Crowns

Dr. Kutz and Dr. Tills are prepared to restore any teeth needing a crown, bridge, or veneers. Typically, a tooth will need a crown when most of the natural tooth is gone, decayed, or cracked. There are a variety of crowns to choose from including all porcelain crowns (very esthetic), porcelain on top of metal crowns (not as esthetic but containing a metal base for strength), or all metal crowns (the least esthetic but very cleansable or easier to keep clean). Crowns are also needed to cover most root canal treated teeth, to have a tooth on top of an implant, and they are also sometimes necessary for partial dentures to work better. Bridges are essentially a series of crown that are attached to fill in a missing tooth. Veneers are made to improve the shape and color of teeth and fill in gaps between front teeth. Veneers are made to cover only the front part of the teeth.

Procedures
A tooth must usually be reduced in size to accommodate a crown. A cast is made of the existing tooth and an impression is made. The impression is sent to a special lab, which manufactures a custom-designed crown. A temporary crown is made to cover the prepared tooth until the crown is ready to be cemented, usually within 2 weeks.

Bridges
Bridges are a series of crowns used to replace an area of missing teeth. Bridges can restore the natural contour of teeth as well as the proper bite relationship between upper and lower teeth.

Bridges are fixed or cemented in the mouth (as opposed to a removable partial denture) so they do not need to be taken out of the mouth. Bridges must be cared for like crowns, and additional cleaning is required to clean under a bridge.

In general, a bridge is an excellent option to replace missing teeth if the neighboring teeth have significant wear, older dental fillings, or decay. If the neighboring teeth are in excellent condition, a dental implant may be the best option as we want to keep your existing teeth healthy and untouched whenever possible! A bridge may also be made to fit over a series of dental implants as well. Another advantage of a bridge over an implant is the time required to restore the missing teeth. A bridge can generally be prepared and cemented into the mouth in about two weeks, while a dental implant usually requires about 3 to 4 months until the final crown is placed on the implant; most of this is the time required for the implant to completely heal and integrate into the bone before the crown or bridge may be made.