
When a tooth has more damage than a filling can reliably repair, a dental crown may provide the protection and support it needs. Crowns can restore teeth affected by extensive decay, fractures, large existing fillings, significant wear, or previous root canal treatment.
At Coral Cove Dental, Dr. Johnson, Dr. Gladvin and our team evaluate the condition of the tooth, the surrounding teeth and gums, your bite, and the amount of healthy tooth structure remaining before recommending a crown. Our goal is to choose a restoration that provides a predictable way to restore the tooth's function and appearance.
If you're considering a dental crown in Loma Linda, call us at (909) 796-6447 to schedule an evaluation. We're welcoming new patients and can explain your options before you decide whether treatment is right for you.
A dental crown is a custom-made restoration that fits over a prepared tooth. It restores the tooth's shape and function while covering and protecting the remaining tooth structure.
Crowns are different from fillings because they cover a much larger portion of the tooth. A filling can restore a smaller area of decay or damage, while a crown may be considered when the tooth has lost enough structure that a filling alone would not provide adequate support.
Crowns can be made from several materials, including ceramic, porcelain, metal, or combinations of materials. The appropriate material depends on factors such as the location of the tooth, the amount of force it receives when you bite, the remaining tooth structure, and your aesthetic goals.
Our recommendation is based on the condition and function of the individual tooth rather than using the same crown material for every situation.
A crown may be recommended when a tooth needs more protection or support than a filling can provide. Common reasons include:
Significant decay can weaken a tooth enough that a filling may not provide adequate support. A crown can protect the remaining healthy structure when the tooth is still restorable.
Some cracks can be treated conservatively, while others require a crown to protect the tooth from further damage. We’ll evaluate the location and extent of the fracture before recommending treatment.
Large or repeatedly failing fillings can leave a tooth weakened. A crown may provide more comprehensive protection when enough healthy tooth structure remains.
Depending on how much tooth structure remains, a tooth that has had root canal treatment may need a crown or another protective restoration. Back teeth often need additional support because they withstand greater biting forces.
Grinding, clenching, acid erosion, and other factors can wear down teeth over time. A crown may help restore significantly worn teeth, while addressing the underlying cause of the wear.
Crowns can improve the shape or appearance of a tooth, but they require some removal of natural tooth structure. When appropriate, we may consider more conservative options such as veneers or bonding.
Whether a crown is appropriate depends on the condition of your tooth and how predictable the restoration is likely to be.
During your evaluation, we'll look at:
A crown isn't always the first or only option. If a filling, bonding, inlay, onlay, veneer, or another treatment can restore the tooth appropriately while preserving more healthy structure, we'll discuss that with you.
In some cases, however, a tooth may be too extensively damaged for a crown to provide a predictable result. If the tooth cannot be restored, we'll explain the alternatives and what those options involve.

The crown process varies depending on the tooth and the type of restoration being used, but treatment generally involves several stages.
We begin by examining the tooth and assessing your overall oral health. Depending on the situation, we may take X-rays, photographs, or digital scans.
We'll discuss what is affecting the tooth and explain whether a crown is appropriate. If there are other treatment options worth considering, we'll go over those as well.
If a crown is the appropriate treatment, we'll numb the area with local anesthetic before preparing the tooth.
A small amount of tooth structure is removed to create enough space for the crown and establish a stable foundation for the restoration. The amount of preparation depends on the tooth and the type of crown being placed.
After the tooth is prepared, we'll capture its shape and your bite using a digital scan or another impression technique.
This information is used to create a crown that fits the prepared tooth and works with the surrounding teeth.
If your permanent crown is being made separately, we'll place a temporary crown to protect the prepared tooth while you wait.
Your temporary crown isn't intended to function as your permanent restoration, so you'll receive instructions about eating, cleaning, and caring for it until your next appointment.
Once your permanent crown is ready, we'll check its fit, appearance, and bite before cementing it into place.
If the bite needs an adjustment, we'll make the necessary changes so the restoration functions comfortably with your surrounding teeth.
With appropriate care, many crowns can last for many years, but individual results vary. A crown's longevity depends on several factors.
