Dr. Sapienza and our team can restore a smile to full function and health without compromising natural beauty. In years passed, dental crowns were fabricated from metal. At The Dental Spa of New York®, we prefer to place white crowns, made from durable ceramic or porcelain fused to metal. A crown is suggested when a tooth is compromised by damage or extensive decay. A ceramist hand makes the dental crown to fit as a snug covering over the existing prepared tooth.