SABITRI - Bridges And Crowns

Introduction to crown and bridges
Types of Dental Crowns

Introduction to crown and bridges

Bridges and crowns are dental prosthetic devices used to restore or replace missing or damaged teeth. Here's an overview of each

1. Dental Bridges

• A dental bridge is a fixed dental restoration used to replace one or more missing teeth.
• It consists of one or more artificial teeth (pontics) that are anchored in place by crowns on adjacent natural teeth or dental implants.
• The supporting teeth, known as abutments, are prepared by reducing the overall tooth structure to accommodate the crowns that will hold the bridge in place.
• Dental bridges are a good option when there are healthy teeth adjacent to the gap left by missing teeth.
• They can improve the appearance of your smile, restore chewing function, and prevent adjacent teeth from shifting.

2. Dental Crowns

• A dental crown is a cap-like covering restoration that is placed over a damaged or weakened tooth to restore its shape, size, strength, and appearance.
• Crowns are commonly used to protect a tooth after a large filling, root canal treatment, or if a tooth is cracked or weakened due to decay.
• They can be made from various materials such as metal, porcelain fused to metal (PFM), lithium disilicate, monolithic zirconia, zirconia coping layered with porcelain, titanium, titanium with composite layering etc. Crown and bridges which contain ferromagnetic metals (NiCr or CrCo) may interfere with the magnetic field of during taking MRIs hence it may require removal before the procedure.
• Crowns are custom-made to match the color and shape of your natural teeth.
• In some cases, dental crowns are also used as the supporting structure for dental bridges or to cover dental implants.

In summary, bridges are used to replace missing teeth by bridging the gap with artificial teeth anchored to adjacent natural teeth or implants. Crowns, on the other hand, are individual caps placed over damaged or weakened teeth to restore their function and appearance. Both bridges and crowns play crucial roles in dental restorations, improving oral health and enhancing the aesthetics of the smile. If you are considering these dental treatments, it's essential to consult with a dentist to determine the most suitable option for your specific dental needs.

Types of Dental Crowns

Dental crowns can be made from various materials, each with its own set of advantages and disadvantages. The choice of crown material often depends on factors such as the location of the tooth, the functional requirements, aesthetic considerations, and the patient's preferences. Here are some common types of dental crowns:

1. Porcelain Crowns

• These crowns provide a natural tooth appearance as they can be matched to the color of adjacent teeth.

• Porcelain crowns are often used for front or visible teeth.

• They are a good choice for individuals with metal allergies.

2. Porcelain-Fused-to-Metal (PFM) Crowns

• PFM crowns have a metal substructure covered with a layer of tooth-colored porcelain.

• They offer the strength of metal combined with the aesthetics of porcelain.

• However, a small amount of the metal margin may be visible at the gumline.

3. Metal Crowns

• Metal crowns, often made of gold or other alloys, are known for their durability and strength.

• They are less likely to wear down natural teeth, making them suitable for molars.

• While they are strong, their metallic appearance can be a drawback for visible teeth.

4. All-Ceramic or All-Porcelain Crowns

• These crowns are entirely made of ceramic material, providing excellent aesthetics.

• They are suitable for front and back teeth, depending on the specific ceramic used.

• All-ceramic crowns are a popular choice for patients who prioritize a natural look.

5. Zirconia Crowns

• Zirconia is a strong and durable ceramic material used for crowns.

• Zirconia crowns are known for their strength, biocompatibility, and natural appearance.

• They are often used for both front and back teeth.

6. Temporary Crowns

• These crowns are typically made from acrylic or stainless steel.

• Temporary crowns are used as a short-term solution while a permanent crown is being manufactured.

• They are not as durable as permanent crowns and are meant to be replaced.

The choice of crown material is influenced by various factors, including the specific needs of the patient, the location of the tooth, and aesthetic preferences. Your dentist will consider these factors and discuss the options with you to determine the most suitable type of crown for your individual case.

Bridges & Crowns

Q: What is a dental crown?

A: A dental crown is a tooth-shaped cap that is placed over a damaged or weakened tooth to restore its shape, size, strength, and improve its appearance.

Q: Why might I need a dental crown?

A: Dental crowns are used to protect and strengthen a tooth after significant decay, a large filling, root canal therapy, a cracked tooth, or to enhance the appearance of a misshapen or discolored tooth.

Q: How long do dental crowns last?

A: The lifespan of a dental crown depends on various factors, including oral hygiene, habits, and the material used. On average, dental crowns can last 10-15 years or more with proper care.

Q: What materials are used for dental crowns?

A: Common materials include metal alloys, porcelain-fused-to-metal, all-ceramic or all-porcelain, and zirconia. The choice depends on factors such as durability, aesthetics, and the location of the tooth.

Q: What is a dental bridge?

