Crown placement at International Dental Hub follows a structured clinical protocol across two primary appointments. Below is the complete process from the moment you book to the final cementation of your restoration.

Step 1: Appointment booking and initial consultation. You contact IDH to schedule your appointment. At the first visit, our clinician takes a comprehensive history, reviews your chief complaint, and performs a clinical and radiographic examination. Digital periapical or panoramic radiographs are taken to assess bone levels, root morphology, and periapical status. We confirm whether crown placement is the appropriate treatment or whether prior endodontic or periodontal intervention is required.

Step 2: Treatment planning and material selection. Based on the examination findings, the tooth's position in the arch, occlusal load, and your aesthetic goals, our dentist recommends the most suitable crown material. We discuss zirconia, E-max, porcelain-fused-to-metal, and other options with you, explaining the clinical rationale for each. Shade selection is performed under standardised lighting conditions using a VITA shade guide.

Step 3: Tooth preparation under local anaesthesia. On the day of preparation, the tooth is fully anaesthetised. The clinician reduces the tooth uniformly, typically 1.0 to 2.0 mm circumferentially and 1.5 to 2.0 mm occlusally, to create the necessary space for the crown material. A supragingival or slightly subgingival finish line is prepared depending on the crown type. The preparation is carried out with water-cooled diamond burs to prevent pulpal thermal damage.

Step 4: Impression and provisional crown placement. A precise impression is taken using polyvinyl siloxane (PVS) material, capturing the preparation and the opposing arch. Bite registration is recorded to communicate correct occlusal relationships to the laboratory. A provisional crown is then fabricated and cemented with temporary cement to protect the prepared tooth, maintain the interproximal space, and preserve aesthetics during the laboratory fabrication period.

Step 5; Laboratory fabrication. The impression is sent to our accredited dental laboratory, where skilled technicians mill or press the crown using the selected material. The shade, contour, and marginal fit are verified against the prescription. Fabrication typically takes 5 to 7 working days. You wear the provisional crown comfortably throughout this period.

Step 6: Try-in, adjustment, and final cementation. At your second appointment, the provisional crown is removed and the tooth is cleaned. The permanent crown is trialled on the preparation. The clinician checks the marginal fit, proximal contacts, occlusion, and aesthetics. Any necessary adjustments are made chairside. Once the fit is confirmed and the patient is satisfied, the crown is cemented with a permanent luting agent, either resin-modified glass ionomer or dual-cure resin cement, depending on the crown material. Post-cementation occlusion is verified with articulating paper.

Step 7: Post-operative instructions and follow-up. Written post-operative instructions are provided. Patients are advised to avoid hard or sticky foods for 24 hours, maintain regular brushing and flossing, and use floss threaders at the crown margins. A follow-up appointment is scheduled at 4 to 6 weeks to review the periodontal response and occlusal comfort.