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A crown or a bridge is a cap that is placed over a tooth and held in place by dental adhesive or dental cement to treat problems of decay, fractured teeth and malocclusion, as well as to protect teeth which have undergone root canal treatment or large fillings. They can also be used to change tooth color and shape.
A normal process for a full crown restoration needs 2-3 appointments. Although the majority of crown treatments are completed in two visits, there is sometimes a need for a third visit to ensure that it is properly fit.
On the first visit, the tooth will be reshaped by filing down the tooth so that the crown can be placed over it. You will be given a local anesthetic before this part of the procedure so that no discomfort is experienced. Next, a mold will be taken of that tooth and of the surrounding teeth to be sent to the lab for the crown fitting. A temporary crown will be placed until the permanent one is ready.
The second visit sees the placement of the final restoration and the permanent crown will be fitted comfortably into the mouth. Every effort will be made to ensure that the new tooth feels exactly like one of your natural teeth before going to the final step, which is to cement the crown into your mouth.
A bridge (also known as a fixed partial denture) is planned when one or more teeth are missing and there are healthy teeth on both sides of the open space.
Porcelain fused to metal (PFM) is a tooth-colored bridge with high strength. Unlike an all-ceramic bridge, the metal core of the PFM makes it stronger. Tooth-colored porcelain of the highest quality is baked on the outside of the metal core. But because there is metal under the porcelain, it blocks natural tooth translucency and is not as pretty (aesthetically) as an all-ceramic bridge.
However, ceramic bridges do not enjoy the longevity of PFMs. There are many different marginal configurations (the area where the bridge meets the tooth) of a PFM. How well the margin of the bridge fits, affects the health of the gums and ultimately the longevity of the bridge. We choose to do a porcelain butt margin, which is the most aesthetic option (also the most challenging for the dentist and the laboratory technicians to perform well). A porcelain butt joint, when done well, is aesthetic, healthy for the gums, and durable.
An all-ceramic bridge (or porcelain with ceramic substrate) is the most aesthetically pleasing among all the bridges. There is no metal, so translucency is usually excellent (depending on the type of materials used for the all-ceramic bridge). These bridges are usually indicated on front teeth or teeth that are highly visible. We use only the best materials (a combination of beauty, biocompatibility, and strength) for our all-ceramic bridges.
A full gold bridge is composed of gold and looks gold. We only use high noble metal for our gold bridges (about 72% gold or 18 carat gold, 3.5% platinum). High noble metal fits better and is much less likely to result in allergies or sensitivities. Full gold bridges are indicated on back teeth with low visibility and are performed rather than a PFM at the patient’s request. The primary benefit of a full gold bridge is durability.
