Crowns and Bridges
Please keep in mind... These are the traditional methods. We have NEW technology and materials that are the State-of-the-Art!
When teeth or existing fillings are broken down, stained or decayed to the extent that they cannot be repaired or restored with just a simple filling, the entire tooth may be covered to restore healthy form and function. Hence, the terms "cap" and "crown."
How They Are Placed
With the latest in advanced technology, crowns are usually placed in one visit. Prior to preparing the tooth, a digital image is made of the tooth. This information is recorded in a computer data base. The tooth is then prepared by removing the outer layer of enamel and any decayed or diseased portion of the tooth. Then a second digital image is made of the tooth. The computer then "subtracts" the two images and sends the resulting data to a milling unit which then fabricates your crown in 15 minutes. We then take the crown and custom fit, stain and glaze the crown. The crown is then ready to be bonded to the existing tooth structure. The patient is usually in the office for a period of 1-2 hours and leaves with the final restoration in place without having to return.
When a large portion of a tooth is missing, a crown may be placed to restore it's function. When one or more teeth are missing, they may be able to be replaced using a fixed bridge.
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26107 I-45
The Woodlands TX
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281-217-8626
Randy McClernon DDS
A missing tooth or teeth can create an unhealthy situation over time. It is very important to restore these gaps. When one or more teeth are lost or missing, the neighboring teeth can shift, tip or even "super-erupt" into the space. Teeth that have drifted from their normal and healthy position are often more susceptible to decay and gum disease. Further, this movement can lead to changes in a patient's bite that can ultimately put stress on the jaws, muscles, teeth and temporomandibular joints (TMJ). Over time this can affect a patient's ability to chew and may even change the facial appearance depending on the location and number of missing teeth.
Permanent Replacement
There are two ways to replace a missing tooth or teeth: fixed or removable. A bridge is a permanent or fixed replacement, while a denture is a removable replacement. A bridge consists of replacement teeth (one or more) that are attached to crowns on the adjacent teeth. The replacement teeth are shaped and contoured to blend in with the natural teeth in the mouth.
Two Step Procedure
This procedure takes two or more visits to complete. At the first visit, the adjacent teeth are prepared, an impression is taken and sent to a dental laboratory for fabrication. At the second visit, the bridge is fit and placed permanently in the mouth. Bridges can be made from variety of materials for strength and esthetic appearance.
While it should always be discussed with your dentist before treatment, a fixed restoration is generally considered to be the favored solution for tooth replacement.
What They Are Made Of
Crowns historically were made from a variety of materials, either porcelain (white), metallic or a combination.
Crowns made from gold have traditionally been used because of it's longevity and property of being inert to oral fluids. Gold crowns are still used today, but are not quite as popular as the more aesthetic porcelain crown. Gold crowns are most commonly used where aesthetics are not a problem and where there is not enough room for tooth reduction required for a porcelain crown.
Porcelain covered crowns are quite popular because they blend in more naturally with the teeth. With the new one-visit CEREC Crowns placed today, a high density porcelain is used. This porcelain is stronger than the traditional porcelain that has been used in dental restorations.
Crowns usually take longer to place than basic fillings because of the extra steps involved. However, the procedure is no less comfortable and should not be any more threatening than a routine filling.
Randy McClernon DDS
Is a Bridge right for you? We'll be happy to take a look and provide you with all the options so you can make the best decision for your health and your smile.
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Crowns and Bridges