The question was recently posed to us:
"How does a dentist remove a permanent crown and replace it with a new restoration?"
The answer is: very carefully! Every patient is unique and should consult with a dentist before undergoing any treatment plan. The majority of the time, a patient’s old crown is "cut" off by carefully scoring a notch down the middle of each side of the crown. The goal is to create a large enough space to wedge an instrument into the groove and separate the crown slightly, which allows for easier removal. The treatment is generally quite quick, and the dentist will make sure to keep the patient feeling as comfortable as possible throughout.
Occasionally, the dentist will encounter a stubborn crown that is tougher to wiggle loose and remove. In this case, the dentist will score an additional notch across the entire midsection of the crown, from one end to the other. At this point, the crown will be in two pieces and will then be easier to remove. In rare cases, there may be additional notching required to ensure the safe removal of the old crown.
The risks associated with removing a dental crown are minimal. A restorative crown replacement carries little chance of adverse side effects, including damaging the tooth itself or any neighboring teeth.
Thanks for the great question, and keep them coming!
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