When the structure of a tooth is compromised, a crown, which covers all of the surfaces of the tooth, may need to be placed. A crown is meant to look and function like a real tooth, restoring a tooth’s shape and size.
The first step is to prepare the tooth for a crown, which requires reduction of the tooth so that the lab has enough room to produce a life-like crown. We then take an impression, select the proper color for the crown and make a temporary crown.
Your case is then sent to the lab to make the permanent crown, which is then placed and adjusted. Our job is to communicate what your wishes and desires are to the lab technicians so your new crown will be in harmony with the surrounding teeth. As with many similar procedures, careful attention to the way the teeth fit together is important.
Before your new crown is cemented, we check the fit, the contacts, the bite, and the color to make sure the new crown has the same characteristics of your natural teeth.
The procedure for having a fixed bridge made is essentially the same as having a crown made except that a fixed bridge involves at least two supporting teeth.
What can cause confusion is the number of teeth needed for a fixed bridge. To replace one missing tooth requires a three tooth bridge. This is because the teeth on both sides of the missing tooth must be part of the bridge to provide support.
Fixed bridges are typically made from porcelain with a metal sub-structure and require at least two appointments to complete. The first appointment is used to prepare and temporize the teeth. The second appointment is the delivery appointment to adjust and cement the fixed bridge in place. Occasionally a third appointment is needed if the span of the bridge is long and the supporting framework for the bridge needs to be tried in before the porcelain is applied to the framework.
Even though all of the teeth of the bridge are physically connected, the final result makes it look like the teeth are individual and natural.
Implants are an option in some cases. There needs to be sufficient bone for this procedure. If there is not enough bone present, we may be able to add more through grafting. Please read our Implants page and visit our Implants Gallery for more information.
An implant may be an alternative to a fixed bridge in some cases. In the case above, one implant is placed. This means the adjacent teeth do not need to be part of the treatment plan.
After the implant is placed and the bone around them is allowed to heal, a porcelain tooth is attached to the implant. This stays in the mouth and is only removable by a dental professional if maintenance is necessary.