Permanent Crowns

Dear Patient,

After the final cementation of your restoration, it may take a few days to get used to the new crown or bridge.  Temperature sensitivity is possible for a few weeks and occasionally lasts for several months. As with the temporary, if the bite does not feel balanced, or uncomfortable, please call (don’t wait).  Your gums will be a little sore for a couple of days, so you may want to use a warm salt water rinse to speed up recovery.  The reason a crown is placed is due to large amounts of tooth previously missing from decay, or fractures. Placing a crown on a tooth with fractures most often protects the tooth from further fracture, root canal, or tooth loss. Sometimes, however, a tooth still ends up needing a root canal, from these previous “insults”, at some time after the crown is placed.

Do not chew hard or sticky foods on the restoration for 24 hours from the time they were cemented.  The cement must set up during this time to have optimum strength. 

Proper brushing, flossing, and regular 6-month (minimal) cleanings are required to help you retain your final restoration.  The only area that a crowned tooth can decay is below the edge of the crown, near or below the gum line. Often, small problems that develop around the restorations can be found at an early stage and corrected easily, but waiting for a longer time may require redoing the entire restoration. 


  1. For a period of three years from the date of service, we will replace the crown (not refund) or bridge due to breaking, misfit or decay at no cost to the patient.
  2. This guarantee is null and void if the patient does not maintain their 6 month continuing care cleaning and exam appointments

Gold and porcelain crowns are similar in most respects except that porcelain can chip or fracture. Approximately 1 out of every 100 porcelain crowns chip and need replacement.  This will never happen with gold crowns and so we often recommend gold on the very back teeth, where they can’t be seen. Most fractures of porcelain occur on the molars—especially the second molars.  If your porcelain crown fractures in the first three years, we will replace it for free.  However, if it chips after the 3-year period, it will cost you the regular fee for a new crown.  


Dr. Hoffman and Staff ( Please call or e-mail with any questions or concerns.)

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