If an immediate crown doesn't fit, what is a recommended approach?

Using a pip (also known as a rubber dam or a similar tool) to aid in seating an immediate crown is a practical choice because it allows the dental professional to apply gentle pressure to the crown. This pressure can help encourage the crown to seat properly without the need for extensive adjustments or the use of additional materials like a temporary crown. This approach is often preferred in clinical situations where immediate patient management is necessary, ensuring that the patient is comfortable while addressing the seating of the crown at that moment.

This method is particularly useful as it can help to verify if the crown is simply needing a little help to fit or if there are underlying issues that would require a more significant adjustment or remaking the crown. Moreover, using a pip allows for minimally invasive intervention, which can often save time and reduce discomfort for the patient. If the crown still does not seat properly even after attempts with a pip, further evaluation might reveal other fitting issues that could be addressed more thoughtfully in a follow-up appointment.