Beyond the Drill: Crowns, Implants & What They Really Do

1. Beyond The Drill: Crowns, Implants & What They Really Do In the world of restorative dentistry, dental crowns and implants are two commonly discussed procedures. While both are designed to restore the function and appearance of damaged or missing teeth, their approaches and applications are quite different. Understanding how they work and when they are used can help individuals make informed decisions about their dental health. What Are Dental Crowns? A dental crown is essentially a protective cap placed over a weakened or damaged tooth. Dentists often recommend crowns when a tooth has suffered from extensive decay, a crack, or has undergone a root canal. The natural tooth remains in place, but it is reshaped to fit the crown securely. Crowns are available in various materials, including porcelain, ceramic, metal alloys, or a combination of these. Porcelain and ceramic options are often chosen for their ability to closely match the colour of natural teeth. Once bonded, the crown reinforces the tooth’s structure, allowing it to withstand biting and chewing forces more effectively. Crowns are commonly used to extend the life of a natural tooth that still has a healthy root system. What Are Dental Implants? Dental implants, on the other hand, are used when a tooth is missing entirely or needs to be extracted. An implant replaces both the visible part of the tooth and its root. The process begins with the placement of a titanium post into the jawbone. Over time, the bone grows around the implant through a process called osseointegration, creating a solid foundation. A crown is then attached to this post, mimicking the appearance and function of a natural tooth. Implants are known for their stability and long-term durability. Unlike bridges or dentures, they do not rely on adjacent teeth for support. In fact, they help preserve jawbone density, which can deteriorate when teeth are missing for an extended period. When Is a Crown Recommended? Crowns are ideal when a tooth is structurally compromised but still has a stable root. Common scenarios include large cavities, broken fillings, or after root canal treatment. Crowns allow the dentist to save the natural tooth, avoiding extraction. They are often part of larger treatments, including bridges or cosmetic restorations. When Are Implants the Better Option? Implants are typically recommended when a tooth cannot be saved or is already missing. They offer a permanent solution without affecting neighbouring teeth. Implants also help maintain the alignment of the surrounding teeth and prevent shifting that can occur when gaps are left untreated. Key Differences to Note

2. The main difference between crowns and implants lies in what they replace. A crown restores the surface of a damaged tooth, while an implant replaces the entire tooth, including the root. Crowns are less invasive and faster to complete, whereas implants involve surgery and a longer healing process. Making the Right Choice Choosing between a crown and an implant depends on several factors, including the condition of the existing tooth, bone density, and long-term oral health goals. A dental professional can help assess which option is better suited to your needs based on a thorough examination and X-rays.