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The biting surfaces of your teeth need to be able to apply a significant amount of force to effectively chew, grind, and process the foods you eat. This is especially true for the molars and premolars in the back of your mouth. When a fracture occurs on the biting surface of one of these teeth, the complications can be significant.

If a large area of occlusal tooth enamel has been damaged, the tooth’s biting surface might not be sufficient for its appointed function. Without timely treatment, a dangerous cavity could also threaten more of the tooth.

In a situation like this, Dr. Niloufer Hamsayeh might forgo treating the tooth with a dental filling and suggest a total dental crown restoration. This will completely replace the entire compromised tooth enamel layer with an alternate, dental-grade material.

The crown itself is hollow to allow it to be anchored on a post-like abutment that is formed from the core structures of the tooth. To do this, your dentist will use a dental drill to remove the tooth enamel layer before making an impression of the area. This will include the tooth’s relationship to the corresponding teeth in your bite pattern.

This information will be sent directly to our off-site dental lab where your new crown will be prepared. Then a hard, plastic temporary crown will be cemented over the abutment to protect it.

One of our staff members will call you back into our office for a brief second appointment when the crown is ready. The temporary crown will be removed and your new crown will be cemented onto the abutment with a dental-grade adhesive.

If you live in the San Francisco, California, area and you have suffered an occlusal dental fracture, you should call 415.682.6377 to seek treatment at Niloufer G. Hamsayeh, DDS.