A restorative dental crown is used to repair damaged or decayed teeth and restore a tooth’s shape, size, and strength. While enhancing your chewing ability and smile, a crown can also make the tooth quite strong. With proper care and hygiene crowns will last for many years.


Crowns can make the tooth/teeth strong and will last for many years while enhancing your smile and chewing ability. They can be completed in as little as two office visits and be made of many different materials depending on the application and desired result.

Because the enamel has to be completely removed for a crown application, we prefer to use a more conservative porcelain veneer for cosmetic applications. However, if your teeth are worn, broken or decayed we recommend restorative porcelain crowns for proper treatment. Dr. Shrestha prefers to use superior BruxZir® Solid Zirconia crowns over crowns made of porcelain fused to metal.

Crown Types

Depending on the function and desired outcome, crowns can be constructed of several different materials. We can recommend the best type of crown for your dental restoration needs based on the structure of the tooth, chewing placement, and desired appearance. We believe every restorative crown can also be a cosmetically pleasing crown.

There are three main types of crowns; ceramic, porcelain fused to metal, and all metal with several types of material. Each material has its own features and unique character. Dr. Shrestha prefers to use superior Solid Zirconia crowns over crowns made of porcelain fused to metal. This allows Dr. Shrestha to perform metal-free dentistry and give the patient a beautiful crown with no grey line at the gums.

The Crowns we use look amazing and over time will not reveal the unattractive black line at the gumline from porcelain fused to metal crowns. The crown will not stain or change color and can be made to match the light-transmitting qualities of natural teeth.

When Prescribed

A crown may be prescribed by your Dentist to:

  • Restore and protect a tooth that is worn, decayed, cracked, or broken
  • Protect and support a tooth after a very large filling or root canal treatment
  • Cover a dental implant
  • Hold a dental bridge or other prosthetic device in place
  • Improve your smile by covering a misshapen or severely discolored tooth

Crown Types

Your Dentist will recommend the best type of crown for your dental restoration needs based on the chewing placement and structure of the tooth or implant that requires protection. There are three types of crowns. Each type has its own characteristics and qualities:

Full Porcelain

Porcelain is attractive, strong, stable, and highly resistant to wear. It offers a high level of biocompatibility because it does not contain metal.

A porcelain crown provides the best natural color match to the rest of your teeth and is an excellent choice for front teeth. The aesthetic quality of a porcelain crown requires highly skilled and experienced technicians which is why we chose to use labs focused solely on making excellent products.


Metal offers strength and endurance. A metal crown may be recommended for back teeth where the forces of biting and chewing are the greatest. A metal crown rarely chips or breaks. In addition, it requires minimal removal of tooth structure.

A gold or other high-noble metal crown offers biocompatibility. A base metal crown is often the least expensive treatment options; however, it lacks biocompatibility and may cause allergic reactions or gumline discoloration.


Porcelain-fused-to-metal offers the benefits of a natural surface color that resembles the rest of your teeth and the strength of a metal substructure.

While there are several advantages to selecting this type of crown, it requires the removal of more tooth structure than other types of crowns. This means that there is greater potential for patient discomfort during the treatment procedure.

Patient Experience

After a thorough exam of your teeth, gums and supporting bone structure, your Dentist will discuss treatment options with you and answer your questions. If the agreed upon-treatment is a dental crown, your Dentist will apply a local anesthetic to prepare your tooth or dental implant.

Porcelain Crown

If the treatment of choice is a porcelain crown many treatment methods are available:

  • Lava™: When the highest level of natural translucency of your crown’s porcelain surface is important, this procedure is used. During your first office visit, we design your crown. Then you will be fitted with a temporary crown to protect your gum and tooth or dental implant. During a second office visit, your Dentist will fit and permanently bond your crown.

Metal or Porcelain-Metal

After your tooth or dental implant has been prepared and shaped for a crown:

  • A putty-like material is used to make impression of your prepared teeth. Your crown will be fabricated for a precise fit based on this impression.
  • You will be fitted with a temporary crown to protect your tooth/implant and gums until your permanent crown has been fabricated.
  • During a second office visit, your Dentist will fit your permanent crown and bond it to your tooth or dental implant.

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