Fillings and crowns

Who does it and how long it takes

One of our general dentists, with a dental assistant.

A filling takes 30-60 minutes. A crown takes two visits about two weeks apart.

What happens

1. We show you the X-ray and explain why the tooth needs work, and what happens if you wait.
2. You get a written estimate before we start, with what insurance or the plan is likely to cover.
3. The tooth is numbed. For a filling we remove the decay and fill the space with a tooth-colored material.
4. For a crown we shape the tooth, take a scan, fit a temporary crown and place the permanent one at the second visit.

Afterward

• Wait until the numbness wears off before eating, so you do not bite your cheek.
• A newly treated tooth can be sensitive to cold for a few days or weeks.

Side effects and risks

• Sensitivity after a deep filling, and occasionally a tooth that later needs root canal treatment.
• A crown can loosen or chip over the years and may need to be replaced.

Alternatives

• Watching a small area of early decay with fluoride and better cleaning, when the X-ray allows it.
• Removing the tooth instead of saving it, with the cost of replacing it later explained.

Insurance

Fillings are often covered around 80% and crowns around 50%, after your deductible and up to your annual maximum. Check your benefits before you book.