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Crowns & Onlays

Onlay.jpg

Onlay preparation and fitting on an upper right 4 tooth.

Crown material used: Zirconia

Crowns and Onlays are examples of indirect restorations (made "indirectly", by a dental laboratory at an external site).

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These types of restorations are options for teeth which:

  • Have lost significant amounts of tooth structure due to tooth decay or trauma.

  • Have undergone root canal treatment and are therefore more brittle and at a greater risk of fracture.

  • Have very large fillings in them which are regularly failing or have fracture-lines stemming from them, extending into the natural tooth tissue.

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There are also other situations in which your dentist may advise you to consider a crown or onlay.

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The process for crowns is split into two appointments:

1. Preparation:

  • The dentist takes impressions, records the bite and shaves down the tooth to make space for the crown.

  • The amount of tooth shaved off depends on the tooth, whether there is any decay/fracture lines in the tooth, and the material of crown to be placed on the tooth.

  • We check you're happy with the tooth shade (for non-metal crowns only).

  • The dentist will then send the impressions/bite record to the laboratory who will create a custom made crown/onlay for your tooth.

  • You will be given a temporary crown to help protect the tooth while you're waiting for your crown to be fitted.

  • It usually takes 10-14 days for the lab to return the indirect restoration back to us for fitting.

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Before commencing the crown preparation, your dentist will discuss different material options with you.

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Different materials have different pros and cons, including:

  • Strength

  • Aesthetics

  • Toughness

  • Wear resistance

  • Requirement to remove more/less tooth structure during preparation

  • Cost

2. Fitting:

  • The crown/onlay is ready to be fitted.​

  • The dentist will use a strong cement to place the crown on the tooth, remove any excess cement and then hold down the unit until the cement has fully set.

  • Once the cement has set, the dentist will check you're happy with how it feels in the mouth, help you navigate your bite, and give you post-operative instructions.

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Crowns and onlays typically feel strange on initial fitting. Naturally, teeth adapt to changes and over time the teeth generally conform to the changes made by moving slightly.

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Discomfort can generally be improved by slight adjustment of the crown/onlay after fitting by the dentist.

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There is a small risk of death of the tooth during a crown/onlay preparation procedure due to heat generated in the shaving procedure. 

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