Dental Crowns in Summerville, SC

A tooth with a large cavity, a crack, or a worn-down edge is a tooth at risk. Each time you bite, the weakened area takes more stress, and a problem that could be fixed with a crown today can become a split tooth or an extraction later. For many people, the real reason they put off a crown is the traditional process of two appointments, a messy impression, and weeks in a temporary crown.

At Old Trolley Dental Associates, most crowns are designed, milled, and placed in a single visit as part of our restorative dentistry in Summerville, SC. Dr. Scott Kibler has practiced in Summerville since 2006 and spends many hours each year in continuing education, including the Seattle Study Club. Dr. Michael Skovira completed an Advanced Education in General Dentistry residency at the Medical University of South Carolina, with training in complex restorative care. Every crown in our office is planned and placed by one of our two doctors.

What a Dental Crown Is and When You Need One

A crown is a custom, tooth-shaped cap that covers the entire visible part of a tooth above the gumline. It restores the tooth’s shape, size, and strength while protecting what is left of the natural tooth underneath. According to the American Dental Association’s MouthHealthy resource, crowns are used to strengthen teeth with large fillings, protect weak teeth from breaking, restore broken teeth, cover discolored or misshapen teeth, and cap dental implants.

You may be a candidate for a crown if you have one of the following.

Large Cavity
Decay too large for a filling to hold the tooth together.
Cracked Tooth
A crown holds cracked sections together and can keep a crack from spreading.
Broken or Worn Tooth
Rebuilds teeth broken by injury or worn down by grinding.
After a Root Canal
Protects back teeth that are more brittle after root canal therapy.
Dental Implant
The visible tooth on top of a dental implant is a crown.

If a filling will not be strong enough, a crown is often the step that saves the tooth from extraction.

Same-Day Crowns With CEREC Technology

The traditional crown process requires two appointments because the crown is made by an outside dental lab, which can take one to three weeks. In between, you wear a temporary crown that can loosen or break. With our in-office CEREC system, that wait is gone for most patients. Learn more about the technology on our same-day CEREC crowns page.

  Same-Day CEREC Crown Traditional Lab Crown
Appointments One Two
Impressions Digital scan Often putty molds
Temporary crown None Worn for 1 to 3 weeks
Numbing Once Often at both visits
Where it is made In our office At an outside lab

Same-day crowns are not the right fit for every tooth. Dr. Kibler or Dr. Skovira will let you know if your situation calls for a different approach.

What to Expect at Your Crown Appointment

A same-day crown visit is longer than a routine appointment because it combines two visits into one. Plan on spending part of a morning or afternoon with us.

1
Prepare the Tooth
After numbing, we remove decay and shape the tooth to hold the crown.
2
Scan and Design
A digital scan creates a 3D model, and your crown is designed to fit your bite.
3
Mill in Office
The crown is milled from a solid ceramic block and shade-matched to your teeth.
4
Bond and Adjust
We check the fit and bite, then permanently bond the crown in place.

Once the numbness wears off, you can usually eat normally. Some mild gum soreness or temperature sensitivity for a few days is common and typically fades on its own. For patients who feel uneasy about dental procedures, ask us about sedation dentistry options to help the appointment feel more manageable.

Crown Materials and How They Compare

Crowns can be made from several materials, and each has tradeoffs in strength and appearance. Same-day CEREC crowns are milled from high-strength ceramic, which is tooth-colored, durable, and free of metal. Other common materials include zirconia, a very strong ceramic often used on back teeth, porcelain fused to metal, which has a metal base under a porcelain surface, and gold alloys, which are very durable but noticeable. We will recommend the material that fits the location of the tooth, your bite, and your goals.

How Long Dental Crowns Last and How to Care for Them

With good care, many crowns last 10 to 15 years, and often longer. The crown itself cannot decay, but the natural tooth underneath still can, especially where the crown meets the gumline. To protect your investment:

  • Brush twice a day and floss or use interdental cleaners daily, paying attention to the gumline around the crown
  • Avoid chewing ice, hard candy, pens, or fingernails
  • Wear a night guard if you clench or grind your teeth
  • Keep your regular cleanings and exams so we can check the crown’s edges

If a crown ever feels loose, rough, or high when you bite, call us so we can check it before a small problem grows.

Dental Crown Cost and Insurance

The cost of a crown depends on the tooth, the material, and whether other treatment, such as a root canal or core buildup, is needed first. Many dental insurance plans cover a portion of crowns when they are needed to restore a damaged tooth. We accept many PPO plans, including Aetna, Ameritas, Cigna, Delta Dental PPO, Guardian, United Concordia, and UnitedHealthcare, and we will give you a cost estimate before treatment. Our financing options, including CareCredit, Cherry, and an in-house membership plan, can help spread the cost over time.

Need a Crown? Get It Done in One Visit
Schedule with Dr. Kibler or Dr. Skovira and find out if a same-day crown is right for your tooth.

What to Do If Your Crown Comes Off or Breaks

Keep the crown in a safe place, such as a small bag or container, and bring it to your appointment. Gently clean the tooth and avoid chewing on that side, since the tooth underneath may be sensitive or fragile. Do not use superglue or household adhesives to reattach it. Over-the-counter dental cement from a pharmacy can hold a crown temporarily if you cannot be seen right away. Then call our office so we can check whether the crown can be recemented or needs to be replaced. For urgent problems or pain, call 843-960-0389.

Dental Crown FAQs

Here are answers to the questions patients ask us most often about dental crowns.

Does getting a crown hurt?
We numb the tooth and surrounding area before we begin, so most patients feel pressure but not pain. Mild soreness in the gums or some temperature sensitivity for a few days afterward is normal.
Are same-day crowns as strong as lab-made crowns?
CEREC crowns are milled from solid blocks of high-strength ceramic and are designed for everyday chewing. For most teeth, they perform well over the long term. If a different material would serve a specific tooth better, we will tell you.
Why do I need a crown after a root canal?
A root canal removes the infected inner pulp, and back teeth in particular can become more brittle afterward. A crown covers and protects the tooth so it is less likely to crack under chewing forces.
Will my crown look natural?
Ceramic crowns are shade-matched to your surrounding teeth and shaped to fit your bite, so they blend in with your smile. Most people will not be able to tell which tooth has a crown.
Can a crowned tooth still get a cavity?
The crown itself cannot decay, but the natural tooth underneath can, usually at the edge near the gumline. Daily brushing and flossing and regular checkups help prevent this.
What is the difference between a crown and a filling?
A filling repairs a smaller area of a tooth, while a crown covers the whole tooth. When too much of a tooth is missing or cracked for a filling to hold, a crown provides the strength the tooth needs.

Get Your Dental Crown at Old Trolley Dental Associates

Dr. Scott Kibler and Dr. Michael Skovira combine decades of experience, advanced training through the Medical University of South Carolina, and in-office CEREC technology to deliver durable, natural-looking crowns, often in a single visit. Our Summerville practice has earned over 1000 five-star reviews, and you will see one of our two doctors at every step. You can meet our doctors before your appointment.

If you have been told you need a crown, or a tooth has been bothering you, we can evaluate it and often complete treatment the same day. Contact Old Trolley Dental Associates or call 843-376-6929 to schedule your crown consultation in Summerville, SC.