Creating Crowns on the Spot- How Dentists Craft Restorations in Their Office

Do dentists make crowns in their office? This is a common question that many patients have when considering dental restoration options. Crowns, also known as caps, are dental restorations that cover the entire visible portion of a tooth, restoring its shape, size, strength, and appearance. The process of creating and placing a dental crown typically involves multiple steps, and many patients are curious about whether this can be done in their dentist’s office.

Dentists often have the capability to create crowns in their office using advanced technology. One of the most common methods is the use of a dental CAD/CAM (Computer-Aided Design/Computer-Aided Manufacturing) system. This system allows dentists to design and fabricate a custom crown right in the office, reducing the need for multiple visits and external laboratory work. The process typically involves the following steps:

1. Initial Consultation: The dentist will examine the tooth and discuss the patient’s needs and expectations. They may take X-rays and make impressions of the tooth to ensure the crown fits properly.

2. Preparation: The dentist will prepare the tooth by removing any decay, reshaping the tooth to accommodate the crown, and taking additional impressions for the dental lab if necessary.

3. Design: If the dentist uses a CAD/CAM system, they will design the crown using specialized software. This allows for precise customization and ensures a comfortable fit.

4. Fabrication: The dental crown is then milled or 3D-printed in the office using the design. This process is usually completed within minutes.

5. Bonding: Once the crown is ready, the dentist will place it on the tooth and make any necessary adjustments. After ensuring a proper fit, the crown will be bonded to the tooth using dental cement.

The ability to create crowns in the office offers several advantages. Firstly, it saves time for the patient, as they do not have to wait for the crown to be made in a laboratory. Secondly, it provides a more immediate solution for patients who may need a crown quickly, such as those with a broken tooth or a tooth that has undergone root canal treatment. Lastly, it allows for better communication between the dentist and the patient, as the dentist can provide real-time feedback and make adjustments as needed.

However, it is important to note that not all dentists have the capability to create crowns in their office. Some may prefer to send the impressions to a dental laboratory for custom fabrication, especially for complex cases. Additionally, certain types of crowns, such as porcelain-fused-to-metal crowns, may require more advanced techniques and materials that are not available in all dental offices.

In conclusion, while many dentists can make crowns in their office using modern technology, it is essential for patients to discuss their options with their dentist and understand the process involved. Whether the crown is created in the office or sent to a laboratory, the goal is to provide a durable and aesthetically pleasing restoration that restores the patient’s oral health and confidence.