Are Same-Day Crowns Really Worth the Risk?

Considering busy schedules, waiting times, and many other factors, getting a same-day crown sounds amazing. Why go for other options when you can get a same-day crown that promises quick results, fewer appointments, and the convenience that fits into this fast-paced world? 

As attractive as the offer sounds, prioritizing your dental health should be paramount. You should seek answers to questions like, “Does this really offer all it promises?” and “What are the cons of going with this option?” 

Not to worry. This article discusses why or why not to use same-day crowns. You will learn about the drawbacks of same-day crowns and the reasons a dentist might recommend them even when they are not the best option. 

Why Same-Day Crowns Might Not be Good for Your Dental Health

Here are some reasons why same-day crowns are being advised against. 

Less Accurate Fitting

In dental work, particularly something as important as crowns, precision matters. Traditional crowns go through a careful process that ensures every detail is fine-tuned for a perfect fit. 

The impressions of your tooth are sent to a lab where specialists make sure the crown not only fits well but also feels comfortable. This extra time allows for any necessary adjustments, giving your bite a natural feel and long-term comfort.

Though convenient, same-day crowns have potential drawbacks. Without the luxury of time to tweak and perfect the fit, the crown might not align properly with the rest of your teeth. This can lead to discomfort when chewing, bite misalignment, or even tiny gaps around the crown. 

Over time, these gaps can become breeding grounds for food particles and bacteria and increase the risk of decay and gum irritation. 

Greater Long-Term Risks

Another key consideration is the material your crown is made from, and this is where traditional and same-day crowns are significantly different. Traditional crowns come in diverse materials to cater to individual dental needs. Whether it’s porcelain fused to metal for strength, zirconia for durability, or even gold for specific situations, these materials are selected based on where the crown will sit in your mouth and how much pressure it will endure. For instance, back teeth endure more pressure from chewing, so they benefit from stronger materials.

Same-day crowns, however, are typically made from ceramic, which is undeniably attractive but might not always be the best long-term solution. Ceramic works well for teeth that aren’t under constant grinding or biting pressure. However, for patients who clench their teeth or have a powerful bite, the durability of ceramic comes into question. 

Hidden Costs

Sure, a same-day crown might seem like a quick and efficient solution, but you can be sure to get exactly what you pay for. 

The hidden costs of going for the speedier option can catch up with you faster than you’d expect. If you think you saved time with the same-day crown quick fix, wait till you have to come back again and again. It can be a result of a chip or crack that requires you to repair or replace it. 

Now, this is where the hidden costs come in. You have to spend more time and money to get that replacement, whereas you could have patiently done the traditional crowns once and for all. 

The Impact on Your Lifestyle

Another thing to consider is how your crown affects your daily life. For those who enjoy a full range of foods, from crispy veggies to sticky toffee, same-day crowns might not be able to keep up. 

While aesthetically pleasing, the ceramic used in same-day options may not be strong enough to withstand your favorite foods long-term. And if you’re a lover of ice-cold drinks or boiling-hot coffee, the temperature sensitivity of same-day materials might leave you wincing. 

On the flip side, traditional crowns made from more durable materials like zirconia can take the heat (and cold) much better, giving you the freedom to enjoy whatever’s on your plate without second-guessing every bite. 

Less Personalized

In dental work, functionality differs from the aesthetics it offers. The lab technicians take their time to create customized traditional crowns and they pay attention to details like the shades layers and polish textures. 

With same-day crowns, however, the process is automated and quicker, which means the level of detail can sometimes fall short. So, while they might be functional, they might not turn out to be as aesthetical as the traditional ones.

Less Customization

When it comes to creating dental crowns, traditional crowns crafted in a dental lab have an edge in terms of customization. Dental lab technicians are trained to be very detailed so that the crown is indistinguishable from your natural teeth. They layer different shades of porcelain and mimic the texture of surrounding teeth, making it look natural. 

On the other hand, same-day crowns are typically made in one material (ceramic) and within a short timeframe, so they might lack the intricate detail required for an ideal match.

Quick but Imperfect Fix

Same-day crowns are designed to be fast; speed often comes at the expense of precision. Traditional crowns offer a “testing period” through the use of temporary crowns. You wear the temporary crown for a few weeks, allowing your dentist to see how it functions in your bite, how comfortable it feels, and whether any adjustments need to be made before the final crown is placed.

