A damaged or weakened tooth doesn’t always have to mean multiple dental appointments, temporary crowns, and weeks of waiting.
At Dentistry at Carolina Forest, we use advanced digital technology to design and create custom dental crowns right in our office. For many patients, that means receiving a permanent, custom-made crown in a single visit.
If you have a broken, cracked, heavily filled, or weakened tooth, our team can evaluate it and determine whether a same-day crown is the right way to restore and protect it.
A dental crown is a strong, custom-made restoration that covers and protects a damaged tooth.
Traditionally, getting a crown may require taking impressions, placing a temporary crown, sending the case to an outside dental laboratory, and returning several weeks later for the permanent crown.
With our in-office digital technology, many crowns can instead be scanned, designed, milled, and placed during the same appointment.
That means:
A crown may be recommended when a tooth has lost enough healthy structure that a filling alone may no longer provide adequate strength or protection.
Common reasons include:
The goal is to preserve as much of your natural tooth as possible while giving it the strength it needs for everyday chewing.
Your dentist examines the tooth and any necessary X-rays to determine what is causing the problem and whether a crown is the appropriate treatment.
Any decay or weakened material is removed, and the tooth is carefully shaped to support the new crown.
If a significant amount of tooth structure is missing, a core buildup may be needed first. This replaces missing tooth structure and creates a solid foundation for the crown.
Instead of relying on a traditional impression, digital scanning technology creates a detailed three-dimensional image of your tooth and surrounding teeth.
Using the digital scan, your crown is designed to fit your tooth, neighboring teeth, and bite.
The restoration is milled from dental ceramic while you are here.
Your dentist checks the fit, bite, and appearance before permanently bonding the crown to your tooth.
For many patients, the entire process can be completed in one visit.
The biggest advantage is convenience, but that isn’t the only benefit.
Same-day crown technology can provide:
It can be especially convenient when a crown breaks unexpectedly or when taking time away from work for several appointments would be difficult.
Not every damaged tooth needs a crown.
A filling works well when enough healthy tooth structure remains to support it. But when a tooth has a very large filling, significant decay, a crack, or substantial loss of tooth structure, placing another large filling may not provide enough protection.
A crown surrounds the remaining tooth and helps distribute biting forces across the tooth.
Our goal isn’t to crown every damaged tooth. It’s to determine the most appropriate conservative treatment that gives the tooth a predictable chance of lasting.
Sometimes there isn’t enough healthy tooth remaining to properly support a crown.
In those situations, your dentist may first place a core buildup.
Think of it as rebuilding the missing portion of the tooth so the crown has a strong, properly shaped foundation to fit over.
The buildup becomes part of the supporting structure underneath the finished crown.
Often, yes—but it depends on how and where the tooth has broken.
Some fractured teeth can be restored with a crown. Others may require additional treatment, such as root canal therapy, before a crown can be placed.
If a fracture extends too deeply below the gumline or into the root, the tooth may not be predictable to restore.
The sooner a broken or cracked tooth is evaluated, the more treatment options may be available.
Keep the crown if you still have it and contact our office.
Avoid chewing on that side until the tooth has been evaluated. The tooth underneath may be sensitive or vulnerable to additional damage.
Depending on the condition of the tooth and existing crown, your dentist will determine whether the crown can be recemented or whether a new restoration is needed.
Same-day crowns are made from modern dental ceramic materials designed for strength, function, and appearance.
However, there is no single type of crown that is ideal for every tooth or every patient.
Your dentist will consider the location of the tooth, your bite, how much tooth structure remains, your dental history, and other factors before recommending the appropriate restoration.
In some situations, a laboratory-made restoration or another treatment may still be preferable.
There isn’t a guaranteed lifespan for any crown.
How long a restoration lasts depends on factors including oral hygiene, biting forces, grinding or clenching, diet, the health of the underlying tooth, and regular preventive dental care.
Good home care and routine dental examinations help protect both the crown and the natural tooth underneath it.
Many dental insurance plans provide benefits toward medically necessary crowns, although coverage varies considerably by plan.
Our team can help you understand the information provided by your dental benefits and estimate your expected portion before treatment.
Insurance coverage does not determine whether a crown is clinically necessary; your dentist’s recommendation is based on the condition of the tooth.
Dentistry at Carolina Forest has served patients in the Carolina Forest and greater Myrtle Beach community for many years.
Our in-office digital technology allows us to combine modern restorative dentistry with something our patients value just as much: convenience.
If you’ve been told you need a crown, have an old crown that’s causing problems, or have broken or damaged a tooth, we can evaluate the tooth and explain your options clearly before treatment begins.

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