ANSWERS

How is a crown made?

A dental crown is made in five steps: the dentist preps the tooth and captures an intraoral scan or impression, the lab designs the restoration in CAD software, mills it from a zirconia or lithium disilicate block, sinters and stains for shade match, then ships back for cementation.

THE SHORT ANSWER

A dental crown is made in five steps: the dentist preps the tooth and captures an intraoral scan or impression, the lab designs the restoration in CAD software, mills it from a zirconia or lithium disilicate block, sinters and stains for shade match, then ships back for cementation.

THE FULL PICTURE

Why it works this way

The detailed explanation for this answer is being prepared. In the meantime, request a Doctor Kit and try the work on three cases.

RELATED QUESTIONS

More on this topic

What information should I send with the case to speed up crown fabrication?
Include the intraoral scan or impression, opposing arch, bite registration, shade selection with photos when possible, and a written Rx specifying the material type (zirconia or lithium disilicate), occlusal clearance, margin design, and any preferences for contact tightness or contour. Clear stump shade photos are especially helpful for anterior lithium disilicate cases where translucency affects final shade.
How long does crown fabrication take at the lab?
Standard turnaround for a single monolithic zirconia or lithium disilicate crown is typically several business days in the lab, not counting shipping. Cases requiring layered ceramics, custom staining, or multiple units take longer. Rush scheduling can be arranged in advance. Turnaround starts once the lab receives an approved digital scan or physical impression with a complete Rx.
How do you decide between milling and pressing for a crown?
Most posterior crowns are milled from monolithic zirconia for strength and efficiency. Lithium disilicate can be milled or pressed depending on the esthetic demand and case design. Milling is standard for single units driven by digital workflows. Pressing may be selected when layered esthetics or specific ingot characteristics are preferred for anterior cases requiring maximum translucency.
What preparation design does the lab need for a predictable crown fit?
For zirconia, a chamfer or shallow rounded shoulder margin with roughly 1 to 1.5 mm axial reduction and 1.5 mm occlusal clearance works well. Lithium disilicate typically requires a rounded shoulder and 1.5 to 2 mm occlusal clearance. Avoid sharp line angles and undercuts. Clean, visible margins in the scan directly affect marginal fit and reduce the need for chairside adjustment.
Can the lab match a single anterior crown to adjacent natural teeth?
Yes, but single anterior matches are the most demanding cases. Send multiple shade photos with a shade tab in frame, the stump shade, and notes on translucency, incisal effects, and surface texture. Lithium disilicate is generally preferred for high esthetic anterior cases. A custom shade appointment or patient visit to the lab can be arranged for difficult matches.

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Read the full guide on all procedures

This answer is one piece of a larger workflow. The pillar page covers materials, turnaround, and how we build the case to your specification.

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