A: A dental bridge is a restoration that replaces one or more missing teeth by bridging the gap between adjacent teeth. It consists of crowns on the neighboring teeth (abutments) and a false tooth (pontic) in between.

Q: Can anyone get a dental bridge?

A: Dental bridges are suitable for individuals with one or more missing teeth, provided they have healthy adjacent teeth to support the bridge.

Q: How is a dental crown or bridge placed?

A: : The process involves preparing the tooth or teeth, taking impressions, fabricating the restoration in a dental laboratory, and finally, bonding or cementing the crown or bridge onto the prepared teeth.

Q: Does getting a dental crown or bridge hurt?

A: The placement of dental crowns and bridges is typically not painful as the dentist uses local anesthesia. Patients may experience some discomfort or sensitivity afterward, which is usually temporary.

Q: Can I eat normally with a dental crown or bridge?

A: : Yes, after a brief adjustment period, patients can usually eat normally. It's essential to avoid extremely hard or sticky foods that could damage the restoration.

Q: How do I care for my dental crown or bridge?

A: Maintain good oral hygiene by brushing, flossing, and regular dental check-ups. Avoid biting on hard objects and visit your dentist if you experience any issues.

Q: Can a dental crown or bridge be replaced if damaged or worn?

A: Yes, dental crowns and bridges can be replaced if damaged or worn. Regular dental check-ups help monitor their condition, and your dentist will advise if replacement is necessary.

Q: Is dental insurance likely to cover the cost of crowns and bridges?

A : Many dental insurance plans provide coverage for crowns and bridges, but the extent of coverage varies. It's advisable to check with your insurance provider for details.

These FAQs provide general information, and individuals should consult their dentist for personalized advice based on their specific dental situation.

Do's & don'ts

Do's During Crowns and Bridges

1. Do Practice Good Oral Hygiene

Brush your teeth at least twice a day, and floss daily to maintain good oral hygiene. Use a soft-bristle toothbrush to avoid damaging the crown or bridge.

2. Do Attend Regular Dental Check-ups

Schedule and attend regular dental check-ups to ensure the health and stability of your crowns and bridges. Your dentist can detect any issues early on.

3. Do Use a Fluoride Toothpaste

Use fluoride toothpaste to strengthen the natural teeth and prevent decay around the margins of the crowns or bridges.

4. Do Be Gentle When Flossing

When flossing around the crown or bridge, be gentle to avoid dislodging or damaging the restoration. Use a floss threader or interdental brush as recommended by your dentist.

5. Do Wear a Mouthguard for Bruxism

If you grind your teeth (bruxism), wear a custom-made mouthguard to protect both your natural teeth and the dental crowns or bridges from excessive wear.

6. Do Maintain a Balanced Diet

Eat a balanced diet rich in nutrients to support overall oral health. Avoid excessive consumption of sugary or acidic foods that can contribute to decay.

7. Do Seek Prompt Dental Attention

If you experience pain, discomfort, or notice any changes in your crowns or bridges, seek prompt dental attention. Delaying treatment may lead to more significant issues.

8. Do Communicate with Your Dentist

Keep your dentist informed about any concerns or changes in your oral health. Open communication ensures that potential problems are addressed in a timely manner.

Don'ts During Crowns and Bridges

1. Don't Bite on Hard Objects:

• Avoid biting on hard objects, such as ice, pens, or hard candies, as it can damage the crowns or bridges. Use your natural teeth for chewing.

2. Don't Use Your Teeth as Tools

Refrain from using your teeth as tools to open bottles, packages, or perform other tasks. This can put unnecessary stress on the dental restorations.

3. Don't Skip Regular Dental Check-ups:

Don't neglect regular dental check-ups. Even if your crowns or bridges feel fine, regular professional assessments are crucial for detecting potential issues early on.

4. Don't Neglect Oral Hygiene:

Neglecting oral hygiene can lead to decay or gum disease around the margins of the crowns or bridges. Maintain a consistent oral care routine to prevent such issues.

5. Don't Smoke or Use Tobacco:

Smoking or using tobacco products can stain and weaken dental crowns. Additionally, it increases the risk of gum disease, which can affect the longevity of the restorations.

6. Don't Chew on Sticky Foods:

Avoid chewing on sticky or excessively hard foods like caramels or hard candies, as they can pull on or damage the crowns or bridges.

7. Don't Ignore Grinding or Clenching:

If you grind or clench your teeth, don't ignore the issue. Speak to your dentist about preventive measures, such as a night guard, to protect your crowns and natural teeth.

8. Don't Attempt DIY Repairs

If you suspect an issue with your crowns or bridges, don't attempt DIY repairs. Only a qualified dentist should assess and address any problems to ensure proper function and aesthetics.

Following these dos and don'ts can help maintain the longevity and effectiveness of dental crowns and bridges. Regular care and attention will contribute to a healthy and functional smile.