Crowns & Bridges

Crowns and bridges are common dental restorations used to repair or replace damaged or missing teeth.

1. What are Crowns?

  • A dental crown, often called a “cap,” is a custom-made restoration that covers the entire visible portion of a tooth.

  • It restores the tooth’s shape, size, strength, and appearance.

  • Crowns can be made from various materials, including porcelain, ceramic, metal alloys, or a combination.

2. Why are Crowns Needed?

  • To protect a weak tooth from fracture or to hold together parts of a cracked tooth.

  • To restore a broken or heavily worn-down tooth.

  • To cover and support a tooth with a large filling when there isn’t enough tooth structure remaining.

  • To cover a dental implant.

  • To hold a dental bridge in place.   
  • To cover discolored or poorly shaped teeth.

  • To cover a tooth that has had root canal treatment.

3. The Crown Procedure:

  1. Examination and Preparation: The dentist examines the tooth and takes X-rays. If there’s significant decay or a risk of infection, a root canal might be needed first. The tooth is then filed down to create space for the crown.

  2. Impressions: An impression (mold) of the tooth is taken. This is sent to a dental lab, which fabricates the custom crown.

  3. Temporary Crown: A temporary crown is placed to protect the prepared tooth while the permanent crown is being made.

  4. Permanent Crown Placement: Once the permanent crown is ready, the temporary crown is removed, and the new crown is fitted and cemented onto the tooth.

4. What are Bridges?

  • A dental bridge is a restoration used to replace one or more missing teeth.

  • It consists of one or more artificial teeth (pontics) held in place by crowns on the adjacent teeth (abutment teeth).   
  • Like crowns, bridges can be made from porcelain, ceramic, metal alloys, or a combination.

5. Why are Bridges Needed?

  • To fill the gap caused by missing teeth.

  • To prevent remaining teeth from shifting out of position.

  • To restore chewing and speaking ability.

  • To maintain the shape of the face.

  • To distribute bite forces properly.

6. The Bridge Procedure:

  1. Preparation of Abutment Teeth: The teeth adjacent to the gap are prepared for crowns, similar to the crown procedure.

  2. Impressions: An impression is taken to create the bridge, ensuring it fits precisely and matches the surrounding teeth.

  3. Temporary Bridge: A temporary bridge is placed to protect the prepared teeth and maintain the space while the permanent bridge is being made.

  4. Permanent Bridge Placement: The temporary bridge is removed, and the permanent bridge is fitted and cemented onto the abutment teeth.

7. Types of Bridges:

  • Traditional Bridges: The most common type, involving a pontic supported by crowns on adjacent teeth.

  • Cantilever Bridges: Used when there are adjacent teeth on only one side of the missing tooth.

  • Maryland Bridges (Resin-Bonded Bridges): Have a metal or porcelain framework that is bonded to the back of the adjacent teeth. They require less preparation of the abutment teeth.
  • Implant-Supported Bridges: Used when several teeth are missing. The bridge is supported by dental implants rather than natural teeth.

8. Advantages of Crowns and Bridges:

    • Restored Function: Improve chewing and speaking abilities.

    • Enhanced Appearance: Provide a natural-looking smile.

    • Prevent Shifting: Keep remaining teeth from moving out of place.

    • Support Facial Structures: Help maintain the shape of the face.

    • Long-Lasting: Can last many years with proper care.

9. Aftercare:

    • Good Oral Hygiene: Brush and floss daily, paying special attention to the area around the crown or bridge.

    • Regular Dental Checkups: Visit your dentist regularly for professional cleanings and examinations.

    • Dietary Considerations: Avoid chewing hard or sticky foods that could damage the crown or bridge.

    • Proper Cleaning Techniques: Use floss threaders or interdental brushes to clean under the pontic of a bridge.

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