Crowns

Coronavirus COVID-19 Update

The Chief Dental Officer (CDO MARCH 2020) has released a statement :

ALL DENTAL PRACTICES IN THE UK HAVE BEEN ORDERED TO:

  • Cease all care of anyone who is classed as non urgent and stop all procedures that generate aerosols.
  • Dental Practices - the staff are at high risk of contracting the virus from the public and should only offer a dental service if they have the resources and the PPE.

At Hoddesdon Dental Surgery, until further notice, we will be stopping ALL Dental Care - from WEDNESDAY THIS WEEK (25th March 2020).

We strongly advise patients to avoid seeking dental assistance until the virus has been controlled and practice self isolation for their own and others safety.

IF YOU HAVE ANY OF THE FOLLOWING FOR EXAMPLE : then wait until the dental practice reopens :

Routine care such as a dental check up and hygiene treatment 

Fillings and other treatments that are not urgent .

  • Mild or moderate pain: that is, pain not associated with an urgent care condition and that responds to pain-relief measures
  • Minor dental trauma
  • Post-extraction bleeding that the patient is able to control using self-help measures
  • Loose or displaced crowns, bridges or veneers
  • Fractured or loose-fitting dentures and other appliances
  • Fractured posts
  • Fractured, loose or displaced fillings
  • Treatments normally associated with routine dental care
  • Bleeding gums
  • ORTHODONTICS/ INVISALIGN OR COSMETIC OR IMPLANT WORK

WHAT IS CLASSED AS A DENTAL EMERGENCY?

Dental emergencies include:

  • Trauma including facial/oral laceration and/or dentoalveolar injuries, for example avulsion of a permanent tooth
  • Oro-facial swelling that is significant and worsening
  • Post-extraction bleeding that the patient is not able to control with local measures
  • Dental conditions that have resulted in acute systemic illness or raised temperature as a result of dental infection
  • Severe trismus
  • Oro-dental conditions that are likely to exacerbate systemic medical conditions such as diabetes (that is lead to acute decompensation of medical conditions such as diabetes)

PLEASE NOTE – YOU WlLL NOT BE SEEN BY THE EMERGENCY DENTAL SERVICE OR BY OUR DENTAL STAFF AT HODDESDON DENTAL SURGERY IF YOU DO NOT FALL INTO THESE CATEGORIES.

WHAT TO DO IF YOU DO FALL INTO A DENTAL EMERGENCY CATEGORY THAT CAN NOT WAIT : 

  • Contact the practice on 01992 462 043

We are running a phone triage system and will have to filter those that we can and cannot see.

  • Contact NHS 111 services if you cannot wait for the practice to get back to you.

(it may take upto 48 hours for us to get back to you as we will be dealing with other emergencies)

NO HIGH RISK PATIENT WILL BE SEEN AT HODDESDON DENTAL SURGERY: 

  • All high risk or infected patients can find out the local high risk dental centre by calling NHS 111 (where special facilities have been set up)

A crown, (sometimes known as a ‘cap’) is an artificial restoration that fits over the remaining part of a prepared tooth, making it strong and improving its appearance by giving it the shape and size of a natural tooth.

 


A crown may be required for a number of reasons:

  • Strengthen teeth that have been broken or have been weakened by decay or a very large filling
  • Teeth that have had a root filling may need a crown to protect it
  • Improve the appearance of poorly shaped teeth discoloured teeth or teeth that have large discoloured fillings
  • To support a bridge or even a denture

Crowns - Commonly Asked Questions

How is a crown placed?
 
To prepare the tooth for a crown, it is reduced so the crown can fit over it. An impression of teeth and gums is made and sent to the laboratory for the crown fabrication. A temporary crown is fitted over the tooth until the permanent crown is made. On the next visit, the dentist removes the temporary crown and cements the permanent crown onto the tooth. 
 
Will it look natural?
 
Yes. The dentist's main goal is to create crowns that look like natural teeth. To achieve a certain look, a number of factors are considered, such as the colour, bite, shape, and length of your natural teeth.
With older methods, crowns always needed to be made with a metal foundation. This has left many people with dark lines around their crowns. Today we can make them out of pure porcelain, ceramic or aesthetic reinforced resins that blend beautifully with the existing tooth and surrounding gum. 
There are still occasions, usually in relation to back teeth when the durability of a metal reinforced crown or even a gold crown makes it the restoration of choice.  But for crowns that show, wouldn’t you rather have one that looks as natural as possible? 
 
Will the crown feel different? 
 
Because the shape of the crown will be slightly different from the shape of your tooth before it was crowned, you may be aware of it to begin with. Within a few days it should feel fine, and you will not notice it.  
 
How should I take care of my crowns?
 
How long your crown lasts depends on how well you look after it. The crown itself cannot decay, but decay can start where the edge of the crown joins the tooth. Besides visiting your dentist and brushing twice a day, flossing and using interdental cleaners (specially shaped brushes and sticks) around crowns is vital to remove plaque from around the crown area. Plaque left in the area where the crown meets the gum can cause dental decay and gum disease.