Dental crown treatment cost

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what-is-dental-crown

What is a tooth crown?

whats-is-dental-crown-illustration

The dental crown is a popular and effective solution for replacing an injured or missing tooth. The most important requirement for the insertion of dental crowns is the presence of a tooth root. This tooth root can be from the original tooth, or it can be implemented as an artificial tooth root. A crown is usually placed on the remaining part of the damaged tooth. Metal crowns and veneer crowns are mostly attached with a medical cement. In contrast, a plastic adhesive is used for ceramic crowns. A pin tooth can also be used for very badly damaged teeth. The post is taken when the tooth stump is so damaged that it no longer offers enough support for the crown. The pen itself is usually made of metal or fiberglass and is then attached with a special plastic.

As a rule, statutory health insurance companies do not fully cover the provision of a dental crown. Insured persons have to bear part (around 50 percent) of the mostly quite high dental bill themselves. The costs can be completely covered with private dental insurance.

When is a dental crown necessary?

If the natural crown of the tooth has been destroyed by caries or an accident to such an extent that it can no longer be supplied with a simple tooth filling or an inlay, the dentist usually recommends a crown. The dental prosthesis supplements the missing parts of the remaining tooth and largely reproduces the original shape of the tooth. The fitting of an artificial crown is sometimes also recommended if a misalignment of the teeth needs to be corrected or the tooth lacks the support zone.

Additional findings for a crown are loose, discoloured, or missing teeth. Because even if an implant has been anchored in the jaw after the complete loss of a tooth, a crown must then be made that covers the protruding metal pin of the implant and serves as a chewing surface. Dental crowns are also often used to anchor a dental prosthesis. Teeth with dead dental nerves or strongly tilted teeth, on the other hand, should not be crowned.

Dental crowns: this is how the treatment works

A dental crown is restored in several steps. At the beginning, the dentist examines the functionality of the tooth nerve and the stability of the tooth root. As part of the preliminary examination, an X-ray of the affected tooth is sometimes taken and evaluated.

In order to be able to provide a tooth with a crown, the tooth must first be prepared. Unfortunately, up to 60 percent of the partially healthy hard substance must be removed for this. A high level of professionalism and diligence on the part of the dentist are required in this important treatment step.

The first appointment: taking the impression

In order for the new tooth crown to fit seamlessly into the patient’s dentition, an impression of the dentition must be taken with an impression material (usually containing silicone). When the impression material has hardened, it is used by the dental technician as a basis for molding a custom-made tooth crown. With the help of a true-to-original model of the dentition, the precise interaction of the upper and lower jaw on the crown can be ensured. This is very important because the smallest irregularities on the bite surfaces are extremely annoying and can hinder chewing.

As additional information, the dentist determines the individual shade of white of the neighbouring teeth so that the finished tooth crown adapts to the immediate surroundings as inconspicuously as possible. During the manufacturing period, the patient is given a temporary plastic crown to protect the tooth stump.

The second appointment: inserting and gluing

The insertion and bonding of the tooth crown is then carried out under local anesthesia at a follow-up appointment at the dentist. After the temporary restoration has been removed, the dentist thoroughly cleans the remaining tooth stump. The new tooth crown is fitted and fixed. If necessary, small readjustments can be made to the dentures afterwards. The dentist can also use this opportunity to determine whether the crown is causing pressure or pain. A few weeks after the crown has been inserted, a routine check-up is usually carried out.

These types of dental crowns exist

Depending on the function, area of ​​application and special requirements, very different types of crowns are recommended. Basically, the patient must first familiarize himself with the new bite feeling of an artificial tooth crown. But often a relatively short period of getting used to is enough for the dentures to be perceived as a natural part of the natural teeth.

Classification of tooth crowns according to functions:

The type of tooth crown that is used varies greatly. Basically, crowns can be classified according to their function, size and extent, the material used and the type of anchoring on the tooth.

Replacement crown

The so-called replacement crown is probably the best-known crown – it is used in the event of major tooth damage to replace the natural tooth crown.

Protective crown

Another type of tooth crown is the protective crown. This is used when the hard and firm enamel has been lost on the tooth. The protective crown then protects the exposed, soft dentin.

Anchoring crown

Another variant is the anchoring crown. As the name suggests, this is primarily used to anchor dentures.

