A Tooth with an Existing Filling and a New Cavity Might Need a Crown

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A tooth with a pre-existing filling still has a modest amount of tooth enamel remaining. If a new cavity forms, there might not be sufficient healthy tooth enamel to anchor another filling. For a tooth in this condition, Drs. Royzman and Zaygermakher might recommend a dental crown.

This is a restorative treatment method designed to replace the entire tooth enamel layer with a replica cast from an artificial material. Crowns are typically made from either porcelain, gold or an alloy of base metals. The material our dentists recommend will be based on the tooth’s location in your mouth.

For a tooth that is highly visible in your smile, Drs. Royzman and Zaygermakher will likely recommend a porcelain crown. Since it can be shaded to match natural tooth enamel, it will be indistinguishable from the neighboring teeth.

Our dentists will examine the tooth to assess the severity of the decay. If the decay has penetrated the pulp or root of the tooth, a root canal might need to be performed.

Then, they will use a drill to remove the entirety of the tooth enamel. This leaves behind a post-like abutment of dentin that encases the pulp and root of the tooth.

A detailed impression will be made of the area. This will be sent to our dental lab where the new crown will be made. Then a temporary crown made from hard plastic will be secured over the abutment to protect it.

A member of our team will call you to schedule a follow-up appointment when the crown is ready. This appointment will be brief as the temporary crown will be removed and your new crown will be cemented onto the abutment.

If you would like to learn more about dental crowns in New York, New York, you should call (212) 579-0552 to talk to our team at Professional Dental & Implant Center.