Crowns and Bridges

Crowns

installation of a crownWhen the structure of an entire tooth is compromised, a crown, which covers all of the surfaces of the tooth, will need to be placed.

The first step is to prepare the tooth for a crown, which requires reduction of the tooth so that the lab has enough room to produce a life-like crown. We then take an impression, select the proper color for the crown and make a temporary, at which time the first appointment is completed.

Your case is then sent to the lab to make the crown, which is then tried in and adjusted. Our job is to communicate what your wishes and desires are to the lab technicians so your new crown will be in harmony with the surrounding teeth.

Before your new crown is cemented, we check the fit, the contacts, the bite and the color to make sure it has the same characteristics of your natural teeth.

 

Bridges

When a tooth has been lost and healthy teeth are located on both sides of the newly missing tooth (or teeth), then a fixed bridge is a treatment option. The bridge is created by adding crowns to the two supportive teeth (called abutment teeth) on either side of the gap and a false tooth/teeth (called pontics) in between the abutment teeth.

If the teeth on either side of the gap are not healthy enough to anchor a bridge, then implants can be used to create the support needed.

Fixed bridges are typically made from porcelain with a metal sub-structure and require at least two appointments to complete. The first appointment is used to prepare and temporize the teeth. The second appointment is the delivery appointment to adjust and cement the fixed bridge in place. Occasionally a third appointment is needed if the span of the bridge is long and the supporting framework for the bridge needs to be tried in before the porcelain is applied to the framework.

Even though all of the teeth of the bridge are physically connected, the final result makes it look like the teeth are individual and natural.

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Implant Option

Implants are an option in some cases. There needs to be sufficient bone for this procedure. If there is not enough bone present, we may be able to add more through grafting.

An implant may be an alternative to a fixed bridge in some cases. In the case above, one implant is placed. This means the adjacent teeth do not need to be part of the treatment plan.

After the implant is placed and the bone around them is allowed to heal, a porcelain tooth is attached to the implant. This stays in the mouth and is only removable by a dental professional if maintenance is necessary.

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