Classification of the tooth crowns according to size and extent:

Partial crown

A partial crown covers z. B. only the damaged chewing surface. A partial crown is useful if a full crown has not yet been attached. Advantage: A lot of healthy tooth substance remains.

Full crown

The full crown, on the other hand, not only covers the damaged chewing surface, but also the entire crown of the tooth and reproduces the natural tooth as closely as possible.

Classification of the tooth crowns according to the material used:

When choosing the material, various factors such as the degree of stress and aesthetics play a role.

Veneer crown

A veneer crown is mostly used in the visible area, i.e., on the incisor or in the front area of ​​the molars. The veneer crown is made of metal – but is then partially or completely covered with a tooth-colored layer. Ceramic or plastic is almost always used for this veneering of the crown.

Advantages (plastic veneer crown):

+ Completely or at least partially covered with a tooth-colored layer

+ Particularly suitable for the visible tooth area

+ Easy repair in the mouth possible

+ Somewhat cheaper than a veneer crown made of ceramic

Disadvantages (plastic veneer crown):

– Plastic is more susceptible to dental plaque or plaque

– Temperature sensitivity

– Discoloration possible after prolonged wear

– Allergic reactions possible

Metal and full cast crown

The metal or fully cast crown is mostly used in the invisible area (e.g., molar). Since this type of tooth crown is made of metal or a gold alloy, it is particularly durable and very break-resistant.

metal-crown

Benefits:

+ Consists of metal alloy and is therefore also called a gold crown or metal crown

+ Applies to the standard

dental crown + Made of mouth-resistant material and therefore very durable / long-lasting

+ The material is well tolerated Rather inexpensive as there is no major dental technical effort

Disadvantages:

– It is suitable – because it is visually very conspicuous – rather not for the visible tooth area

– Temperature sensitivity possible because metal conducts temperatures well

– Flavor disturbances or corrosion from neighboring teeth with e.g., B. Amalgam fillings

Mantle and all-ceramic crown

ceramic-crown

Full ceramic crown or mantle crown The all-ceramic crown or mantle crown surrounds the tooth in the shape of a jacket. The crown is made entirely of ceramic. There is a small disadvantage: Since these crowns are not as break-resistant, more material has to be used and thus more of the natural tooth has to be ground off.

Benefits:

+ Usually made from ceramic materials (jacket crown)

+ Surrounds the tooth crown in the shape of a jacket + Can

hardly be distinguished from a natural tooth, even for an expert

+ Is used in the visible tooth area

+ Cosmetically perfect solution

+ Very good tolerance

+ Good temperature insulation

Disadvantage:

– Elaborate preparation, irritation possible

– A lot of (also healthy) tooth substance is used when preparing the tooth

– Very cost-intensive

Full plastic crowns

All-plastic crowns serve more as long-term temporary restorations and not as full-fledged dentures. Prefabricated blanks can be used or an individual full plastic crown can be milled.

You can find more information about the different types of dental crowns in our dental dictionary.

Classification of the tooth crowns according to the type of anchoring on the tooth:

Cemented or glued crowns

cemented-crown

Pen crown: In the cemented method, an abutment is screwed onto the implant. The crown is then cemented onto this abutment with a medical cement.

Pin tooth (pin crown)

glued-crown-vs-cemented-crown

If the tooth is completely damaged, a pin must be implanted into the tooth stump to hold the crown. This pin tooth then serves as an anchor or base for the tooth crown.

Which material is the right one?

When deciding what material to make the crown of, the advice of the dentist is crucial. Because every tooth is exposed to different loads and therefore a certain material is recommended. The presence of an allergy also plays an important role in the choice of material. For aesthetic reasons, surfaces that stand out from the tooth color should not be used for visible teeth. Last but not least, the choice of material is also a question of cost. Because there are considerable differences in the amount of the necessary additional payment.

The fully cast metal crown is very durable, relatively inexpensive and particularly resilient. Because of its striking color, it is usually used for the less visible area of ​​the molars. Due to the relatively thin walls of the cast crown, a higher proportion of the natural tooth substance can be retained. In the case of sensitive teeth, the high thermal conductivity can be a problem. Fully cast crowns are available as gold crowns or as crowns made from non-precious alloys, for example with chrome and cobalt.

Full plastic crowns are well tolerated and inexpensive. However, they tend to discolour over time, are pressure-sensitive and do not last long. The all-plastic crown is therefore hardly considered a full-fledged denture.

