Crowns protect and cover cracked or damaged teeth. They are like a ‘cap’ that fits over a weakened or damaged tooth to make it stronger and more aesthetically pleasing.

Crowns are a very successful way of restoring damaged or broken teeth. And we have years of experience of crafting crowns with strength and aesthetics in mind.

Frequently asked questions

Why would i need a dental crown?

Crowns are ideal for teeth that have been broken or have been weakened by decay or a very large filling. You might also need a crown for one of the following reasons:

– To protect a tooth that has been damaged in an accident.
– To protect what is left of a tooth that has been root filled.
– To restore a heavily filled tooth.
– To improve the appearance of a tooth which has discoloured fillings
– To restore a tooth which can no longer be filled.
– To hold a bridge or denture to a fractured tooth.

What is a crown made of?

Crowns can be made of different kinds of materials, each type having relative strengths and merits. Here a few examples.Porcelain bonded to precious metal: A precious metal foundation is made and porcelain is applied in layers over it. This is the most common type of crown because they are both strong and durable as well as being tooth-coloured.

All-ceramic crowns: This is a modern and metal-free technique which is strong and aesthetically superior. It is suitable for all areas of the mouth.

We use the two most tested and best types of ceramic crowns.

1. Porcelain: These are made entirely of porcelain. They are often used for front teeth, as they look very natural. They are not as strong as the porcelain bonded to precious metal.

2. Zirconia crowns: These are milled from blocks of Zirconia and porcelain is placed over the surface. They are now approaching the strength of porcelain bonded to metal (PBM) crowns.

Gold alloy crowns: Historically, these crowns are the longest lasting. They are extremely tough and durable. Gold is used very rarely now, as most people do not want to have gold showing in their mouths. However, we do sometimes use them at the back of the mouth.

How is a tooth prepared for a crown?

Making crowns will normally take two visits. In the first visit, we will remove any decayed tooth material and reshape the tooth to accept the crown. This involves removing some of the outer surface and leaving a strong inner core.Then we will take an impression of your tooth and place a temporary crown over it. This will ensure that the damaged tooth doesn’t move and that there is no further wear while the permanent crown is being prepared.

The impressions will then be given to our dental technicians, with detailed instructions about shade, shape, material and fit.

At the end of the first appointment, we will arrange for a second visit for your crown to be fitted. We remove the temporary crown and replace it with the permanent one. We check that the shape and colour of the crown is consistent with your surrounding teeth and that the fit is perfect.

Once we are both satisfied with the fit and the appearance, we fix the new crown in place with special dental cement. The cement forms a seal to hold the crown in place very securely.

What will the new crown look like?

Your new crown will make your bite stronger and healthier. It will also improve the appearance of your smile.

Many people visit us with broken and cracked teeth. We help them. And they leave happy.

Will the crown be noticeable?

Not at all. The final crown will be made to match your other teeth as closely as possible. The shade of the neighbouring teeth will be recorded, to make sure that the crown looks natural, matches the surrounding teeth and looks completely at home in your mouth.

How do you colour match?

Teeth are not monochromatic, so typically more than one colour is used to create a natural look. This colour variation is critical in avoiding artificial looking teeth.It is the contrast of colours that help create vitality.

Surface texture is also very important, and helps to break up light reflections and make the crown look more natural.

We consider your objectives in light of all of these factors, to create a perfect-looking crown.

Will the crown feel different to me?

Initially you may feel a difference, as the crown will be marginally different from your original tooth. Within a few days it should feel fine and you will not notice it.

Most people love the feel of their new crown – the surface is much smoother than that of an old tooth with a cracked filling, say.

The crown may need some adjustment if your bite feels a little uncomfortable. If so, we’ll adjust it to make it fit perfectly.

Is there any pain?

Not at all. We’ll use local anaesthetic to numb the tooth so that you won’t feel a thing. If you are anxious about an injection, then we do have the WAND, which is a pain-free delivery of anaesthetic. We’ll be happy to explain it to you.

