Choosing the right dental crown can be overwhelming with so many options available. In this guide by Project Smiles Dental, we will break down each type, highlighting their features, benefits, and potential drawbacks. We firmly believe in the concept of knowledge is power and every patient has their own preferences. We want our patients to harness that power so that they make the right choice based on their preferences and priorities.
What are Dental Crowns?
Dental crowns are coverings designed to encase damaged or decayed teeth, effectively restoring their original shape, size, strength, and appearance. They are an essential part of restorative dentistry, offering both functional and aesthetic benefits.
Usually crowns are suggested post root canal treatment to offer strength and protection to the tooth as the tooth becomes brittle due to dehydration after the root canal therapy.
Types of Dental Crowns
Porcelain Crowns
Features: Porcelain crowns are known for their natural appearance and are often used for front teeth. They replicate the translucency and hue of natural teeth. They are termed as E. Max where E stands for Esthetics. These crowns are most commonly opted by showbiz, models, actors and individuals for whom looks matter the most.
- Pros: Highly aesthetic, biocompatible, and stain-resistant.
These range from 14000- 18000 INR per unit based on the warranty provided by the dental laboratory.
Metal Crowns
Features: Metal crowns, often made from Cobalt-Chromium or Nickel-Chromium, are extremely durable and long-lasting. They are typically used for molars. These are outdated and were commonly practiced in 1990`s. Currently due to advancement in technology they have been replaced by far superior quality crowns However, as these are the most affordable crowns they are still preferred by few of our patients who are on a budget.
Pros and Cons:
- Pros: Superior strength, longevity, and requires less tooth removal.
- Cons: Unattractive metallic color, can cause sensitivity to temperature changes. Also the material is ferromagnetic substance. It might be an issue if the patient is going for an MRI scan.
These range from 3000-4000 INR per crown based on the warranty provided by dental laboratory.
Porcelain-Fused-to-Metal Crowns (PFM)
Features: PFM crowns combine the strength of metal with the aesthetics of porcelain. They have a metal core covered by a porcelain exterior. These are the most extensive practiced crowns in current days.
Pros and Cons:
- Pros: Strong and durable, better aesthetics than metal-only crowns.
- Cons: Porcelain layer can chip, metal margin may show if gums recede.
These crowns are usually range around 6000 INR. These are without any warranty. However, there is one more variety of PFM named DMLS(Direct metal laser Sintered) crowns. These are of superior quality than basic PFM crowns and comes with warranty of 10 years provided by dental laboratory.
Zirconia Crowns
Features: Zirconia crowns are made of zirconium oxide. These are the most opted crowns by our patients. The best feature about them is their unmatched strength especially when it comes to replacing crowns in the back teeth. They are esthetic too as they replicate natural tooth color. They are ideally suited for patients who are looking for value for their money/investment.
Pros and Cons:
- Pros: Extremely durable, natural-looking, and biocompatible.
- Cons: Can be abrasive to opposing teeth, slightly more expensive than other options.
Zirconia crowns have to varieties. Zirconia Monolith which is made from a single block and milled in a CAD/CAM machine. This is priced around 10000-12000 based on the warranty provided by the dental laboratory. Another variety is a multi-layered zirconia in which after milling the single block of zirconia in a milling machine another round of powdered zirconia is added with a different shade from the parent block to have better esthetics. This multi-layered zirconia is ranging between 12,000-15000 INR based on the warranty provided by the dental laboratory.
Resin Crowns
Features: Resin crowns are made from composite resin material. They are often used as a temporary solution.
Pros and Cons:
- Pros: Cost-effective, quick to produce, and aesthetically pleasing.
- Cons: Less durable, prone to wear and discoloration over time.
These are charged at 500-1000 INR per unit based on the quality of material being used.
Comparison of Dental Crowns
Durability
When it comes to durability, zirconia, top the list. They can withstand the forces of chewing and are less likely to crack or chip compared to porcelain or PFM crowns.
Aesthetics
For front teeth, aesthetics are crucial. E-max is the best when it matters the most. Zirconia especially multi-layered varient is also the next best option. PFM crowns provide a balance between strength and aesthetics but might show a metal margin over time.
Cost
Cost is a significant factor for many patients. Resin crowns(1000 INR) are the most affordable but offer the least durability(maximum a month). PFM(6000 INR) sounds a good choice if you are on a budget irrespective of the tooth being replaced. However adding 1000 INR gives you a DMLS varient(7000 INR). Zirconia monolith(10,000INR) is the best value for your investment irrespective of the tooth being replaced. Zirconia multi-layered (12,000 -14,000) is the best option if you are looking for best esthetics however, slightly confined by budget. E-Max(Esthetics. Max)(Starts from 14,000 INR) is the one where in you do not want to compromise on any bit and want the best out of all.
Choosing the Right Dental Crown for You
Factors to Consider
When selecting a dental crown, consider the following factors:
- Location of the tooth: Front teeth often require more aesthetic solutions like E. max or zirconia crowns. For the back teeth you can opt for PFM if on a budget or Zirconia monolith if you want the best strength.
- Allergies: If you have metal allergies, ceramic or zirconia crowns might be the best choice.
- Budget: Assess your budget however keep in mind that a crown is a one time investment for you. Do discuss finances if that is an issue with us so that we can help you or recommend you which crown to go for even on a budget.
- Durability needs: For molars that undergo heavy chewing, more durable options like zirconia monolith is advisable.
Consulting with Your Dentist Importance of Professional Advice
Your dentist is the best resource for helping you choose the right dental crown. They can assess your specific dental needs, consider your preferences, and recommend the most suitable type of crown.
Maintaining Your Dental Crown
Tips for Longevity
Proper care is crucial for the longevity of your dental crown. Here are some tips:
- Practice good oral hygiene: Brush twice a day and floss daily to prevent decay and gum disease.
- Avoid hard foods: Be cautious with foods that can crack or damage your crown.
- Regular dental visits: Schedule regular check-ups and cleanings with your dentist to monitor the condition of your crown.
- Water-flosser: We recommend using waterflosser for every crown to keep your gums in good health. The least you could do is floss the area regularly.
Conclusion
Choosing the right dental crown is a vital decision that impacts both your oral health and your smile’s appearance. By understanding the different types of dental crowns and considering your unique needs and preferences, you can make an informed choice. Remember to consult with your dentist to find the best option for you.
