Routine Services

Crowns & Bridges

Dentures

Implants

Extractions

Root Canals

Crowns & Bridges

Crowns

Crowns or “caps” as some people call them, serve a couple of purposes. They replace cusps of teeth or other tooth structure and they help prevent teeth from splitting or breaking. The first appointment usually takes an hour to an hour and a half. During this visit, you will be anesthetized. We will take an impression of your tooth using a little tray you bite into. This will be used later in the appointment to make you a temporary crown you will have for approximately two weeks while your final crown is being made. We will then prepare the tooth for the crown. This involves removing any defective filling material and decay along with building the tooth back up using a strong type of filling material to support the crown. We will then remove approximately 1-2mm of tooth structure to make room for the crown material. Once this is completed, we will squeeze some material around the tooth and then have you bite into another tray to get an impression of the tooth we just prepared for the crown. This impression will be sent to the lab for them to make your final crown. We will then make your temporary crown and cement it with temporary cement.

When you come back for your final crown delivery, we will remove your temporary crown. Sometimes we need to anesthetize you. The younger you are, the larger the living part of your tooth is (the pulp) and the more likely the tooth is to be sensitive without the temporary crown on. If it is uncomfortable with us trying on and off the final crown as we make adjustments, we may need to numb the tooth for your comfort. After we have made any adjustments necessary, we will cement on the final crown.

We make four types of crowns: porcelain crowns, gold crowns, porcelain fused to metal crowns and zirconia crowns.

  1. Porcelain crowns are made entirely of porcelain. These are only made for front teeth, as they are not strong enough for back teeth. They are the best choice for esthetics.
  2. Gold crowns can be made in yellow gold or white gold. These are very durable crowns. Because they have no porcelain, there is no porcelain to fracture off years down the road.
  3. Porcelain fused to metal crowns: these crowns have a silver metal substructure with porcelain stacked on top. They have the strength of a metal “core” with most of the esthetics of porcelain.
  4. Zirconia crowns – this is a very strong, white metal material, the strongest material available today. A crown can be made of solid zirconia, or porcelain can be stacked on top of a zirconia core for a more esthetic crown.

Bridges

Bridges are one option to replace missing teeth. A bridge involves at least two teeth on either side of the missing space that act as anchor or “abutment” teeth. Either a person currently has a missing tooth they want replaced with a bridge or they have a tooth(teeth) that needs to be extracted and they want to have a bridge made to replace that tooth (teeth).

  • If the bridge is being made to replace a tooth(teeth) that is already missing, the procedure is very similar to having a crown made. The first appointment usually takes an hour and a half to two hours. During this visit, you will be anesthetized, we will take an impression of your teeth using a little tray you bite into. This will be used later in the appointment to make you a temporary bridge you will wear for approximately two weeks while your final bridge is being made. We will then prepare the teeth for the bridge, this involves removing any defective filling material and decay along with building the teeth back up with a strong type of filling material to support the bridge. We will then remove approximately 1-2mm of tooth structure to make room for the bridge material. Once this is completed, we will squeeze some material around the teeth and then have you bite into another tray to get an impression of the teeth we just prepared for the bridge. This impression will get sent to the lab for them to make your final bridge. We will then make your temporary bridge and cement it with temporary cement.
    • When you come back for your final bridge delivery, we will remove your temporary bridge. Sometimes we need to anesthetize you. The younger you are, the larger the living part of your tooth is (the pulp) and the more likely the teeth are to be sensitive without the temporary bridge on. If it is uncomfortable with us trying on and off the final bridge as we make adjustments, we may need to numb the teeth for your comfort. After we have made any adjustments necessary, we will cement on the final bridge.
  • If the bridge is being made to replace a tooth (teeth) that needs to be extracted, the procedure involves several other steps to achieve a good, esthetic outcome. First, we will have you come in to take an impression so our lab can make your temporary bridge utilizing a strong material that can last for months versus weeks. Once the temporary bridge is ready, you will come in for us to prepare the teeth for the bridge, extract the necessary tooth (teeth) and place bone grafting material in the extraction site. This step is very important as it helps fill the sockets and minimize the bone loss. You will be amazed at the amount of bone loss you start to see under the temporary bridge as the months progress. The bone graft helps minimize this process. Once all of this is completed, we will cement your temporary bridge to place with temporary cement. You will then be in this temporary bridge for five to six months. The process of bone remodeling at the extraction site takes five to six months. We like to wait as close to six months as possible before taking the final impression for the bridge.
    • Two weeks before we are ready for the final impression, we will have you rinse with a medicated mouthwash. We will then anesthetize you, remove your temporary bridge, squeeze impression material around the anchoring teeth and have you bite into a tray loaded with more impression material. Once we have this final impression, we will re-seat your temporary bridge with temporary cement for another two weeks while the final bridge is being made.
    • When you come back for your final bridge delivery, we will remove your temporary bridge. Sometimes we need to anesthetize you. The younger you are, the larger the living part of your tooth is (the pulp) and the more likely the teeth are to be sensitive without the temporary bridge on. If it is uncomfortable with us trying on and off the final bridge as we make adjustments, we may need to numb the teeth for your comfort. After we have made any adjustments necessary, we will cement on the final bridge.
  • We make three types of bridges:
    • Gold bridges can be made in yellow gold or white gold. These are very durable. Because they have no porcelain, there is no porcelain to fracture off years down the road.
    • Porcelain fused to metal bridges: these bridges have a silver metal substructure with porcelain stacked on top. They have the strength of a metal “core” with the esthetics of porcelain.
    • Zirconia bridges: this is a very strong white metal material, the strongest material available today. A bridge can be made of solid zirconia, or porcelain can be stacked on top of a zirconia framework for a more esthetic bridge.