A dental crown is a cap that covers a damaged or decayed tooth, restoring its shape, size, and function. Over time, crowns can become worn out or damaged, requiring replacement. Understanding what to expect during a dental crown replacement procedure can help alleviate concerns and ensure a positive experience. This blog will walk you through the process step by step.
Why Do Dental Crowns Need to Be Replaced?
Dental crowns may require replacement for a variety of reasons, including:
- Wear and Tear: Crowns can wear down over time due to normal chewing and grinding.
- Damage: The crown may necessitate replacement due to trauma or injury.
- Decay: If the underlying tooth suffers from decay, it can compromise the integrity of the crown.
- Looseness: Crowns can become loose, affecting their fit and stability.
The following signs indicate the need for a dental crown replacement:
- Pain or Sensitivity: If you experience discomfort when eating hot, cold, or sweet foods, it could indicate the need for a new crown.
- Loose Crown: If the crown feels loose or comes off, it’s time for a replacement.
- Visible Damage: Cracked or chipped crowns should be replaced to avoid further damage.
Step-by-Step Dental Crown Replacement Procedure
Step 1: Numbing the Area
The first step is to ensure your comfort. Local anesthesia will numb the area around the tooth, providing a painless experience during the procedure.
Step 2: Removing the Old Crown
The following step is to remove the old crown. If the crown is still securely attached, the dentist may need to use cutting tools or gently pry it off to avoid damaging the tooth. In some cases, the crown may need to be carefully cut into pieces before removal. Your dentist will take additional precautions if complications arise, such as a stuck or damaged crown.
Step 3: Checking for Tooth Decay or Damage
After removing the old crown, the dentist checks the underlying tooth for decay or damage. If needed, the tooth is cleaned and reshaped. In severe decay cases, a root canal may be necessary to preserve the tooth and establish a solid foundation for the new crown.
Step 4: Taking New Impressions
To create a precise new crown, your dentist will take impressions of the prepared tooth. This can be done with digital scans or traditional moulds. These impressions help create a custom-made crown that fits your tooth perfectly.
Step 5: Placing a Temporary Crown
While your permanent crown is being made, a temporary crown will be fitted to protect your tooth. Avoiding hard or sticky foods is crucial to preventing damage to the temporary crown.
Step 6: Fitting the Permanent Crown (Second Appointment)
You will return for a second appointment when the permanent crown is ready. The dentist will examine the fit, colour, and bite alignment to ensure the crown blends with your natural teeth. Following final adjustments, the crown will be securely cemented.

The Importance of Follow-up Care
Following dental crown replacement, maintaining good oral hygiene is critical. Brushing, flossing, and using mouthwash regularly can help prevent tooth decay and gum disease.
Avoid chewing on hard objects, as they can damage your new crown. If you’re concerned about the new crown, stick to soft foods for the first few days.
Routine dental appointments are essential for monitoring the condition of your crown and overall oral health. During these visits, your dentist will look for any problems.
FAQs About Dental Crown Replacement
How long does a dental crown last before needing replacement?
A well-maintained dental crown can last 10 to 15 years, depending on the material and how well you care for it.
Is crown replacement painful?
Due to local anesthesia, the procedure is typically not painful. However, you may experience some mild discomfort afterward, which can be managed with over-the-counter pain relievers.
Can I eat normally after getting a new crown?
After the permanent crown is placed, you should be able to eat normally. However, avoid chewing hard or sticky foods in the first few days.
How much does a dental crown replacement cost?
The cost can vary based on the crown’s material and the procedure’s complexity. Your dentist will provide an estimate during your consultation.
How do I care for my new dental crown to make it last longer?
Good oral hygiene, avoiding hard foods, and attending regular dental checkups are key to making your dental crown last as long as possible.
A dental crown replacement is a straightforward procedure that can improve your tooth’s appearance and functionality. Understanding what to expect during the process can help you feel more confident about your treatment. If you need a dental crown replacement or have any questions, contact North Hill Dental in Richmond Hill, Ontario, today to set up a consultation. Our team is here to help you keep your smile healthy and beautiful.