Failla and DeFrancesco Family Dentistry
976 Main StreetWaltham, MA 02451
Fantasia, Failla and &DeFrancesco Family Dentistry


Crown Procedure
(without CEREC)

When decay or damage to the surface of a tooth becomes significant, the recommended treatment option for saving the tooth is the placement of a dental crown.

With a dental crown, the damaged tooth structure is reduced and a custom-made tooth (or “crown”) is bonded to its surface. Crowns are also often used to anchor dental bridges — structures that replace missing teeth.

When damage to the tooth extends to the foundation (root) of the tooth, a bridge or dental implant may be a better solution. We will discuss your options for restorations with you after your initial examination.

Crowns are most commonly made of porcelain or porcelain bonded to metal (usually gold). Crowns are fashioned in a dental laboratory by trained technicians to provide the same strength and appearance as a healthy tooth.


First, your dentist will remove any decay and shape your tooth to receive a crown. The crown must be thick enough to withstand chewing, which means that the natural tooth below the crown must be reduced.

We will then take an impression of your tooth and note how your teeth fit together. You will then be fitted with a temporary crown while the permanent one is constructed in a dental lab. Certified dental technicians are able to make crowns that fit perfectly with your bite, and look like natural teeth. They will match the color of the crown to your own natural tooth color.

On a second visit, your temporary crown will be taken off and the fit of the new crown carefully checked. The final crown is then cemented in place, restoring the tooth to its natural strength, appearance and function.

Cerec One Visit Dentistry

Available at our Waltham location, CEREC uses computer-assisted design (CAD) along with computer-aided manufacturing (CAM) in a revolutionary new process that can generally be completed in about an hour. This technology is used “chairside” which means everything is done by us while you are with us at the office. The ceramic restorations that are tailor made for you are metal free and colored to match the natural appearance of your teeth. The result is a tooth restoration that is natural, fully functional, and stronger than other types of restorations with a lifespan of 15+ years.

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