Same-day crowns skip this step, meaning adjustments are made based on what can be seen and felt in a single sitting. While that’s convenient, it can result in crowns that don’t quite fit right the first time, leading to discomfort or misalignment in your bite. Over time, this might mean multiple trips back to the dentist to tweak the crown, ultimately making it less convenient than it initially seemed.

Not Suitable for Complex Dental Cases

Same-day crowns are for patients with no complex dental needs. While traditional crowns can be worked around to deal with dental needs, you will need more time and process for the same-day crown. This time and process required is exactly what the same-day crown lacks. 

Biases in Same-Day Crown Recommendations: What You Should Know

No one denies that same-day crowns are actually convenient. However, there’s a subtle, often unspoken reality in dentistry: biases in treatment recommendations. These biases come up not because of a lack of skill or care but simply because of the tools and technology at a dentist’s disposal. Here are some biases that cause a dentist to recommend same-day crowns in spite of the cons. 

The Convenience Bias

Same-day crown technology, like CEREC, is a game-changer in many ways. However, when a dental office invests heavily in this equipment, there can be an unintended shift in how treatment is recommended. 

It is similar to wanting to use new equipment even though there are more functional methods to get the job done. While this isn’t inherently wrong, it can lead to more aggressive treatments when less invasive options might suffice.

The Financial Pressure

Let’s not forget that same-day crown systems are expensive. This hefty price tag comes with the training and maintenance cost, which gives the dentist a reason to make the investment worth it. While most dentists uphold high ethical standards, the reality is that financial considerations can sometimes influence decision-making.

The dentist may suggest same-day crowns more frequently, even in cases where traditional crowns or other treatments are equally or more appropriate. In these situations, the bias isn’t necessarily about what’s best for the patient but rather about getting back what has been spent on this expensive technology.

The Time-Saving Bias

Same-day crowns are undeniably faster than traditional options, but this speed can sometimes lead to compromises in the final result. Time is money, they say, so the efficiency of same-day crowns can bias decision-making toward quicker fixes, even in situations where taking extra time might yield better results. 

A dentist might opt for the speed of a same-day crown because it allows them to serve more patients in a day, but that doesn’t always mean it’s the best option for complex cases or long-term durability.

The Technology Temptation

Dentists who invest in impressive equipment like same-day crown technology might naturally rely on it more often than necessary, sometimes at the expense of exploring other treatment options. The ease and speed of digital scanners and CAD/CAM systems can make crowns an appealing choice, even when a less invasive solution could do the job just as well.

Take a patient with minor tooth damage, for example. An onlay or filling might be all that’s needed, but because the same-day crown process is so streamlined and efficient, the dentist may lean toward recommending a crown by default. 

While this option can save time for both parties, it may lead to more extensive (and costly) procedures than the situation requires. This temptation to prioritize speed and technology can ultimately impact the patient’s long-term dental health and wallet.

What This Might Mean for the Dentist

Most dentists are genuinely committed to doing what’s best for their patients, but financial realities can sometimes create unintended pressures. Investing in same-day crown technology is a big expense, and naturally, there can be a subtle push to get the most out of that investment. This might mean that, without even realizing it, a dentist could recommend crowns more frequently to make the equipment “pay for itself.”

Even with the best intentions, using expensive technology can cloud judgment just a little when it comes to offering options. Over time, it might become easier to suggest a crown when a simpler, less costly solution could do the job just as well. While patients are still getting quality care, they might not always be presented with every possible alternative, especially if a less involved procedure would suffice. It’s not about bad care, but sometimes the range of choices gets a little narrower when expensive equipment is in play.

What This Means for Patients

As a patient, being aware of these potential biases is important. That doesn’t mean you shouldn’t trust your dentist—far from it. But it’s always a good idea to ask questions, explore your options, and make sure the recommended treatment is truly the best fit for your specific situation, not just the most convenient for the dentist or their practice. At the end of the day, your dental care should be about you, not the technology sitting in the office.

Conclusion

Same-day crowns offer undeniable convenience, allowing patients to leave the office with a restored tooth in a single visit. However, you should compare the pros and cons in terms of durability, customization, and the potential for biased recommendations. 

While the technology behind same-day crowns is impressive, it may not always be the best fit for every dental situation, especially for patients with complex dental needs or habits like teeth grinding.