To place a dental crown, we first have to prepare the tooth and to do this we cut it by reducing its volume around it, by the same amount that the dental cap will later have, creating a stump where the crown made of the chosen material will later be fitted. This process is carried out under local anaesthesia.
Afterwards, a mould of the tooth to be covered must be taken so that the dental laboratory can manufacture the crown. The dentist will indicate to the laboratory the colour in which the crown should be made so that it is indistinguishable from the rest of the teeth and for this purpose they have a pantone of colours in different shades of white; in reality there are many shades of white. To protect the stump and allow us to chew, speak and maintain the aesthetics, a provisional composite crown is placed until the next visit which usually takes place in a week.
At the last visit and after having checked the fit, aesthetics and occlusion of the new crown, the provisional crown is removed and replaced by the definitive one, cementing it to the core.
If the tooth to be restored is badly damaged, it may be necessary to carry out an endodontic or root canal treatment first.
The process varies slightly if what we are going to place is a dental bridge. In this case, we will grind the teeth adjacent to the one we have lost and which will support the bridge.
In the case of a crown on an implant, it will simply have to be placed on the implant either immediately after surgery, immediate loading, or when the implant has been integrated into the bone, deferred loading.