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Crowns, Bridges, and Veneers

If you have a damaged or decayed tooth, Dr. Paxton can help you choose the best solution. Crowns and bridges are custom-fitted tooth prosthetics that function and look like natural, healthy teeth. Veneers are a less invasive alternative, but may only be a solution for those with slight tooth damage or discoloration. These thin porcelain or resin shells come in customizable colors and are bonded to the surface of your teeth.

 

Crowns

A crown, sometimes referred to as a cap, is custom-fitted to your bite and is placed over your natural tooth or dental implant. If a tooth cannot be restored with fillings or other types of restorations, a crown is used to protect and strengthen the tooth structure.The crown covers the entire tooth surface to restore its original shape, size, and function. 

While there are several types of crowns to choose from, porcelain crowns are the most popular as they most closely resemble your natural teeth in size, shape and color. Porcelain is highly durable and will last many years. Occasionally however, due to restrictions in mechanics or structure, porcelain can not be placed. In this type of situation, a crown of cast-gold alloy will be used. 


Procedure:

  1. We will reduce the problematic tooth for a proper crown fit

  2. An impression will be taken of your bite for crown fabrication

  3. The color of porcelain prosthetics will then be customized

  4. We will fit you with a temporary crown until our dental lab makes your permanent one

  5. You will come in again for permanent crown fitting

The procedure for fitting a crown to a dental implant is essentially the same as that for a natural tooth, with minor modification.

 

Bridges

To replace a missing tooth that has neighboring teeth with decay and/or large fillings, or a tooth that has been missing for a long time (i.e., with gum recession around the area), we recommend bridges as opposed to dental implants.   


Types of Bridges:

  • Traditional  Abutment crowns are bonded over teeth that lie on either side of the missing tooth/teeth;  both abutments support the pontic "replacement" tooth/teeth
  • Cantilever  An abutment crown is bonded over a single tooth next to the missing one as the sole support of the pontic "replacement" tooth
  • Resin-bonded  Porcelain or resin pontic "replacement" tooth is supported by metal or resin “wings” bonded to the teeth that lie on either side of the missing one

The decision to restore a space left by a missing tooth (or teeth) with either a bridge attached to natural teeth or with implant(s) is rarely one to be equivocated. The advantage of one restoration versus the other will depend on the physics and physiology involved with each case. Why one is super to the other will be discussed thoroughly before treatment decisions are made.

 

Veneers

If you’re looking to cosmetically correct or enhance the appearance of one or more teeth, we suggest veneers. They are very thin, porcelain or resin shells that can be customized in color and shape. They are non-invasive and are resistant to future stains.


Common uses for veneers:

  • Chipped or broken teeth
  • Misshapen or irregular teeth
  • Teeth that do not respond to traditional whitening treatments