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Crowns 5 min read12/20/2024

Are Dental Crowns Harmful? 5 Things Your Dentist Wants You to Know First

Many people worry that getting porcelain crowns will damage their natural teeth. What's the truth? This article answers the most common concerns.

Are Dental Crowns Harmful? 5 Things Your Dentist Wants You to Know First

"Will a porcelain crown damage my natural tooth?"

This is the question nearly 100% of patients ask before treatment. The answer depends on who does the work and how it's done.

The truth about tooth reshaping

Placing a porcelain crown requires removing a thin layer of enamel (~0.5–1.5mm) so the crown can fit over the tooth. This is unavoidable, and it's the main concern for many people.

However:

  • The amount removed is extremely small compared to the whole tooth
  • Modern techniques preserve as much of the natural tooth as possible
  • After crowning, the tooth still has a healthy root and living pulp
  • The crown actually protects the natural tooth from further chipping and cracking

When is a porcelain crown truly NECESSARY?

✅ Large cavities with significant loss of tooth structure

✅ Cracked or broken teeth that can't be restored with a filling

✅ After root canal treatment (the tooth becomes brittle and prone to fracture)

✅ When you want a complete cosmetic transformation

When should you NOT get crowns?

❌ Your teeth are perfectly healthy and you just want them whiter → Teeth whitening or Veneers are a better fit

❌ Your teeth are significantly misaligned → Braces first, then consider crowns

❌ Inflamed gums or untreated cavities → These must be treated first

5 signs of a trustworthy dental clinic

1. X-rays taken before treatment to assess the tooth pulp

2. Thorough consultation covering pros, cons, and alternative options

3. Tooth preparation under magnification (loupes/microscope) – far more precise

4. Temporary crowns fitted before the permanent ones, so you can try them out

5. A clear written warranty

How long do porcelain crowns last?

TypeAverage lifespan
Standard porcelain5–7 years
Emax10–15 years
Lava Esthetic15–20 years
Premium Zirconia20+ years

With proper care and by avoiding biting on hard objects, porcelain crowns can last a very long time.

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