Same Day Crowns: What to Expect

You’ve got a cracked or damaged tooth, and your dentist says you need a crown. But the idea of two long visits, temporary crowns, and weeks of waiting? That’s where same-day crowns offer an easier option. At Arkansas Family Dental, we use advanced tools to create your crown in one visit—while you wait. Wondering what really happens during the appointment? Let’s explore next steps so you know what to expect.

Key Takeaways:

Same-day crowns are created using the CEREC system: digital scan, CAD/CAM design, and in-office milling.
The full process—prep, scan, design, mill, bond—is finished in one 90-minute visit.
Materials used: dental ceramic
Cost: ~$1,200–$1,600 per tooth; a little more than traditional crowns, but includes the full process in one sitting.
Lifespan: 10–15+ years with proper care.
Pros: no temp crown, fewer appointments, quick results, precise fit, natural look.
Cons: not suitable if damage is below the gum line or metal is needed.
Best for small-to-medium damage; not suited for deep decay or heavy grinders.
Most patients report great fit, appearance, and comfort.

How Are Same-Day Crowns Designed and Fabricated?

Understanding the CEREC Process for Same-Day Crowns

The CEREC process utilizes advanced technology, including cameras, computers, and a milling machine, to create same-day crowns efficiently.

Digital Scanning: A tiny camera captures a 3D image of the tooth, eliminating the need for messy trays. This digital scan is precise and faster than traditional molds, capturing every detail of the tooth's surface.
CAD/CAM Design: The computer-aided design (CAD) and computer-aided manufacturing (CAM) technology assist in crafting the new crown. These tools ensure the crown fits perfectly with the patient's bite and replicates the original tooth.
In-Office Milling: A strong ceramic block is placed in the mill, where the crown is shaped according to the digital design. The milling process is quick and efficient.
Final Adjustments and Bonding: The bite is checked and adjusted if necessary. Once milled, the crown is tested for shape and color match before being bonded in place. This means no need for temporary crowns or follow-up visits. Learn more about temporary vs. permanent crowns.

Role of CAD/CAM in Same-Day Crown Creation

CAD/CAM technology is pivotal in designing and instructing the mill to create a crown that fits the tooth precisely.

Efficiency: Without CAD/CAM, the process would require sending the case to an external lab, taking weeks. This technology allows everything to happen in-office, ensuring precision and quick adjustments.
Simplified Process: Same-day crowns streamline the procedure, reduce steps, and minimize decay risk.

What Happens During a Same-Day Crown Appointment?

Steps from Preparation to Bonding

A same-day crown appointment involves scanning, shaping, fabrication, and placement—all completed in one visit.

Preparation: The tooth is examined and shaped for the crown, with potential filling support if needed. This step typically takes 20 to 30 minutes.
3D Scanning: A quick and painless scan captures a detailed image for crown design, part of the CEREC process (Chairside Economical Restoration of Esthetic Ceramics).
Crown Fabrication: The design is sent to the milling machine, which shapes the crown from a ceramic block matching the tooth color. This milling phase takes about 20 to 30 minutes.
Crown Placement: After ensuring a proper fit, the crown is polished and bonded using special adhesive and a curing light, completing the process in just a few minutes.

Patient Preparation for a Same-Day Crown Visit

Before the Appointment: It is advisable to eat beforehand, as numbing may delay eating after the procedure. Bring a list of medications and consider headphones or a book for short waiting periods.
Comfort Considerations: Wear comfortable clothing and apply lip balm, as the mouth may be open for extended periods, causing dryness. Inform the dentist if teeth grinding occurs to adjust the crown or consider a night guard.

With the innovative on-site crown creation process, patients leave the office with a fully restored smile. For more details on this and other services, visit Arkansas Family Dental.

Why Choose Same-Day Crowns Instead of Traditional Ones?

You may ask, “Why choose a crown made in one visit?”

Short answer: Save time, avoid inconvenience, and leave with a restored smile.

Same-day crowns offer significant benefits. One visit is enough—no second trip, no lost workdays. Arrive with a dental issue and leave within two hours with a functional crown.

This is perfect for busy individuals.

Digital tools scan and shape the crown onsite, eliminating the need for messy impressions. Learn more about single-visit dental crowns here.

Benefits of Skipping Temporary Crowns

Temporary crowns often feel loose and awkward, potentially falling off or causing soreness. With a one-visit crown, you avoid these entirely, receiving a permanent fixture that fits immediately.

Durability and Attractiveness of Same-Day Crowns

Are single-visit crowns as durable and attractive as traditional ones? Absolutely.

Same-day crowns use solid ceramic blocks milled to fit your tooth precisely. The result is smooth, stable, and blends seamlessly with your natural smile.

Comparing Quality with Lab-Made Crowns

In many cases, the quality is comparable. However, for teeth with deeper damage under the gum or those requiring a metal layer, lab crowns might be preferable. A dentist will help decide what works best.

This process is about more than speed—it’s about comfort, aesthetics, and longevity.

What Materials Are Used in Same-Day Crowns?

The Use of Ceramic in Same-Day Crowns

All same-day crowns are crafted from solid dental ceramic blocks. Designed to match your natural tooth, ceramic is both strong and aesthetically pleasing. CAD/CAM tools shape and place it during one appointment, with no need for a second visit or temporary crown.