All-ceramic crowns are also well tolerated and insulate sensitive teeth better against cold and heat than a metal crown, for example. Electrochemical reactions cannot occur in the mouth either. On the other hand, the durability of this tooth crown usually doesn’t quite reach the level of a metal crown. Another strength of the all-ceramic crown is its ability to adapt well to the shade of the natural neighboring teeth. A significant disadvantage is the high cost.

The veneer crown consists of a metal substructure with a tooth-colored veneer either made of plastic or ceramic. Their durability is very good. The aesthetic effect is convincing apart from a small visible metal edge on the gums. However, the additional veneer results in thicker crown walls and thus a higher loss of healthy tooth substance. In the case of plastic veneers, discoloration is possible over time. The cost burden for the patient is in the medium range. Veneer crowns in the visible part of the dentition are part of the standard care provided by health insurance companies.

Advantages and disadvantages of dental crowns

A crown can often save severely damaged teeth and protect them from renewed caries formation. But there are also disadvantages. In order to attach the crown, part of the natural tooth substance must first be ground. The tooth nerve can be damaged during this work. Caries formation occurs even more frequently if the crown was not made to fit exactly. Incidentally, a tooth crown only has a limited shelf life. This means that after a few years it has to be replaced – but then the tooth has to be regrinded again. In the end it can happen that the crown can no longer be properly attached and ultimately the tooth has to be extracted.

Proper care is of course very important for the long life of the crown. The edge of the tooth crown, which hits the gums, is particularly sensitive and needs special care. With dental floss and an interdental brush, you can also take good care of the spaces between the teeth. With proper oral hygiene, a tooth crown will last 10 to 15 years.

How long does a crown last?

Dental crowns have an average shelf life of five to fifteen years. However, factors such as regular teeth cleaning and thorough oral hygiene play a significant role here. The special application area of ​​the respective crown also ensures differences.

The veneer crown is the most common type of artificial crown. Well-maintained veneer crowns can last for more than twenty years. Ceramic veneers are generally more resilient and have a lower tendency to discolour than plastic veneers.

Full cast metal crowns are also extremely durable and long-lasting. This applies to both non-precious metals and gold alloys.

All-ceramic crowns, including mantle or jacket crowns, do not quite reach the service life of a metal crown with or without veneer. Only all-ceramic crowns made of zirconium have a comparable durability.

All-plastic crowns have a low durability and tend to wear out a lot. They are more suitable as long-term temporary restorations and not as full-fledged dentures.

These risks exist with dental crowns

A crown can often save severely damaged teeth and protect them from renewed caries formation. But there are also disadvantages. In order to attach the crown, part of the natural tooth substance must first be ground. The tooth nerve can be damaged during this work. Caries formation occurs even more frequently if the crown was not made to fit exactly. Incidentally, a tooth crown only has a limited shelf life. This means that after a few years it has to be replaced – but then the tooth has to be regrinded again. In the end it can happen that the crown can no longer be properly attached and ultimately the tooth has to be extracted.

Proper care is of course very important for the long life of the crown. The edge of the tooth crown, which hits the gums, is particularly sensitive and needs special care. With dental floss and an interdental brush, you can also take good care of the spaces between the teeth. With proper oral hygiene, a tooth crown will last 10 to 15 years. The supply of an artificial tooth crown is part of the routine of a dental practice. Nevertheless, the procedure is associated with certain risks.

The following complications can occur:

Allergies or intolerances

Infections of the tooth or gums

Nerve injuries during treatment

Dental nerve inflammation

Bleeding

Loosening or damage to the tooth crown

Discomfort when biting

Sensitivity to cold and heat stimuli

Gum scarring

Poor aesthetics

Pain under the crown of the teeth

A crowned tooth can also cause pain. This does not only apply in the period immediately after a new crown is inserted. Even many years later, pain can arise under a previously completely inconspicuous tooth crown. If the tooth root still has an active tooth nerve, the pressure of the tooth crown can cause discomfort. An incorrectly set bite on the tooth crown can also cause pain. Despite the protective crown, penetrating bacteria can inflame the nerve roots painfully. Many people grind their teeth at night without even knowing it. This excessive strain, not least on the tooth crown, can also lead to pain.

