Permanent Dental Crowns

It's good to be king.

The crown is the part of your tooth that sits above the gums—it’s the part you can see. Sometimes your natural crown can become weak, discolored or broken. And sometimes, a tooth may need to be replaced completely.

Anatomy of toothIn any of these situations, we can apply a beautiful new crown that will make your tooth stronger and improve its appearance.

Permanent dental crowns can be metal, porcelain-fused-to-metal, resin or ceramic. We will work with you to decide which type of crown to use based on your individual circumstance.

We’ll start with a few X-rays, so we can see the structure of your tooth hidden by the gum. Then, we’ll reshape the existing tooth to support the new crown. We’ll make an impression of the reshaped tooth, and send it to our dental laboratory where your new crown will be created. You may receive a temporary crown made of acrylic while we wait for your permanent crown to arrive.


It’s important to follow a few simple steps to take care of your temporary crown:

  • Avoid hard, sticky or chewy foods that can dislodge the crown
  • Slide floss through the teeth rather than lifting it out
  • Try not to chew on the side of your mouth where the temporary crown is

After new crown is ready, usually in 2-3 weeks, you’ll come back to our office where we’ll check the fit and color of the permanent crown. Using a local anesthetic, we’ll numb the area and apply your brand new dental crown.


You may experience mild sensitivity after the anesthetic wears off—this is normal. We can recommend an over-the-counter or prescription pain reliever that can help ease any discomfort. Toothpastes that are specially formulated for sensitive teeth can also help.

You should call us right away if:

  • The crown chips or cracks
  • You experience pain or sensitivity when biting down
  • The crown becomes loose or falls off

And most importantly, remember that a crown will not protect your teeth from decay and disease, so you should continue to maintain a good oral health routine. Brush twice a day with an ADA-approved fluoride toothpaste, and floss once daily to remove food and bacteria caught between teeth.

If you have questions about crowns, just ask us during your next visit!

Patients come to us for dental crowns from Cary, Clayton, Garner, Raleigh, Apex and nearby areas.