooth. It allows you to chew, speak, and smile normally while preventing sensitivity and damage.

Preparing a tooth for a crown is a detailed, meticulous process. With the right preparation and a skilled dentist, your crown will fit beautifully, feel natural, and restore your smile for years to come.

About the Practice

Looking for a tried-and-true way to restore your smile? Trust our dental crowns at Lacquaniti Dental to get you ready to smile for photos again! Our experienced and compassionate dental team has custom-made restorations for a lifelike appearance that’ll prove to be a discreet solution. And with high-quality materials for long-lasting results, you can enjoy them for years to come. Schedule an appointment with us online or call (352) 383-8121.