What to Do About a Cracked Crown or Veneer

Understanding Cracked Crowns and Veneers

Dental crowns and veneers restore and enhance teeth, but they can chip, crack, or loosen over time. Knowing the causes, symptoms, and how to respond is essential for preserving oral health and your smile.

Common Causes and Early Signs of Damage

• Causes: Biting hard foods (ice, candy), accidental trauma, teeth grinding (bruxism), aging materials, decay under restorations, or poor fit.
• Material Susceptibility: Porcelain and composite are more prone to chipping than zirconia or metal crowns.
• Early Signs: Visible cracks or chips, tooth sensitivity, pain when chewing, loose restoration, or gum irritation near the crown/veneer.

Immediate Actions to Take When a Crown or Veneer Cracks

• Rinse with warm saltwater to clean the area.
• Avoid chewing on the affected side and skip very hot or cold foods.
• Apply dental wax or sugar-free gum over sharp edges.
• Save any broken pieces in milk or saline if they detach.
• Contact your dentist immediately for evaluation and treatment.

Repair and Replacement Options

• Minor Damage: Can be smoothed, polished, or repaired using composite bonding.
• Moderate Damage: May require reshaping or overlaying with a new crown or veneer.
• Severe Damage: Replacement is needed, which involves removing the old restoration and fabricating a new one.

Dentists assess the extent, location, and material of the damage to recommend repair vs. replacement. Common materials include porcelain, zirconia, or composite resin.

Prevention Strategies and When to Seek Professional Help

• Brush and floss daily, and visit the dentist every 6 months.
• Avoid chewing hard or sticky foods on restorations.
• Use a nightguard if you grind or clench your teeth.
• Wear a sports mouthguard during contact activities.
• Seek dental help immediately for visible cracks, pain, or loosening.

Cost Considerations and Material Choices

• Material Matters: Porcelain offers aesthetics but is fragile; zirconia is stronger but may cost more; resin is cheaper but less durable.
• Costs: Repairs like bonding are affordable, while full replacements range from $500–$2,000 depending on materials and complexity.
• Insurance: Medically necessary crowns may be covered; cosmetic veneers typically are not.

Maintaining Your Dental Restorations for the Long-Term

Cracked crowns and veneers require prompt care to prevent worsening issues. Whether repaired or replaced, the success of your restoration depends on good oral hygiene, avoiding risky behaviors, and regular dental checkups. With proactive care, you can preserve your smile and protect your investment in dental health.