Dental crowns, placed to restore a tooth or to improve how it looks, are often paid in full or in part by the patient, and how they are described shapes who books and what they expect. This guide is for practice owners, patient coordinators and front desk teams: what MedlinePlus, the American Dental Association (ADA) and FDA say about crowns and related options such as bonding, which claims to avoid, and how to turn requests into well-informed exams.
- SearchAn adult looks for care near them.
- Your pageWhat you treat, who sees them, one way to book.
- Call or formThey call or send a request.
- Front deskBooks the visit and never guesses a cause.
- Clinical teamThe clinician decides the plan.
1. Know what crowns are and are not
The National Library of Medicine’s MedlinePlus page on dental crowns says “A crown is a tooth-shaped cap that replaces your normal tooth above the gum line.” and “You may need a crown to support a weak tooth or to make your tooth look better.” The ADA’s patient site MouthHealthy says “A crown can make your tooth stronger and improve its appearance.” and “A crown is a good way to cover teeth that are discolored or badly shaped.” So a crown can be restorative, cosmetic or both, and the reason matters for the plan and for insurance.
MedlinePlus lists several types of crown and says “There are several types of crowns, and each has pros and cons.” In short:
- Ceramic or porcelain crowns match the color of other teeth, but wear down opposing teeth more than metal crowns.
- Porcelain fused to metal crowns have porcelain over a metal base, and the porcelain part is more prone to fracture than all-porcelain crowns.
- Metal crowns hold up to chewing and grinding and rarely chip, but do not look natural in color.
- Resin crowns cost less, but wear down more quickly, are weaker and may need replacing sooner.
MedlinePlus says “Talk to your dentist about the type of crown that works best for you.” A crown is also not the only option. MouthHealthy says veneers “are different from crowns because they cover only the front surface of a tooth rather than the entire tooth structure.” MedlinePlus, on abnormal tooth shape, names braces, “fillings (bonding)”, crowns, veneers and bridges as ways to correct shape and improve appearance. The dentist decides after an exam whether a crown, a filling, bonding, a veneer or another treatment fits. If you offer those, see how to get more veneer patients and how to get more dental implant patients. Whitening does not change the color of crowns; see how to get more teeth whitening patients.
Crown materials are regulated by FDA as devices. Under 21 CFR 872.6660, porcelain powder for clinical use is intended for the production of artificial teeth and “jacket crowns, facings, and veneers”, and under 21 CFR 872.3690, tooth shade resin material is “intended to restore carious lesions or structural defects in teeth”. Both are Class II. Do not call a crown or material “FDA-approved” unless its own FDA record says so (see FDA approved or FDA cleared?).
2. Keep claims in line with the risk information
MedlinePlus lists these problems that can occur with a crown:
- “Your tooth under the crown can still get a cavity.”
- “The crown could fall off.” MedlinePlus says this can happen if the core of the tooth holding the crown is too weak, and that if the nerve is affected the tooth may need a root canal, or may need to be pulled and replaced with an implant.
- “Your crown could chip or crack.” People who grind their teeth or clench their jaw may need a night guard.
- The nerve of the tooth could become extra sensitive to hot and cold, which may be painful and may need a root canal.
For bonding and tooth-colored fillings, MouthHealthy’s tooth-colored fillings page says “no dental filling lasts forever” and that some studies show composite fillings can be less durable and need replacing more often than amalgam fillings.
The ADA Principles of Ethics and Code of Professional Conduct says “no dentist shall advertise or solicit patients in any form of communication in a manner that is false or misleading in any material respect.” Its examples include statements that would “be intended or be likely to create an unjustified expectation about results the dentist can achieve”. The Code applies to ADA members; your state dental board sets its own advertising rules.
Avoid “painless”, “lasts forever”, “permanent”, “same-day crowns for everyone”, “guaranteed results” and “FDA-approved”. Better: “the dentist will check the tooth and explain whether a crown or another option fits”.
3. Answer first-call questions honestly
- How much does it cost? Give a clear starting price for each crown type you offer, say what it includes (exam, X-rays, temporary crown, lab fee, follow-up visits) and that a core buildup, a root canal or more teeth affect the total.
- Does insurance pay? Do not promise coverage. Coverage varies by plan and may depend on why the crown is needed, so the practice checks each patient’s plan and explains what the patient may owe.
