DENTAL CROWNS & BRIDGES

A crown, sometimes referred to as a cap, is a covering for your teeth that encases the whole surface, returning the tooth to its original size and shape. The crown strengthens the tooth structure your dentist cannot restore with fillings or other dental restorations. An inlay, onlay or overlay are similar to crown but may partially cover a tooth to help restore its function.

There are different types of crowns which consist of; porcelain, porcelain fused to metal, metal and zirconia. Each will have a use and this will be determined during our discussions. These crowns are quite durable and will last years, however you may also need to replace them at some point because of regular wear, much like other dental restoration options.

Reasons for crowns:

• Broken or fractured teeth
• Cosmetic enhancement
• Tooth decay
• Fractured or large fillings
• Root canal treated teeth

What does the process of a crown involve?

The process of getting a crown normally takes two appointments. During your first appointment, your dentist will take molds of the area, being as accurate as possible, which they will then use to create your crown. They can also use the mold to manufacture a temporary crown you can wear on your tooth until they create the permanent crown, which will be done in a dental laboratory.

To apply the temporary crown, your dentist will numb the area and remove any tooth decay. They will also shape the surface of your tooth so the crown will fit properly. Your dentist will then place the crown and its temporary cement. Once these are applied, your dentist will check to ensure you are biting properly.

Your second appointment will start with your dentist removing the temporary crown. Once they do this, they will clean your tooth again before placing the permanent custom crown. After they place the new crown, they will once again check your bite to ensure everything is correct. Before the appointment ends, your dentist will give you specific care instructions. You are also advised to have regular dental appointments to check your new crown.

A dental bridge is a fixed (non-removable) appliance and is an excellent way to replace missing teeth.

There are several types of bridges. You and your dentist will discuss the best options for your particular case. The “traditional bridge” is the most popular type and is usually made of porcelain fused to metal. This type of bridge consists to two crowns that go over two anchoring teeth (abutment teeth) and are attached to pontics (artificial teeth), filling the gap created by one or more missing teeth.

Dental bridges are highly durable and will last many years, however they may need replacement or need to be re-cemented due to normal wear.

Reasons for a fixed bridge:

• Fill space of missing teeth.
• Maintain facial shape.
• Prevent remaining teeth from drifting out of position.
• Restore chewing and speaking ability
• Restore your smile.
• Upgrade from a removable partial denture to a permanent dental appliance.

What does getting a fixed bridge involve?

Getting a bridge usually requires two or more visits. While the teeth are numb, the two anchoring teeth are prepared by removing a portion of enamel to allow for a crown. Next, a highly accurate impression (mold) is made which will be sent to a dental laboratory where the bridge will be fabricated. In addition, a temporary bridge will be made and worn for several weeks until your next appointment.

At the second visit, you permanent bridge will be carefully checked, adjusted, and cemented to achieve a proper fit. Occasionally your dentist may only temporarily cement the bridge, allowing your teeth and tissue time to get used to the new bridge. The new bridge will be permanently cemented at a later time.

You will receive care instructions at the conclusion of the procedure. Proper brushing, flossing and regular dental visits will aid in the life of your new permanent bridge.

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