To reduce the risk of pain under the tooth crown, careful dental care, regular teeth cleaning at the dentist and the use of antibacterial mouthwash help. The stress caused by grinding teeth is alleviated by a dental retainer that is worn during sleep and has to be individually made by the dentist.

The exact causes of long-lasting toothache should be clarified by your dentist. He can check the correct bite and localize and eliminate irregularities in the bite surfaces.

To treat a possible root infection and inflammation of the tooth nerve, the doctor may need to remove the crown. This can mean a high treatment effort, because the old crown often cannot be reinserted and a new tooth crown has to be made. Therefore, if possible, the dentist will drill a hole in the crown and perform a root canal treatment in this way.

What are the costs of a dental crown?

The labor and material costs for dental crowns are very high. Dental crowns are reimbursed as part of the standard care, so that the health insurance company covers a good 50 percent of the costs. The patient has to pay the remaining costs out of his own pocket. It becomes even more expensive if the patient with the health insurance system wants a similar but visually more attractive fitting. In this case, the dentist may bill according to the private fee schedule and demand up to 3.5 times the rate.

In general, one can say that the co-payment for dental crowns varies between 300 and 1,000 GBP. For a crown that is not made of precious metal, you have to reckon with an own contribution of 300 to 500 GBP. A partial ceramic crown costs between 400 and 600 GBP. For a gold crown, an own contribution of 500 to 700 GBP is due. It gets really expensive with an all-ceramic crown. This can hardly be distinguished from the natural tooth and the cost of this high-quality solution is particularly high at 700 to 1,000 GBP.

Amount of the own share of the costs for the various types of crowns

The costs for the supply do not only depend on the material used. The size of the tooth defect and the place where the tooth is damaged also influence the cost. This results in clear differences, so that only an approximate cost framework can be given here.

Fully cast crown (not veneered) 250 – 400 £

Base metal alloy crown £ 300 – £ 500

Crown with partial veneer 400 – 600 £

Partial ceramic crown 400 – 600 £

Gold crown 500 – 700 £

Double crown for dental prosthesis 600 – 800 £

Full ceramic crown 700 – 1,000 £

In order to protect yourself against high additional payments for dental crowns, we strongly recommend that you take out additional dental insurance.

Dental crown FAQs

When do you need a dental crown?

The production of a tooth crown is inevitable if the tooth is so badly damaged by accident or caries that it can no longer be supplied with a filling. Even if a tooth had to be extracted and replaced with an implant, an artificial tooth crown must be inserted. In addition, a crowning of the neighboring teeth is necessary for the secure attachment of some dental prostheses.

How long does a dental crown usually last?

The lifespan of a dental crown strongly depends on how carefully the teeth are cared for. Regular check ups and professional tooth cleaning in the dental practice also extend the maximum useful life. The veneered crown, the most commonly used type of crown, can, in the best case, last 15 to 20 years. However, if the crown is exposed to exceptional stress, it is possible that it will have to be replaced after about five years. Crowns with plastic veneers tend to discolour over time and are therefore sometimes replaced earlier.

What does a cash patient have to pay for his crown?

The additional payments for the supply of a dental crown can be substantial. The health fund pays a fixed grant, i.e., only part of the total cost of the treatment. That is 50 percent of the so-called standard supply. Patients with a bonus booklet that has been kept without gaps for at least five years receive an additional grant. The all-ceramic crown is the most expensive variant. Up to 1000 GBP can be due for statutory health insurance patients if they opt for this type of treatment. On the other hand, veneer crowns and full cast crowns, some of which are part of the standard health insurance coverage, are much cheaper. Here the patient has to reckon with an own contribution of 250 to 600 GBP.

Which tooth crown for the molar?

In the area of ​​the molars, the tooth crown is exposed to greater pressure when chewing. This is where cast metal crowns show their strengths. They are particularly durable and withstand great loads. Because the walls of the crown can be kept comparatively thin, only a small amount of healthy tooth substance has to be ground down in order to fit the new crown. The disadvantage of the cast crown is usually its dark or golden color. However, crowned molars are hardly visible because of their location, so that the color difference to the natural teeth is not noticeable here.

Can I reinsert a failed tooth crown?

This is only possible in exceptional cases. Most of the time, a newly made dental crown has to replace the fallen out or loose crown. As a fixed denture, the artificial crown has to fit perfectly on the real tooth. If the natural tooth has changed or if the previous crown is defective, a new crown usually has to be made and fitted.

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