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:
- 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.
- Impressions: An impression (mold) of the tooth is taken. This is sent to a dental lab, which fabricates the custom crown.
- Temporary Crown: A temporary crown is placed to protect the prepared tooth while the permanent crown is being made.
- 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:
- Preparation of Abutment Teeth: The teeth adjacent to the gap are prepared for crowns, similar to the crown procedure.
- Impressions: An impression is taken to create the bridge, ensuring it fits precisely and matches the surrounding teeth.
- Temporary Bridge: A temporary bridge is placed to protect the prepared teeth and maintain the space while the permanent bridge is being made.
- 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.
- Restored Function: Improve chewing and speaking abilities.
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.
- Good Oral Hygiene: Brush and floss daily, paying special attention to the area around the crown or bridge.
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