Will My Dental Crown Look and Feel Like My Own Tooth?

When patients ask me about a crown, the question underneath is almost always the same one: Will it look like my tooth, and will it feel like my tooth?

Those are two different problems. One is about how the crown meets the teeth above and below it. The other is about how it looks next to the teeth beside it. A crown has to solve both, and the work that goes into each is the part patients never see.

I have practiced dentistry in Fairfax for more than 40 years, and my training includes orthodontics and bite alignment. That background shapes how I approach dental crowns in Fairfax, VA, because in my experience, the bite is where crowns quietly succeed or fail.

Molars, Front Teeth, and Force

Your Bite Decides How the Crown Is Built

A crown becomes a new chewing surface, and it has to meet the opposing tooth the way the original did.

Get that even slightly wrong, and you feel it. A crown built a fraction too tall becomes the first thing that touches when you close, so every bite lands there first. It tends to show up as a tooth that feels tall or sore.

Where the tooth sits changes the whole calculation. Your molars absorb the heaviest chewing forces in your mouth, so a back tooth needs a material that will not fracture under years of that load. I use zirconia or a porcelain-and-metal combination there.

Front teeth take considerably less pressure, which frees me to choose for appearance instead. That is why porcelain is my preference on a front tooth, and why the same material would be the wrong answer on a second molar.

Brightness, Hue and Translucency

Why One Crown Is Harder to Match Than Eight

Shade involves three things at once. A natural tooth has a brightness, an underlying hue, and a translucency at the edge that lets light pass through rather than bounce off it.

A single crown has nothing to hide behind. It sits directly beside a natural tooth, and your eye compares them instantly. A full set of crowns is comparatively forgiving. But in either case, I'm taking time to make sure every dimension of your restorations will have others admiring your healthy-looking smile, not your obvious dental work.

A Decision You Make Once

Whiten First, Because a Crown Will Not Bleach

This is the piece I most want patients to hear before we start. Whitening works on natural enamel. It does nothing to porcelain or zirconia.

So if you are thinking about whitening at all, we do that first and then match your crown to your whitened teeth. Do it the other way around and your crown stays exactly the shade it was made, while the teeth around it get brighter.

A well-made crown lasts ten to fifteen years or longer, so this is definitely something to consider before we move ahead with your treatment.

A Few Blocks Away

Why the Laboratory Is Part of the Answer

Both problems, the bite and the appearance, end up in the same place. Someone has to build the crown.

We partner with a dental laboratory close to our office. That proximity is what gives us the quality control and the ability to customize each restoration, rather than sending a case across the country and accepting what comes back.

It is also the honest reason you wear a temporary crown for a week or two. Before I bond anything permanently, I check the crown's size, shape, fit and color against the teeth around it. If something is not right, that is the moment to fix it.

Fit, Feel and Color

Questions Patients Ask Me About Crowns