Crowns replace missing tooth structure and protect teeth from further damage caused by caries, trauma and large restorations. The procedure is done under local anesthetic for comfort, any decay is removed and the tooth is shaped for the future crown. An impression or mold is taken and sent to a laboratory for fabrication. Crowns are made of different materials including, porcelain, metal, porcelain fused to meatal and Zirconia (a porcelain like material with metal like qualities). Each crown is custom made and it may take a couple of weeks before it can be placed in the mouth. In the meantime, a temporary crown is fabricated which is put over the shaped tooth, this allows for comfort and function while the permanent crown arrives. On the day of delivery, the crown is checked for fit and if satisfactory it is cemented or bonded over the tooth. In the event that the fit is poor, modifications are made and/or a new crown is made.
A bridge is a functional solution to replacing one or multiple missing teeth. The procedure consists of connecting an artificial tooth or teeth to crowns which are placed over neighboring teeth to hold the bridge in place. The procedure is done under local anesthetics for comfort and it may take multiple visits. Bridges are made of different materials including, porcelain, metal, porcelain fused to metal and Zirconia (a porcelain like material with metal like qualities). While the bridge is being fabricated in a laboratory a temporary bridge is put in place for function and or esthetics. Bridges prevent teeth from shifting thus maintaining a healthy and properly functioning bite, as well as an esthetically pleasing smile.