Caps / Crowns
The first step in the dental crown procedure is to remove the
damaged parts of the tooth. Then the impression of your mouth
is taken and will also shade match your teeth. A temporary dental
crown will be affixed to your tooth until your permanent crown
has been created. Once your permanent crown is finished, the second
part of the dental crown procedure requires a return visit to
the clinic. Your permanent crown will be fitted and your damaged
tooth will be restored to appear and function like a healthy,
natural tooth! Though the dental crown procedure usually takes
two visits, it is a procedure that requires a relatively short
amount of time in the dental chair. Dental crowns provide a natural-looking
tooth restoration option that can preserve your tooth for years
to come. Contact us for your dental crowns need.
Crowns
Also known as caps, restore damaged teeth. A crown covers a tooth
above the gum line and mimics the shape, size and color of the
surrounding teeth. Crowns cover, protect, seal and strengthen
a tooth. A crown is needed when a filling just will not work.
A crown may be made of white porcelain, or porcelain fused to
gold. There are many situations when it may be necessary to place
a crown:
Large decay.
In the event of a tooth has developed decay so deep and large
that a filling will not stay, or if the tooth structure is weakened,
a crown must be placed on the tooth to save it.
Large old fillings.
Other situations when large old fillings break down, or get decay
around them, they usually need to be crowned. A tooth that has been
structurally weakened a cap must be placed without delay. Once a
tooth develops a crack or breaks through the old filling, it may
not be possible to save it.
Cracked tooth.
When a tooth is cracked, a filling will not seal the crack. A crown
has to be placed over the tooth to hold it and the crack together.
A crown must be placed on such a tooth in time; otherwise it will
become sensitive to chewing pressure, or will eventually break.
It is important to crown a cracked tooth before it breaks, because
in some cases a broken tooth cannot be crowned and must only be
extracted.
Broken / Fractured tooth.
A tooth that has broken is usually too weak to hold a filling. A
crown will hold the tooth together and prevent it from breaking
again. If the fracture involves the nerve, Root Canal Therapy may
be required before the tooth is crowned. In some cases, a broken
tooth cannot be saved and must be extracted, as happened with the
case in picture.
Sensitive teeth. Teeth that are very sensitive
to hot and cold, either from a lot of "wear," or from
receded gums, also sometimes require protective cover of crowns.
Root Canal Therapy. A tooth that has undergone
Root Canal Therapy is more brittle than a tooth with a healthy nerve
and blood supply. A crown may be needed to properly seal, support
and protect the tooth.
In
cosmetic dentistry,
crowns (sometimes called "caps") are used less frequently
since the advent of veneers, but in some cases a crown may be necessary
for a particular tooth. A tooth with a bad fracture or a large filling
may be a candidate for a crowns and cosmetic bonding instead of
a veneer, as seen in the pictures.
Crowns should last approximately 5-8 years. However, with good oral
hygiene and supervision most crowns will last for a much longer period
of time. Some damaging habits like grinding your teeth, chewing ice,
or fingernail biting may cause this period of time to decrease significantly.
Bridges:
A dental bridge is a mode of tooth replacement that anchors a false
tooth between two surrounding teeth. Bridges replace missing teeth
and offer not only support for the surrounding teeth but prevent them
from moving or shifting in the mouth. It helps retain the integrity
of the jaw and face structure. This method of tooth replacement eliminates
aesthetic concerns associated with tooth loss and restores the function
of your teeth is the primary concern. A bridge allows the dentist
to replace lost teeth without the use of a denture or dental implant.
The disadvantage is that the teeth next to the space have to be prepared
in a similar way to a crown in order to accept the bridge.
A Permanent Bridge is permanently bonded in place, unlike a partial
denture (sometimes called a removable bridge); patients cannot remove
them. There are three main kinds of bridges. In a traditional bridge,
the pontic ("false tooth") is fused between the two crowns
of the abutment teeth on either side. In a Maryland bridge, a metal
band (hidden from view) binds the pontic to the abutment teeth.
A cantilever bridge is necessary when there is an abutment tooth
on only one side of the pontic. Maryland bridges work best when
the teeth are front teeth adjoining healthy teeth that do not have
large fillings.
A Permanent Bridge is usually anchored to the teeth on both sides
of the space from the missing tooth. This gives the bridge strong
support. Brushing a bridge is no different than brushing natural
teeth, but special flossing instructions are given to keep the bridge
and surrounding tissue healthy.
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Statutory Warning: The information is intended
to help you better understand dental conditions and procedures and should
not be construed as specific medical advice or recommendation. The general
information provided here is not a substitute for a consultation with the
dentists. Only personal discussion of your individual needs with a professionally
qualified doctor / dentist will determine the best method of treatment suitable
for you.