D6245 Dental Code: Porcelain/Ceramic Crowns – Indications, Procedures, and Benefits

A beautiful, functional smile often relies on restorative dental procedures, and one of the most common treatments is the placement of a dental crown. Among the various types of crowns, porcelain/ceramic crowns (coded as D6245 in the American Dental Association’s Current Dental Terminology) stand out for their natural appearance and durability.

This comprehensive guide explores everything you need to know about D6245 dental code, including its indications, procedure, benefits, and how it compares to other crown types. Whether you’re a patient considering this treatment or a dental professional seeking detailed insights, this article provides valuable, well-researched information.

2. Understanding the D6245 Dental Code

Definition and Classification

The D6245 dental code refers to the fabrication and placement of a porcelain/ceramic crown on a tooth. This code is part of the ADA’s fixed prosthodontics category, which covers permanent restorations.

Unlike porcelain-fused-to-metal (PFM) crowns (D2750), D6245 crowns are made entirely of ceramic material, offering superior aesthetics.

How It Differs from Other Crown Codes

3. Indications for Porcelain/Ceramic Crowns (D6245)

When Is a Porcelain Crown Needed?

• Severe tooth decay that cannot be fixed with a filling

• Cracked or fractured teeth needing reinforcement

• Cosmetic enhancements for discolored or misshapen teeth

• After a root canal to protect the weakened tooth

Advantages Over Other Crown Materials

✔ Natural appearance – Blends seamlessly with surrounding teeth
✔ Metal-free – Ideal for patients with metal allergies
✔ Stain-resistant – Less likely to discolor compared to resin crowns

4. The Procedure: Step-by-Step Breakdown

Step 1: Initial Consultation

• Examination, X-rays, and treatment planning.

Step 2: Tooth Preparation

• The tooth is reshaped to accommodate the crown.

Step 3: Impression Taking

• A digital or physical mold is sent to the dental lab.

Step 4: Temporary Crown Placement

• A temporary crown protects the tooth while the permanent one is made.

Step 5: Final Crown Cementation

• The custom ceramic crown is bonded securely.

5. Types of Porcelain/Ceramic Crowns

Feldspathic Porcelain

• Traditional, highly aesthetic but less durable.

Lithium Disilicate (Emax)

• Stronger, ideal for both front and back teeth.

Zirconia-Based Porcelain

• Maximum strength, suitable for molars.

6. Comparing D6245 with Other Crown Codes

While D6245 (porcelain/ceramic) offers the best aesthetics, D2750 (PFM) provides a balance between durability and appearance. D2780 (full metal) is the strongest but least aesthetic.

7. Benefits of Porcelain/Ceramic Crowns

• Aesthetic Excellence – Mimics natural tooth translucency.

• Biocompatibility – No metal, reducing allergy risks.

• Longevity – Lasts 10-15 years with proper care.

8. Potential Risks and Complications

• Tooth sensitivity (usually temporary)

• Chipping (rare with modern ceramics)

• Allergic reactions (extremely uncommon)

9. Aftercare and Maintenance

• Brush and floss daily.

• Avoid hard foods (ice, nuts).

• Regular dental check-ups.

10. Insurance and Cost Considerations

• Does insurance cover D6245?

  • Many plans cover 50-80% of the cost.

• Average cost without insurance: $1,000-$2,500 per crown.

11. FAQs About D6245 Dental Code

Q: How long does a porcelain crown last?
A: 10-15 years with proper care.

Q: Can a porcelain crown be whitened?
A: No, it resists staining but doesn’t respond to whitening treatments.

Q: Is the procedure painful?
A: No, local anesthesia ensures a painless experience.

12. Conclusion

The D6245 dental code represents a high-quality, aesthetic solution for damaged or decayed teeth. With its natural appearance, biocompatibility, and durability, porcelain/ceramic crowns are an excellent choice for both functional and cosmetic dental restoration.

13. Additional Resources

• American Dental Association (ADA) Crown Guidelines

• Journal of Prosthetic Dentistry – Ceramic Crown Studies