- Can I get it done in one day? “Some offices can make a crown on site, but it is not right for every tooth or every patient. The dentist will tell you after the exam.” MedlinePlus says “Some dentists can digitally scan the tooth and make the crown in their office.” Only say you offer it if you do.
- Who does the work? Give the dentist’s name and real credentials. Let callers check them with the state dental board. Under section 5.I of the ADA Code, “General dentists shall also state that the services are being provided by general dentists.” Prosthodontics is among the specialties the Code lists; cosmetic dentistry is not, so a general dentist should not be called a “crown specialist” or “cosmetic specialist”.
Leave screening to the dentist. Your intake form can ask which tooth or teeth, what the concern is (broken, worn, discolored, old crown or filling), when the last X-rays were taken, past dental work and medicines. Pass any report of pain, swelling, a broken tooth or a lost crown to the clinical team promptly. MouthHealthy’s dental emergencies page says “Most dentists reserve time in their daily schedules for emergency patients”. The dentist decides whether someone needs a crown or another treatment. Front desk staff only collect the answers. Use the new patient phone script for the rest of the call, and book the exam, not the crown, while the caller is on the line.
4. Plan the consultation and treatment course
MedlinePlus says “Getting a dental crown usually takes two dental visits.” At the first, the dentist numbs the area, removes old fillings or decay, reshapes the tooth, takes an impression or scan and fits a temporary crown; at the second, the dentist removes the temporary and fits and cements the final crown. Ask your dentists for written notes on each option you offer (lab-made crown, in-office crown, bonding): number of visits, temporary crown care and follow-up visits. Share them with callers early.
MedlinePlus tells patients to contact the dentist if swelling gets worse, the bite does not feel right, the temporary crown comes off, the tooth feels out of place, or pain is not relieved by over-the-counter pain medicine. Make sure front desk staff route those calls to the clinical team the same day. Aftercare depends on the treatment; the dentist gives exact instructions.
5. Price, finance and follow up
- Self-pay patients may be entitled to a good faith estimate; see the good faith estimate guide.
- After the exam, give the full plan in writing: each tooth, the crown type, any work needed first, and the patient’s estimated share if insurance is involved, labeled as an estimate.
- If you advertise a discount, follow advertising prices and specials and say whether the exam and X-rays are included. Avoid deadline pressure on a treatment decision.
- If you offer financing, follow the patient financing guide.
- Before-and-after photos need written authorization and honest comparisons; see before-and-after photos. FTC guides treat a patient’s result as typical unless you disclose what patients can generally expect.
- Follow up after the exam without pressure; see consultation to treatment. Track crown and bonding requests separately, by restorative or cosmetic reason, from request to exam to treatment.
Where MediLeadGen fits
MediLeadGen sends practices requests from people interested in cash-pay elective treatments. Each request goes to one practice only, with the person’s consent naming that practice, at a fixed price per delivered request.
See how it works for practices
Questions practices ask
How do we get more dental crown patients?
Answer requests quickly, give clear prices and what they include, be honest about insurance, introduce the dentist by real credentials, keep claims in line with the risk information, and book an exam where the dentist decides whether a crown, bonding, a veneer or another treatment fits.
Can we advertise crowns as permanent or painless?
No. MedlinePlus says the tooth under a crown can still get a cavity, and a crown can fall off, chip or crack. Avoid “permanent”, “lasts forever” and “painless”, and let the dentist explain what to expect.
Does insurance cover dental crowns?
Coverage varies by plan and may depend on why the crown is needed. Check each patient’s plan, give the patient’s share in writing as an estimate, and do not promise coverage in ads or on the phone.
Can a general dentist advertise as a crown or cosmetic specialist?
Not under the ADA Code. General dentists may announce the services they offer but must avoid anything that expresses or implies specialization and must state that the services are provided by general dentists. Check your state dental board’s rules too.
General information for practice teams, not legal or clinical advice. Check your advertising, pricing and estimate rules with counsel and your state dental board. Last reviewed October 2026.
More resources
- How to get more patients in a dental office: a 7-step plan for the practice team
- How to get more veneer patients: a plan for cosmetic dental practices
- How to get more dental implant patients: a plan for the practice team
- How to get more teeth whitening patients: a plan for dental practices
- How to get more denture patients: a plan for practices
- How to get more dental bridge patients: a plan for practices
- How to get more root canal patients: a plan for practices
- How to get more dental filling patients: a plan for practices
- How to get more TMJ disorder patients: a plan for practices
