Why restore with a crown?
1.Compromised tooth
In a situation where there is not enough remaining solid tooth structure after decay and fragile tooth structure is removed, or the tooth has fractured and is now missing important architectural reinforcements, the tooth might very well require a Crown : a restoration consisting of a dental material that will exist around the remaining tooth structure to a varying degree.
2.Implant
When Dental implants are placed into either the maxilla or mandible as an alternative to partial or complete edentulism. Once placed and properly integrated into the bone, implants may then be fitted with a number of different prostheses: Crowns or Bridges.
3.Endodontically treated teeth
When teeth undergo endodontic treatment, or root canal therapy, they are devitalized when the nerve and blood supply are cut off and the space which they previously filled, known as the "pulp chamber" and "root canal", are thoroughly cleansed and filled with various materials to prevent future invasion by bacteria. Although there may very well be enough tooth structure remaining after root canal therapy is provided for a particular tooth to restore the tooth with an intracoronal restoration, this is not suggested in most teeth. The vitality of a tooth is remarkable in its ability to provide the tooth with the strength and durability it needs to function in mastication. The living tooth structure is surprisingly resilient and can sustain considerable abuse without fracturing. Consequently, after root canal therapy is performed, a tooth becomes extremely brittle and is significantly weaker than its vital neighbors.
4.Surveyed crown
Another situation in which a crown is the restoration of choice is when a tooth is intended as an abutment tooth for a removable partial denture, but is initially unfavorable for such a task. If the abutment teeth onto which the RPD is supposed to clasp do not possess the proper dimensions or features required, these aspects can be built into what is known as a surveyed crown.
5.Aesthetics
Crown would be the restoration of choice is when a patient desires to have his or her smile aesthetically improved but when partial coverage (i.e. a veneer/laminate) is not an option for one or more of a number of reasons. If the patient's occlusion does not permit for a mildly-retentive restoration, or if there is too much decay or a fracture within the tooth structure, a porcelain or composite veneer may not be placed with any adequate guarantee for its durability. Similarly, a bruxer (i.e. someone who grinds his or her teeth) may produce enough force to repeatedly dislodge or irreversibly abrade any veneer a dentist can plan for. In such a case, full coverage crowns can alter the size, shape or shade of a patient's teeth while protecting against failure of the restoration.
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