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Crowns
Dr. Leyli Valera, DDS - San Jose, CA



Dr. Leyli Valera specializes in the placement of metal-free, ceramic crowns that can last a lifetime. Her philosophy is to treat every patient like a member of the family, so she never pushes unnecessary treatment, and always presents a variety of options for your care. If a patient does not require a crown, or if there’s a better, longer lasting treatment option, that’s what she’ll recommend.

If a crown is necessary, she’ll carefully select a material that complements your smile, accounting for your bite, oral hygiene, coloring, and numerous other factors. She uses natural-looking, durable restorations that cover the tooth and protect its natural structures. Her crowns are a safe, strong, and relatively painless alternative when fillings simply won’t do the job.

Common Questions about Crowns Treatment

What are crowns? When are they used?

Crowns are essentially full coverage restorations. By covering the whole tooth, they protect its underlying structure. They’re used in place of fillings when a cavity or fracture is so large that simply drilling and filling it could compromise the structure of the tooth. When a tooth requires or has already undergone a root canal, often a full coverage crown is also recommended.

How are crowns different from regular fillings?

Aside from covering the tooth, rather than just filling the problem area, the main difference between crowns and fillings is in the material. Fillings are resin-based, whereas the crowns Dr. Valera uses are non-metal and ceramic. She uses a variety of natural-looking, ceramic crowns, including zirconia, E-Max (lithium disilicate), and porcelain.

The material selected will depend on the patient’s bite, the location of the trouble tooth, and the amount of tooth that needs to be taken down before placing the crown. Dr. Valera specializes in placing strong, natural-looking restorations, using the ideal materials for your unique smile.

How long do crowns last?

Dr. Valera works hard to match the material used in your crown to your unique smile. The goal is always to maximize the durability of the crown, which can last anywhere from 10 years to a lifetime. A major factor in the lifetime of the crown is the patient’s oral hygiene, so Dr. Valera works with each patient to educate them on healthy habits and the best ways of taking care of their crowns and natural teeth.

Are crowns painful?

Dr. Valera uses a local anesthetic when placing crowns, so there is a quick shot involved. Some patients experience mild sensitivity after the procedure, but it will quickly pass. Patients can use over-the-counter pain medications to manage discomfort, but it’s often not necessary. In general, crowns won’t give you too much grief.

Will crowns stain?

The ceramic materials used in crowns don’t typically stain from food or coffee, as fillings or natural teeth can. While the color of a crown might gradually change over time, it won’t be at the same rate as a natural tooth.

Can crowns get cavities?

Yes, cavities can develop inside or around a crown, just like a natural tooth. The health of your crown depends on your oral hygiene, and the best way of preserving a crown is to treat it like any other tooth.

Some patients have dry mouth or other medical issues that can affect the crown. Dr. Valera will work with you to manage any conditions that might affect your crown. If a patient is not a good candidate for a crown, Dr. Valera will never push the treatment. She works hard to accommodate the goals of each patient, taking their specific conditions into account before presenting the available options for care.

How long does it take to place a crown?

Dr. Valera uses lab-fabricated crowns, so your treatment will occur over two appointments. At the first appointment, Dr. Valera will prep the crown, taking down the tooth wherever necessary and getting impressions for the lab. This usually takes around an hour and a half. You’ll leave in a comfortable temporary, and return in two weeks for the final crown installation. That second appointment typically takes about a half hour.

During the two weeks between appointments, Dr. Valera tells patients to avoid chewing anything too crunchy or hard with the temporary. Once the final crown is in place, you can go back to normal eating, flossing, and brushing.

Will the crown look natural?

Dr. Valera uses metal-free, ceramic crowns, which can often look even better than natural teeth. She’ll make sure the coloring of the crown blends in with the surrounding teeth, so it’s practically invisible in daily life. Caring for the crown is the same as natural teeth, as well.

Are crowns covered by insurance?

Crowns are typically covered by insurance. Dr. Valera will work with your insurance provider to ensure you get the maximum benefits from your coverage. Her office also works with CareCredit and All-Well, which offers interest-free financing for up to 12 months.

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