When is a dental crown needed?

A crown restores a broken down tooth back to its original shape and beauty

Your dentist may have informed you that a tooth needs a dental crown (also referred to as a cap). For various reasons, most people will need at least one crown in their lifetime. So, which situations typically require a dental crown?

  • A tooth with a lot of decay
    When tooth decay (also referred to as a cavity) becomes so large that a filling cannot be used to restore the tooth to health, a dental crown may be necessary.
  • A broken down tooth
    If a tooth chips or fractures, a dental crown may be needed.
  • A large filling breaks
    Large fillings can fracture. Rather than placing another large filling that will be prone to breaking again, a crown may be indicated.
  • A tooth that had a root canal
    Research has shown that after root canals, teeth are more brittle and more prone to fracture. Comprehensive evidence further shows that a dental crown is needed to reduce the risk of a tooth fracturing after a root canal. People often have a root canal and postpone having a dental crown placed on the tooth. Unfortunately, these teeth are at a high risk of fracturing, causing a dental emergency. So, if you have a root canal on a tooth, you should visit your dentist for an evaluation for a crown.
  • A severely misshaped, stained or unattractive tooth
    In certain situations, a dental crown may be indicated to improve the appearance of a distinctly misshaped, stained or unattractive tooth.
  • A dental implant to replace a missing tooth
    A dental implant is a titanium screw that is placed in the jaw bone in the area of a missing tooth. Then, an implant crown that looks and feels like a natural tooth is placed on top of the implant screw to replace the missing tooth. (Learn more about implant crowns.)
Further Reading...

A little about me and my experiences with dental crowns:

Boynton Beach dentist Dr. Jeffrey Lissauer image

After graduating from Tufts Dental School, I completed a residency at Boston City Hospital. Following the residency, I worked in a practice near Boston while teaching at my dental school for a few years. My wife Joanne and I then decided to move to south Florida, where I have practiced for the past twenty-five years. Over this time, cosmetic dentistry has become my passion, especially making beautiful dental crowns. In the office, we make sure that every crown blends absolutely perfectly with our patients’ natural teeth. If the color of a dental crown is slightly off, we add a little color and bake the crown in our porcelain oven until it is the perfect shade. Also, we want every crown to look gorgeous and last as long as possible, so we only use the highest quality porcelain. If we are making a porcelain-fused-to-metal crown, we only use high precious metal. In addition, to make every crown, we confidently believe that we use the best dental laboratory in the country. If you have questions about dental crowns or would like to come in for a complimentary evaluation, please feel free to contact us:

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