How long it lasts can be influenced by:
The natural tooth beneath a crown still needs to be protected, so brushing and flossing remain important after treatment.
Crowns are one of several ways to restore a damaged tooth. The right option depends on the amount of healthy tooth structure remaining, the type of damage, and your bite.
Fillings may be appropriate for smaller areas of decay or damage when enough healthy tooth structure remains.
A crown may be recommended when a tooth has been weakened beyond what a filling can reliably support.
Veneers are thin restorations placed on the front of a tooth, typically to address cosmetic concerns such as color, shape, minor chips, or spacing.
If a tooth needs greater structural support, a crown may be more appropriate. Because crowns require more preparation of the natural tooth, we consider conservative options whenever they can provide a predictable result.
Depending on your tooth, we may recommend a filling, crown, veneer, bonding, inlay, onlay, or another restoration. We’ll evaluate your tooth and discuss the options that can restore it while preserving as much healthy structure as possible.
A crowned tooth still needs regular care. While the crown itself cannot develop a cavity, the natural tooth underneath and around it can still be affected by decay or gum disease.
To protect your crown:
With consistent care, you can help protect both your crown and the natural tooth supporting it.
The cost of a dental crown depends on several factors, including the tooth being restored, the material selected, the complexity of the case, and whether additional treatment is needed.
Because every crown case is different, we don't recommend relying on a generic price range to determine what your treatment will cost.
Dental insurance coverage also varies by plan. Some plans provide benefits toward crowns when they meet the plan's coverage criteria, while deductibles, annual maximums, waiting periods, exclusions, and other limitations can affect your actual out-of-pocket responsibility.
Before treatment, our team can help you understand your estimated benefits and the portion of the treatment your plan may cover. If you have questions about your insurance or payment options, call us at (909) 796-6447.

When a tooth needs significant restorative care, we want you to understand why a crown is being recommended and what options you may have.
At Coral Cove Dental, we take time to evaluate your tooth, explain our findings, and help you feel comfortable with your treatment plan.
Our approach includes:
The tooth is numbed with local anesthetic during the preparation appointment, so you should not feel pain from the procedure itself. Some sensitivity or soreness afterward is possible.
Yes. The crown itself cannot develop decay, but the natural tooth underneath and around its edges can. Good brushing, daily cleaning between your teeth, and regular dental care are important for protecting the tooth.
You'll receive specific instructions based on whether you have a temporary or permanent crown. Temporary crowns generally require more care, particularly with very sticky or hard foods. Once your permanent crown is placed and any initial sensitivity has settled, you can generally return to your normal diet.
Contact our office if your temporary crown becomes loose or comes off. Don't try to permanently reattach it yourself. We'll let you know what to do and whether you need to come in before your scheduled appointment.
Not necessarily. The appropriate restoration depends on the amount of remaining tooth structure, which tooth was treated, and the forces it will experience during normal function. We'll evaluate the tooth and recommend the type of restoration that provides appropriate protection.
A weakened tooth can become more damaged over time, particularly if it is exposed to substantial biting forces. Depending on the underlying problem, further damage could make the tooth more difficult or impossible to restore. That doesn't mean every tooth requiring a crown will eventually need extraction if treatment is delayed, but postponing recommended restorative care can affect the available treatment options.
Crowns can change the appearance of a tooth, but they require preparation of natural tooth structure. For a primarily cosmetic concern, we may consider whether a more conservative option, such as bonding or a veneer, would be appropriate.
Crowns can last for many years with appropriate care, but there is no guaranteed lifespan. Oral hygiene, bite forces, grinding, the crown material, and the health of the natural tooth can all affect longevity.
If you have a damaged, cracked, heavily restored, or worn tooth, an evaluation can help you understand what is happening and which treatment options are available.
At Coral Cove Dental, we'll examine the tooth, discuss your concerns, and explain whether a crown or another restoration makes the most sense for your situation.
Call us at (909) 796-6447 to schedule an appointment at our Loma Linda office, or request an appointment online. We're located at 11285 Mountain View Avenue, Suite H-32 in Loma Linda, CA.
Call (909) 796-6447 or request an appointment online to set up your first visit. We’ll be in touch soon.