We’ve really thought about how to create a calming, stress-free environment. Often the anticipation of pain far outweighs the reality. We have really thought about how we can make your time with us as sweet as possible.

The practice has been designed to put you at ease – it’s quite a calm, reflective place. If you click here, you can hear what other people have said about us.

We will also go to great lengths to make you feel valued and listened to and respected. And we have thought about how we would like to be treated at the dentist – with a warm welcome, by people who remember my name and who genuinely care about me. And with a few of those nice little touches that you’d expect from a boutique hotel.

So, to pain… modern dentistry just doesn’t hurt any more. And we know that if you are relaxed and happy, then you won’t be thinking about nasty things. Hopefully, you’ll just be thinking sweet thoughts.

How long will a crown last?

This will depend on how well it is looked after. A well-maintained crown should last for many years.The crown itself cannot decay. Decay can start where the crown joins the tooth so it’s important to keep this area just as clean as you would your natural teeth.

If you play any contact sports, we would recommend a custom mouthguard to protect your crowns.

What safety measures do you take?

Health and safety and the prevention of cross-contamination are vitally important to us. And to keep us as the forefront of dentistry, we consider our professional development to be paramount.

X-rays

We use digital x-rays which deliver about 90% less radiation dosage than a standard x-ray.
We have 2 separate radiography rooms which are fully lead-lined and radiation protected.

Cross-infection

We have a seamless floor from reception door onwards.It’s made with a poured resin which means that there are no seams or cracks for dirt to collect in. And all our instruments are sterilised and stored in sealed bags. We have a sterilisation room and the instruments are sent to and from the surgeries in vacuum-wrapped, colour-coded sterile trays. Our disposable instruments are thrown away after use. We always wear disposable gloves when working and we obviously wear new ones for each patient

Barrier protection

We cover surfaces that are touched by the dentist (e.g. handles, buttons in the surgery) in thick selotape-like plastic. This forms a further barrier against germs. These are removed after each patient and then the area underneath is cleaned using sterilising wipes and sprays.

Mercury

All of the dental units have mercury separators and we use high-volume aspiration so that mercury is removed safely. We can reassure you that there can be no mercury leaks.

Amalgam free

We do not place amalgam (mercury) fillings.

Immunisation

Our dentists, nurses and hygienist are immunised against Hepatitis B, Tuberculosis (TB), Tetanus, Poliomyelitis (Polio), Pertussis (whooping cough), Diphtheria, Rubella, Mumps and Varicella. This helps to protect both team members and patients from these diseases.

Professional education

We pride ourselves on our commitment to professional development. All members of the team regularly attend seminars and conferences to stay abreast of the latest thinking. We are registered with the General Dental Council for continuing professional development and Andrew, Janet and Andre, between them, are active members of the relevant dental professional bodies — British Dental Association, Dental Society of London, British Academy of Cosmetic Dentistry, Association of Dental Implantology and the New Zealand Dental Society in London.
 Hayley is an active member of the Dental Hygienist & Therapists Association and the Dental Therapy Association. Farah, our Orthodontist, teaches three days a week and is at the very forefront of new thinking.

If you have any questions or you’d like to have a peek around, please ask.

What about payment options?

We offer 0% finance loans, subject to the usual terms and conditions and status requirements. Please click here for more information. We also offer corporate and personal dental schemes and we are happy to accept personal insurance. E.g. Denplan or BUPA. Please click here for more information.

  • We use new Zirconia porcelain. It looks more natural, is stronger and we guarantee it for 5 years.
  • Our dental technicians are scientific artisans. They match and shape crowns to a very high standard.
  • Teeth are not monochromatic. We make sure that your crowns aren’t either. If you think you spend a long time colour matching your bedroom walls, just wait to see the dedication in perfectly colour matching your crowns.
  • Snuggle down and watch a film on our new DVD goggles.