Dental crowns offer a reliable and long-term solution for protecting decayed, damaged, or infected teeth. However, even the most durable crowns can experience wear and tear and become damaged over time. This may happen as a natural consequence to daily functions such as chewing and eating or after biting something too hard, causing accidental breakage.

Whatever the cause is, replacing the damaged crown is essential to prevent damage to the underlying tooth, ensure continued function, and maintain oral health.

For patients in Kitsilano, Vancouver, understanding when to replace a dental crown can make all the difference in preserving a healthy, confident smile. This guide will walk you through the signs that it might be time to replace your crown, the process of getting it done, and everything else in between.

dental crown replacement

Signs That You Need to Replace a Dental Crown

Here are the key signs and symptoms to watch for that may indicate the need to have your crown replaced:

  • Persistent Pain or Sensitivity – Pain or discomfort on the crowned tooth may indicate that the crown is no longer fitting properly or there is existing decay underneath it.
  • Visible Wear and Tear – Over time, the crown can become worn down, especially if you frequently consume hard, sticky, chewy, and even staining foods or if you experience teeth grinding. This may show as cracks, chips, stains, or rough surfaces on the crown.
  • Loose or Unstable Crown – If you feel like your crown shifts when you chew or bite, the cement underneath it is likely already failing. A replacement is needed as soon as possible to prevent it from falling off entirely.
  • Discolouration – Noticeable dark lines on the gum area may mean that the crown is already aging. It may also indicate decay on the tooth beneath.
  • Gum Irritation – Ill-fitting crowns may cause plaque build-up that can eventually lead to gum disease if left unattended.
  • Changes in Bite – If you find that your bite is too high or low where the crown is, it may be that the crown is not sitting right on the tooth. This problem requires an urgent solution to prevent jaw problems in the long run.

If you experience any of these, book a visit with your dentist so they can assess whether a crown replacement is suitable for you.

Reasons for Replacing a Dental Crown

The timely replacement of a dental crown is necessary for health, function, and aesthetics. Some common reasons why your dentist may recommend getting this done are:

  • Natural wear and tear

Most crowns last 10 – 15 years with proper care. But as it ages, it is normal for the crown to lose its effectiveness, leading to issues such as leakage, wear, and aesthetic concerns.

  • Decay is present

If bacteria seeps into the crown, it can harm the tooth underneath and cause tooth decay. This will eventually cause infection if left untreated. If decay, or signs of it, is found, the crown needs to be removed so your dentist can remove the decay before placing a new crown.

  • Damage to the crown

A cracked or chipped crown can expose the underlying tooth to bacteria and further damage. While minor issues can be fixed with composite bonding, large cracks will require that the crown be replaced.

  • Improper fit

Poor fitting crowns can lead to discomfort, gum irritation, and bite problems. A replacement is necessary to help the crown function as it should.

  • Aesthetic concerns

Over time, problems in the appearance of the crown may arise. This may be due to stains or a noticeable dark line around the gum of the crown. If the crown no longer meets your aesthetic expectations, it may be replaced to improve your smile.

replace dental crown

The Replacement Process

Replacing a dental crown involves several steps, similar to the process of getting a new crown. Here’s what to expect:

  1. Initial consultation and examination
    Your dentist will first assess the condition of the current crown and the tooth beneath it. X-rays will be taken to identify existing decay and infection.
  2. Removal of old crown
    Then, your dentist will carefully cut through the crown and dental cement to successfully remove it. This should be cautiously done to prevent damage to the tooth underneath.
  3. Tooth preparation
    Once the tooth beneath is visible, your dentist can better assess if further preparations are needed. In cases where decay or damage is present, reshaping the tooth is necessary. This will restore it to good health and structure before a new crown is placed.
  4. Impression taking
    Then, an impression of your tooth will be made using digital scanning technology or putty. This will be sent to the dental lab where your new, custom crown will be made.
  5. Temporary crowns
    While you wait for the new crown, a temporary crown will be placed over the prepared tooth to prevent sensitivity and damage.
  6. Fitting the new crown
    When ready, the new crown is fitted over your tooth and adjusted according to your bite. If you and your dentist are satisfied, it can be permanently cemented in place.

Cost of Replacing a Dental Crown

At Arbutus Station Dental, removal of an old dental crown and replacement with a new one starts at $1,753. But, not all cases entail the same cost.

Some patients will require reshaping using composite if decay or damage is present. If there is dental infection, additional procedures are also necessary to restore the tooth to health. The treatment cost also depends on the material choice for the crown. Porcelain-fused-to-metal crowns are generally more affordable compared to other options such as a full porcelain crown.

Should you need a more comprehensive breakdown of the dental crown cost, our team will gladly assist you to give you a better idea of the procedure fees.

Conclusion

A timely replacement of a dental crown prevents further dental issues, restores your confidence in your smile, and helps maintain a lifetime of good oral health.

At Arbutus Station Dental in Kitsilano, we offer several options for a replacement crown to help meet your smile goals. Whether you need the natural appearance of a porcelain crown or the long-term reliability of ceramic and zirconia crowns, we are here to help you discover the best crown for your smile.

If you suspect that your dental crown needs a replacement, don’t hesitate to message our team to book your appointment today!

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