Crowns and Bridges

Crowns

Our goal is to provide dentistry that is undetectable. We replace defective crowns and fillings with restorations that look and feel like your natural teeth, and in many cases an improved version of your natural teeth.

Where damage to a person's teeth is extreme, we can use porcelain or porcelain "fused on gold" crowns to make the smile appear "as new". This is an extremely reliable technique for repairing the most severe of dental problems, even permanently replacing missing teeth to offer a complete smile and a functional bite. We strive to provide you with an esthetic result that will prompt you to spend your day smiling. Porcelain crowns do not stain or discolor so they can provide you with long term reliability as long as the underlying tooth structure remains sound.

How long does it take?

Fitting a crown requires at least two visits to our office. Initially, we will remove decay, shape the tooth, take an impression of the tooth or teeth being restored, and place a plastic temporary crown on the tooth or teeth being treated.

On the subsequent visit we will remove the temporary crown, and then fit and adjust the final crown.  Finally, we will cement the crown into place and you have a new beautiful looking tooth.

Key Benefits

  • Replaces missing teeth 
  • Offers support to misshapen teeth or badly broken teeth 
  • Looks completely natural 
  • Fixes  "smile" and functional chewing problems. 

What are the capabilities of crowns?

Crown and bridgework is a very reliable solution for major dental problems caused through accidents, diseases or wear and tear. Major problems can usually be corrected using these techniques. Material used in these repairs is either high-grade porcelain, or porcelain bonded to gold.  A higher strength of the porcelain and gold materials is recommended to treat the most serious of dental problems. Where accidental damage has occurred, resulting in lost teeth, or where teeth have broken away through excessive wear, or as the result of old fillings breaking, crowns and/or bridges can be used as a long-term solution.

Many people have unexplained pain from filled back teeth, which is sometimes due to hairline cracks in the chewing part of the tooth. In some cases, placing crowns on these teeth relieves the pain and allows a return of full dental function for these teeth. In front teeth, older fillings can both weaken the teeth and cause "appearance" problems due to staining or chipping. Porcelain crowns and bridges are suitable in cases where porcelain veneers are not. In teeth with root canal fillings, crowns can prevent breakage.

Bridges

All of your teeth play an important role in speaking, chewing and in maintaining proper alignment of other teeth. Tooth loss doesn't necessarily have to occur as you age, but if you do lose teeth, they must be replaced to maintain proper function of your mouth. Fortunately, there are options for correcting tooth loss. 

Options

A bridge — a device used to replace missing teeth — attaches artificial teeth to adjacent natural teeth, called abutment teeth. Bridges are either permanently attached (fixed bridges), or they can be removable.

Fixed bridges are applied by either placing crowns on the abutment teeth or by bonding the artificial teeth directly to the abutment teeth.  Removable bridges are attached to the teeth with metal clasps or by precision attachments.

If you're missing one or more teeth, you may be aware of their importance to your appearance and dental health. Your teeth work together for many daily functions from eating to speaking. With missing teeth, it's difficult to do these things. Missing teeth can and should be replaced. Fixed bridges are a great way to restore your dental health and appearance.

What exactly is a bridge or fixed partial denture?

A bridge (fixed partial denture) is a device, which fills the gap where teeth are absent. Fixed bridges are bonded into place and can only be removed by a dental professional. Removable bridges, as the name implies, can be taken out and cleaned. Fixed bridges offer more stability than their removable counterparts.

Why do I need a bridge?

Oral functionality and appearance are important reasons for wearing a bridge. A bridge helps support your lips and cheeks. The loss of a back tooth may cause your mouth to sink and your face to look older.

Dental health is the most important reason for a bridge. Teeth were designed to complement each other. Unusual stresses are placed on the gums and other oral tissues when teeth are missing, causing a number of potentially harmful disorders. 

Increased risk of gum disease has proven to be one of the worst side effects of missing teeth and can be minimized with a bridge.

Missing teeth can cause speech disorders as they are used to make many of the sounds we use to speak clearly. 

How is a bridge attached?

The attachment procedure usually takes two or three appointments to complete. At the first appointment Dr. Leventhal will prepare the teeth on either side of the gap by removing a portion of the enamel and dentin.

Since the bridge must be fabricated very precisely to ensure correct bite and to match the opposing tooth, impressions of the teeth are taken and sent to a lab where the bridge will be constructed.

Fixed bridges are typically cemented to the natural teeth next to the space left by the missing tooth. A pontic (false tooth) replaces the lost tooth. Crowns, which are cemented onto the natural teeth, provide support for the bridge.

What materials are used?

Bridges can be constructed from gold alloys, non-precious alloys, porcelain, or a combination of these materials. Porcelain is often bonded to either precious or non-precious metal.

How do I take care of my bridge?

It is important to brush the bridge supported teeth as well as the rest of your teeth twice a day. Teeth covered with crowns can still develop decay under the crown if not kept very clean. We recommend the Sonicare toothbrush to assist you in oral hygiene.

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