Porcelain vs. Ceramic Crowns

Lab technicians custom-layer porcelain crowns to mimic real teeth, requiring two visits. In contrast, dentists machine-make CEREC crowns chairside, showcasing advanced glass ceramic properties to resist chipping and seal effectively.

Pros and Limits of CEREC Materials

The main benefit is saving time. CEREC crowns look good, feel comfortable, and protect the tooth for over 10 years. They also block out bacteria due to their close fit to the gum.

However, not all teeth qualify for ceramic. If there is extensive grinding or a need for extra durability, alternative materials like gold or metal might be more suitable. When damage extends below the gum, lab impressions may be necessary.

Same-day ceramic crowns are ideal for broken, cracked, or worn teeth, offering a smart choice when time and appearance both count.

Who Should and Shouldn't Get Same-Day Crowns?

Suitability for Same-Day Crowns

Same-day crowns are ideal for small-to-mid tooth repairs. They suit teeth that are cracked, chipped, or filled but still have solid roots. They may also work for those who grind their teeth but retain strong tooth structure.

When They Might Not Be the Right Choice

Damage Below the Gum Line: Digital scans may miss these, requiring lab-made crowns.
Desire for Metal-Based Options: Requires lab work, not suitable for chairside creation.

Reliability for Molars and Cosmetic Cases

Same-day crowns work well for molars under certain conditions. Ceramics like zirconia are generally strong enough, though heavy biters might prefer metal crowns. For detailed, hand-crafted cosmetic needs, lab crowns may offer an advantage.

Who Isn't a Good Match?

Teeth with breaks under the gum
Teeth needing a metal base for strength
Patients seeking detailed, hand-colored crowns

Discussing options with a dentist can ensure the best choice for your needs.

What's the Difference Between CEREC and Lab-Made Crowns?

Immediate Fit with CEREC Crowns

CEREC crowns offer immediate fit and comfort. Digital scans quickly create a 3D model, allowing precise design and placement.

Benefits of Lab-Made Crowns

Lab crowns provide more material flexibility, including mixes like porcelain with metal. They may be preferred for added strength or shade variety.

Longevity and Appearance

CEREC crowns usually match labs in fit, reducing issues and decay risk. Lab crowns can offer a lifelike look for front teeth, though newer CEREC blocks have improved in appearance.

Considerations for Time

A one-session process allows scanning, creation, and placement faster than a long lunch. No temporary needed, no follow-up. Explore more about same-day and traditional crowns.

How Much Do Same-Day Crowns Cost?

Cost Comparison

Traditional: $1200 to $1,500 per tooth
Same-Day: $1,400 to $1,700 per tooth

Consider potential savings due to fewer visits and no separate lab fees.

Inclusions in Same-Day Treatment

Most offices include:

Digital scan and design work
In-office milling machine use
Bonding of the crown to your tooth

Some charges may apply for additional procedures.

Insurance and Value

Most dental plans cover single-visit crowns similarly to traditional options, but coverage varies. Checking with the dentist is advisable.

The value is clear for those prioritizing time and less invasive treatment. Same-day crowns offer lasting quality, allowing a confident smile with fewer visits.

How Long Do Same-Day Crowns Last?

Lifespan and Performance

Typically, same-day crowns last 10 to 15 years or more. With proper care, they consistently perform well in daily use.

Comparison with Lab-Made Options

The key is a tight fit that prevents bacteria entry. While lab options offer different materials, same-day crowns often hold up just as effectively.

Proper dental care is essential—brush twice daily, floss, and visit your dentist every six months. Night guards may be necessary for grinders.

Are There Any Downsides to Same-Day Crowns?

Fit or Strength Issues

While uncommon, CEREC crowns can occasionally suffer from scan-related errors affecting fit or bite comfort.

Coverage Limitations

Same-day crowns may struggle with damage hidden beneath the gums. In such cases, lab impressions offer deeper coverage.

Material Considerations

Only ceramic materials are used, potentially unsuitable for heavy grinders. Labs can offer other multi-material solutions like gold or porcelain-fused-to-metal.

Skilled use of the milling machines is vital; incorrect execution affects crown success.

Overall, same-day crowns serve most patients well, though certain cases may benefit more from lab-made alternatives. Personalized planning ensures the best outcome.

What Are Patients Saying About Same-Day Crowns?

Real Feel and Appearance

Most patients report that same-day crowns feel natural and secure. The snug fit from digital scans often appeals to those who dislike mold materials.

Positive Feedback

Comments frequently praise the speed and look. Individuals appreciate entering with a problem and leaving with a perfect smile.

Longevity and Satisfaction

Patients report extended longevity, with crowns lasting 10 to 15 years. Some caution against chewing hard items, which can cause damage.

Durability Concerns

Occasionally, depth scan issues arise, underscoring the importance of a thorough exam beforehand.

In general, reviews emphasize ease, comfort, and style, with many valuing the immediate, lasting outcomes of same-day crowns. For further technical details, explore how same-day crowns are designed and fabricated.

Discover the Benefits of Same-Day Crowns

Same-day crowns use digital tools to provide a prompt, accurate solution. Avoid repeated visits and messy impressions, leaving with a crown that looks and feels real. While not perfect for everyone, they suit most people well.

Curious about which crown is right for you? At Arkansas Family Dental we will walk you through every step.