Same Day Crowns: What You Need to Know

Same Day Crowns: What You Need to Know

Dr. B. Kanagasabapathy
Dr. B. Kanagasabapathy

[M.D.S. (Ortho), Fellow ICOI]

September 20,2024

If you’ve ever been told that you need a dental crown, you may have imagined a long, drawn-out process involving multiple dentist appointments, temporary crowns, and a lot of waiting. However, advancements in dental technology now allow for what’s called same day crowns—where you walk into the dentist’s office and leave with a brand-new crown, all within a single visit. This concept may sound like a game-changer, but you probably have questions. Let’s dive into everything you need to know about same day crowns, from how they work to whether they’re the right option for you.

What Exactly Are Same Day Crowns?

Same day crowns, also known as CEREC (Chairside Economical Restoration of Esthetic Ceramics) crowns, use advanced technology to create and place a dental crown in just one visit. Traditional crowns typically take two appointments over a span of weeks to complete. In contrast, same day crowns utilize digital imaging and in-office milling machines to design and fabricate the crown on-site.

The process begins with a scan of your tooth, which is used to create a 3D model. This model is then sent to a machine that mills a crown out of a block of ceramic material. Once ready, the crown is bonded to your tooth, all within a couple of hours.

How Is the Process Different from Traditional Crowns?

One of the most significant differences between same day crowns and traditional crowns is the time it takes. Traditional crowns require at least two visits: one to prepare the tooth and take impressions, and another to place the crown after a lab manufactures it. During the waiting period, you typically have to wear a temporary crown to protect the tooth.

In contrast, with same day crowns, there’s no need for temporary crowns, no waiting weeks for a lab, and far less hassle. The convenience of completing the entire process in one sitting is appealing for busy individuals or those who may be anxious about dental visits.

Who Can Benefit from Same Day Crowns?

Same day crowns are an excellent option for most people needing a crown. However, they may not be the best fit for every dental situation. Here are some common scenarios where same day crowns are especially beneficial:

Busy Schedules: If your work, family, or travel commitments make it difficult to schedule multiple appointments, same day crowns can save you time and reduce the need for follow-up visits.

Emergency Situations: If you’ve chipped, cracked, or fractured a tooth and need immediate restoration, same day crowns can provide a quick fix without the long wait associated with traditional methods.

That being said, not every tooth can be treated with same day crowns. If your tooth requires a particularly complex or robust restoration, or if you need a metal crown for strength, your dentist may recommend a traditional crown. Consult with your dentist to ensure you’re a good candidate for this procedure.

Benefits of Same Day Crowns

There are several benefits to opting for same day crowns:

Convenience: The most obvious advantage is the ability to complete the entire crown procedure in a single day. This is especially helpful if you have a busy lifestyle or a dental emergency.

No Temporary Crowns: Temporary crowns can be uncomfortable and less durable. With same day crowns, you skip this step entirely, going straight to your permanent restoration.

Comfort and Precision: The digital imaging technology used in same day crowns is incredibly accurate. The 3D scanning allows for a precise fit, which means fewer adjustments and a crown that feels more natural in your mouth.

Less Risk of Tooth Decay: Temporary crowns can sometimes lead to tooth decay or gum irritation if they don’t fit perfectly. By skipping this step, same day crowns reduce the likelihood of these issues.

Durability: Despite being made in a short time frame, same day crowns are durable and designed to last many years with proper care.

Are There Any Drawbacks to Same Day Crowns?

While there are many benefits, same day crowns also come with some potential downsides:

Cost: Same day crowns may cost more than traditional ones because of the advanced technology involved. However, for many patients, the convenience often outweighs the added expense.

Not Suitable for Every Tooth: As mentioned earlier, same day crowns might not be appropriate for every case. If the tooth needing the crown has a more complicated structure, or if you need a material other than ceramic (such as metal for back molars), your dentist may recommend a traditional crown.

Limited Material Choices: Same day crowns are typically made from ceramic. While ceramic is a great option for most teeth, it may not be as strong as metal crowns, which are often used for molars that endure heavy chewing forces.

What Can I Expect During the Procedure?

Understanding what to expect during your same day crown appointment can help ease any anxiety you may have. 

Initial Consultation and Exam: Your dentist will examine your tooth and discuss whether a same day crown is appropriate. X-rays or other imaging may be required to assess the tooth and surrounding bone.

Tooth Preparation: If a crown is needed, your dentist will begin by preparing the tooth. This usually involves removing a portion of the outer layer of the tooth to make room for the crown.

Digital Impressions: Instead of the goopy impression material used for traditional crowns, same day crowns use digital imaging to scan your tooth and create a 3D model. This model is used to design your custom crown.

Crown Fabrication: The design is sent to an in-office milling machine, which carves your crown from a block of ceramic. This process typically takes 15-20 minutes.

Fitting and Placement: Once the crown is ready, your dentist will check the fit and make any necessary adjustments. The crown is then attached to your tooth using dental cement.

Final Touches: After the crown is placed, your dentist will polish it and ensure your bite is comfortable. You can then go about your day with a fully restored tooth!

How Long Do Same Day Crowns Last?

Just like traditional crowns, same day crowns are designed to last many years—typically anywhere from 10 to 15 years, depending on how well you care for them. Proper oral hygiene, such as brushing twice a day, flossing, and regular dental check-ups, will help extend the life of your crown.

In Summary

Same day crowns are an excellent option for many patients, offering convenience, durability, and a natural-looking restoration in just one visit. However, they may not be suitable for every dental case. If you’re considering a same day crown, the best course of action is to schedule a consultation with your dentist to discuss your needs, budget, and the available options.

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