Restore Aesthetics, Function and Comfort
Crowns, bridges, and dentures belong to the family of dentistry knows as prosthodontics. This field focuses on restoring the function and appearance of damaged or missing teeth by use of prosthodontic materials. These solutions correct for an array of dental concerns and offer a high degree of aesthetic compatibility. You and your dentist will determine which course of treatment is right for you.
If you require major treatment, we’ll send an estimate to your insurer so you understand your coverage and financial options. Our treatment coordinators will submit all necessary documents on your behalf and help you interpret the responses you receive from your insurance company.
A dental crown, sometimes referred to as a “cap”, is a custom solution to reconstruct and restore a tooth’s shape, size, colour, and function. This restoration covers the entirety of the tooth all the way to the gumline and is fitted precisely to your exact measurements.
Crowns are placed for a number of reasons:
Following a root canal therapy to reinforce a tooth
To cover an implant
To save a tooth that is broken or damaged
To anchor another major restoration such as a bridge
To build up a tooth that’s severely worn down
As a cosmetic solution for a discoloured or misshapen tooth
To protect a weak tooth from decay, cracking, or breaking
As a cosmetic option based on patient preference
Common Types of Crowns
Depending on your individual needs, your dentist will recommend a certain style of crown. There are a handful of options to choose from and what’s best for you will depend on considerations like function, material, aesthetics, and your overall treatment plan. These three types of crown are the most common:
This is the most used style of crown and is noted for its durability and aesthetic finish. This hybrid has good mechanical function, making it as practical as it is blended in the mouth. PFMs are colour-matched to the shade of your other natural, surrounding teeth.
These restorations can be made from different types of ceramic material, each with varying physical and aesthetic properties. All-ceramic crowns are the standard in terms of aesthetics and fit. Here, costs are typically slightly higher. In terms of durability, an all-ceramic doesn’t quite offer the same as a metal-based solution but depending on the tooth’s location, that may not be of great concern.
Gold crowns offer a high degree of durability but aren’t as common as other options. While gold crowns tend to be less abrasive in the mouth and are noted for their longevity, they are a very visible restoration. Unlike PFM and all-ceramic alternatives, gold crowns are noticeable in the mouth and aren’t shade-matched to surrounding teeth. For this reason, gold restorations are usually placed on molars. Some patients, however, are interested in gold crowns precisely because they’re evident in the mouth and don’t mind the attention drawn to gold.
The Crown Process
Receiving a crown typically consists of 2 appointments with your dentist.
In the first appointment, the tooth site is prepared for the crown to be placed. This involves treating, reducing, shaping, and reconstructing the core of the tooth so the crown will fit seamlessly and effectively. At this first appointment, your dentist will spend an hour to an hour and a half ensuring fit and security of the tooth against future risks. Your dentist will check for and remove any existing decay in the area, adjust precise amounts of tooth, and create a fine margin to structure the crown. Then, an impression of your tooth will be taken and the dentist will note your natural tooth shade. Your case will be sent to our laboratory for the crown to be fabricated and in the meantime, a temporary crown will be fitted on the tooth.
One week later, you’ll attend your second appointment. This visit is much shorter, usually thirty minutes, and it’s at this time your permanent crown will be placed. The tooth site will be thoroughly cleaned before the final crown is cemented. Once inserted, the final crown will be checked for fit and comfort. Like with a filling, some minor adjustments might be made to make sure your biting surfaces align naturally and to check that function is proper.
Do you think a crown could be right for you? Book a consultation.
A bridge is a fixed prosthesis to replace one or more missing teeth. Cemented to neighboring teeth or an implant, this appliance is all about the name - it bridges an open space. This type of appliance is used to:
Restore chewing and functionality in the mouth
Correct for uneven distribution across biting surfaces
Prevent neighboring teeth from shifting out of position
Provide an aesthetic solution for a missing tooth or teeth
Maintain facial shape
The Bridge Process
This first appointment involves the preparation and recontouring of adjacent “abutment” teeth. This process is very similar to crown preparation. The dentist will spend the majority of this appointment refining the tooth to get the ideal shape and draw. Once the dentist is satisfied with the results, he or she will take an impression of the abutment teeth. This impression is then sent to our laboratory for the fabrication of your bridge. The dentist may at this appointment take a shade for the colour of your bridge. You will return home with a temporary in place.
During the second appointment, the dentist will try in your bridge to ensure fit, comfort, and aesthetics. Once you and your dentist are satisfied with the results, the bridge will be permanently cemented in place.
Most patients find that the bridge feels and functions like a real tooth. There are special considerations for how the bridge is cleaned at home, and your dentist and hygienist will explain and demonstrate how best to keep your bridge clean, healthy, and functional for years to come.
Common Types of Bridges
Traditional bridges can be used in cases where healthy, natural teeth are present on both sides of a space in the mouth. The space is filled by anchoring an artificial tooth to the existing ones. The artificial restoration is called a pontic and the anchors are called abutments. Traditional bridges are the most common type of restoration and require abutment teeth to be modified and crowned to support the prosthesis. This bridge can be made with either porcelain fused to metal, ceramic, or gold materials.
Cantilever means fixed at one end, so this style of bridge is used when a missing tooth has anchoring teeth present on only one side. Like other bridges, an artificial pontic is cemented to an adjacent abutment crown or crowns. Not as strong as a bridge with two anchors, a Cantilever is usually not recommended for molar teeth although there are exceptions. This is because molars bear a great deal of mechanical pressure as biting surfaces and a bridge in this region of the mouth is unlikely to support biting force without eventually succumbing to damage or breakage. Your dentist will help you understand whether or not a Cantilever bridge is right for your needs.
Maryland bridges consist of wings that are cemented to existing, natural teeth. In the case of a Maryland, modifications may or may not be needed for anchoring structures. For example, no crowns are cemented to neighboring teeth, and adjustments are usually minimal, making this style a popular choice for the front of the mouth.
Dentures Replace Missing Teeth
A denture is a removable prosthesis that replaces one or more missing teeth. There are many options for dentures as new technologies offer different styles, material choices, functionality, and aesthetic selections. Ranging from partial to complete, dentures are custom-made to fit your mouth while maintaining chewing ability, facial structure, and a uniform smile.
Partial dentures are recommended when one or a few teeth in the mouth need to be replaced. These prosthetics can be made from acrylic and cast materials and may or may not have metal clasps to hold the denture in place. Within the category of partial dentures are flippers. These small, convenient dentures usually replace one or more anterior teeth and are often used as a temporary, interim solution.
Partial dentures can be placed where a tooth or teeth are already absent, or when tooth extraction is required. Partials can be fitted as immediates following an extraction, should that course of treatment be the case. This means the denture is placed in the mouth immediately after an extraction.
Full or Complete Dentures
Complete dentures are used when all teeth on a top or bottom arch of the mouth need to be replaced. As with partials, complete dentures can be made in different ways and using different materials. They, too, can be fitted as immediates following tooth extraction.