Dental crowns are one of the most common and effective ways to restore damaged, weakened, or misshapen teeth. Whether your tooth has suffered decay, a crack, or simply needs added strength after a root canal, a crown can restore both function and beauty. But have you ever wondered what actually happens during the process? Preparing a tooth for a crown is a precise, multi-step procedure that requires skill, accuracy, and attention to detail. Here’s a closer look at how dentists prepare teeth for crowns — from start to finish.
Step 1: Exam and Diagnosis
Before any preparation begins, your dentist will conduct a thorough examination of your tooth using X-rays and visual inspection. This helps determine if a crown is truly the best option or if other treatments might be more appropriate.
Your dentist will check for decay, infection, or cracks, and evaluate the overall structure of the tooth. If the tooth’s nerve is compromised or there’s deep decay, a root canal may be performed before placing the crown to ensure long-term stability and comfort.
Step 2: Numbing the Area
Once the tooth is ready for treatment, your dentist will numb the area using a local anesthetic. This ensures that the entire procedure is comfortable and pain-free. If you experience dental anxiety, some dentists also offer sedation options to help you relax throughout the appointment.
Step 3: Shaping and Reshaping the Tooth
The most important step in preparing a tooth for a crown is reshaping it to make room for the restoration. Using specialized dental instruments, your dentist carefully removes a small amount of enamel from the outer surface of the tooth.
This reduction typically measures about one to two millimeters and ensures that the crown will fit comfortably and look natural when placed. The amount of tooth removed depends on the type of crown material being used — for instance, metal crowns require less space than porcelain or ceramic ones.
If the tooth is significantly damaged or worn down, your dentist may need to build it up with a filling material first to create a solid foundation for the crown.
Step 4: Taking Impressions or Digital Scans
After shaping the tooth, your dentist will take an impression or digital scan of the prepared tooth and surrounding teeth. These impressions act as a blueprint for crafting a perfectly fitting crown.
If your dental office uses digital scanning technology, a small handheld device captures detailed 3D images of your teeth in minutes — no messy molds required. The data is then sent to a dental lab where your custom crown is fabricated, usually within one to two weeks.
In the meantime, you’ll be fitted with a temporary crown to protect your tooth and maintain your smile’s appearance.
Step 5: Fitting the Permanent Crown
Once your permanent crown is ready, you’ll return for a second appointment. Your dentist will remove the temporary crown, clean the area, and check the new crown’s fit, shape, and color. Minor adjustments are made if necessary to ensure a natural bite and seamless look.
Finally, the crown is cemented or bonded into place using a strong dental adhesive. After a few bite checks and polish adjustments, your newly restored tooth will look, feel, and function just like a natural one.
Preparing a tooth for a crown is a precise process designed to protect your oral health and enhance your smile. From reshaping to final placement, every step ensures comfort, durability, and aesthetics. With proper care and regular dental visits, a well-made crown can last for many years — restoring not just your tooth, but your confidence to smile brightly once again.
About the Practice
Do you have a damaged teeth that needs saving? Turn to our expert team at Sweet Smiles Family Dentistry for the perfect solution: dental crowns! Our custom-made restorations are made of high-quality materials designed to last for years, and our advanced dental technology means you’ll get optimal results. Drs. Siddiqui and Chanana will ensure that you get the very best treatment possible. Come see why we’re a trusted provider of dental care. Schedule an appointment online or call our Mt. Pleasant office at (262) 672-2393.