Restore damaged teeth with dental crowns
A custom-made dental crown can rescue, strengthen and beautify a damaged tooth - giving you back a smile you can use without worry. Hand-crafted with care at our friendly St Margarets practice.
Dental crowns explained
A dental crown is a custom-made cap that's fitted over a damaged, weakened or heavily filled tooth to restore its shape, strength and appearance. Think of it as a protective shell that covers the entire visible part of your tooth, giving it back the function and look of a natural tooth.
Crowns are one of the most reliable ways to save a tooth that's been badly decayed, broken or root-treated. They're also commonly used as part of dental implant treatment, where the crown sits on top of the implant. For most patients in Twickenham, a well-fitted crown is the difference between losing a tooth and keeping it for many more years.
What our St Margarets patients are saying
Susan B.
Crown expertly fitted. Quick and efficient service. Pleasant friendly staff.
Diana W.
As always a first class service... I have been at this practice since 1998... always consistently good. From fillings crowns and general care I would recommend 100%.
S J.
Wonderful experience this morning from booking, reception to my appointment with Rachel, hygienist. She is very knowledgeable and gave lots of good advice.
Kay H.
Wow...what a relief!! I am so lucky to have found an NHS dentist near me who are welcoming and efficient. Emily Johnson was gentle, patient and thorough and clearly very knowledgeable.
From damaged tooth to restored smile
Your assessment and treatment plan
We'll start with a careful examination of the affected tooth, including any necessary x-rays. Your dentist will explain why a crown is needed, talk through the materials available, and provide a clear written treatment plan.
Preparing your tooth
The tooth is gently shaped to make room for the crown - all done under local anaesthetic so you won't feel a thing. We'll then take detailed scans or impressions to create your custom-made crown.
A temporary crown
While your permanent crown is being crafted by a skilled UK dental laboratory, we'll fit a temporary crown to protect your tooth and keep things looking and functioning normally.
Fitting your permanent crown
At your second appointment, we'll remove the temporary crown and carefully fit your new permanent one. We'll check the fit, the bite, and the appearance, making any small adjustments needed before bonding it into place.
Aftercare and follow-up
We'll show you how to look after your crown to keep it in great condition for as long as possible. With good care, a well-fitted crown can last many years.
Could a dental crown be right for you?
Crowns are recommended for a wide range of dental concerns, particularly when a tooth has been weakened or damaged in a way a filling can't fully fix. They're especially well suited to:
The team behind your tooth restoration
Crown treatment at St Margarets Smiles is provided by our friendly team of dentists, including Dr Paramjit Panesar, who has over 25 years of experience and a particular interest in restorative dentistry, biomimetic techniques and minimally invasive aesthetic work. You may also see Dr Emily Johnson, who is known for her gentle, calm approach and her commitment to thorough, prevention-focused care.
We work closely with skilled UK dental laboratories to craft your crown to the highest standard - because the difference between a good crown and a great one comes down to detail, and we're proud to take care over every one we fit.
Why crowns are worth the investment
A well-fitted crown can extend the life of a tooth by many years, restoring both its strength and its appearance in one go.
Strengthens damaged teeth
Looks like a natural tooth
Long-lasting and hard-wearing
Restores normal chewing
How much do dental crowns cost in Twickenham?
Dental crowns at St Margarets Smiles start from £650. The final cost depends on which type of crown you need and the complexity of the treatment - some crowns require additional preparatory work like root canal treatment or core build-up before they can be fitted. After your assessment, you'll receive a clear, written treatment plan with everything itemised so you'll know exactly what to expect.
We're committed to keeping our prices fair and transparent. You can find a full breakdown of our prices on our fee guide page.
Dental crowns from
£650
Your dental crown questions answered in Twickenham
How long do dental crowns last?
With good care and regular check-ups, modern dental crowns typically last 10-15 years, and often longer. The longevity depends on factors like which tooth it's on, your bite, and how well you look after your oral health overall.
Will my crown look natural?
Yes, when designed and crafted well. Modern porcelain crowns have lovely light-reflecting qualities that mimic natural enamel, and we work with skilled dental ceramicists to match the colour, shape and translucency of your existing teeth as closely as possible.
Does getting a crown hurt?
No - the procedure is carried out under local anaesthetic so you won't feel any discomfort during treatment. Some patients have mild sensitivity in the days afterwards, particularly when eating hot or cold things, which usually settles within a week or two.
How do I look after my dental crown?
Just like your natural teeth, really. Brush twice a day, floss daily (paying particular attention to the gumline around your crown), and keep up with your regular check-ups and hygiene appointments. Avoid biting on hard objects like ice, pen lids or fingernails.
Can a crown be replaced if it breaks or wears out?
Yes, crowns can be replaced. If the underlying tooth is still healthy, a new crown can usually be fitted in much the same way as the original. Your dentist will assess everything carefully and explain your options.
What's the difference between a crown and a filling?
A filling replaces a small portion of a tooth that's been damaged by decay, while a crown covers the entire visible part of the tooth. Crowns are recommended when a tooth is too damaged or weakened for a filling to be reliable in the long term.
Do you accept patients from outside St Margarets?
Yes, we welcome patients from across the TW1 postcode and the wider Richmond upon Thames borough - including East Twickenham, Isleworth, Whitton and Strawberry Hill. We're a short walk from St Margarets train station with pay-and-display parking right outside.