Crowns & Bridges Dentist in Manhattan New York
There are many possible reasons for this change in your smile. These reasons can include bruxism (teeth grinding), general decay, cracked fillings, root canals, and many others. If your tooth is beyond repair with a filling material, we may recommend that the best viable option to save the tooth is a full crown. The reasons for this type of restoration in a badly damaged tooth are durability, cosmetic appearance, and overall support of the chewing function.
Types of Crowns
If we decide that you are in need of a full crown, there are a few different options for the restoring your tooth. These options include a full porcelain crown, a porcelain fused to gold crown, or a full gold crown. We will make the determination as to which of these options is the most appropriate for your situation. You can be comfortable in knowing that your new tooth will be virtually unnoticeable and will flawlessly complement the rest of your smile.
When we have decided to go ahead with a full crown restoration, we will set aside 2-3 appointments for the entire process. Although the majority of crowns are completed in two visits, there is sometimes a need for a third visit to ensure a proper fit or aesthetic result.
The procedure begins with the removal of all decay in the tooth. Once we have removed the decay, we assess the structural integrity of the remaining tooth. This is done under magnification such as a microscope to assure the best possible outcome. More times than not, a tooth that requires a crown will have insufficient tooth structure remaining and require a foundation restoration called a buildup. Once this is completed we will take an impression of the tooth. This impression will be sent to our lab where your new restoration will be crafted. While this new tooth is created, we will provide you with a temporary restoration. Our temporary restorations will resemble your natural teeth so that you can continue with your daily life without worrying about a missing or incompatible tooth.
During your second visit to the office, we will proceed with the placement of your final restoration. This crown will be fitted comfortably into the mouth. We will make every effort to ensure that the new tooth feels exactly like one of your natural teeth. The final step in the process is to cement the crown into your mouth, leaving you with a beautifully restored smile.
When decay progresses below the gum line and gets too close to the bone, a crown may not be possible without performing a minor procedure to remove a small amount of bone in order to not cause future irritation to your gum tissue. When needed this procedure is recommended we sometimes will need to delay the fabrication of the crown until the tissues are at the proper level to proceed.
Crown Lengthening procedures are also done to improve the esthetics of your gum line on the upper front teeth to correct uneven gum tissue levels. Sometimes the teeth are too short or worn or you appear to have a “gummy smile” because the gums come down too far. Other times the teeth and gums appear to be uneven and may require some straightening prior to crowns. This is a very complex area in dentistry and our practice has excelled in providing solutions to unaesthetic gums and teeth.
When you’ve lost a tooth that shows when you smile, it can be emotionally traumatic. However, new technology enables us to make a tooth replacement that looks and feels like the real thing.
What is a dental bridge?
A dental bridge is a span of multiple teeth that are joined together such that a special type crown, known as a pontic, is fused to the surrounding porcelain crowns to fill in the space left by a missing tooth or teeth. The two crowns holding it in place are attached onto your teeth on each side of the missing tooth. This is known as a “fixed” bridge. Fixed bridges cannot be taken out of your mouth as you might do with removable partial dentures.
Currently, implants are the normal recommended choice for replacing missing teeth. However, the situation where a bridge might be recommended instead of implants is where there is insufficient bone to place an implant or where the patient has significant gum disease on the teeth around the missing tooth such that a bridge pontic can be a better solution for managing the aesthetics of closing spaces around the missing teeth. Bridges also have the advantage of splinting teeth with gum disease, thereby reducing the risk of future tooth loss. Bridges require your commitment to serious oral hygiene, otherwise new decay can occur under the crown anchors requiring replacement in the future.
Who is a candidate for dental bridges?
If you have missing teeth and have good oral hygiene practices, you should discuss this procedure with the doctors. If spaces are left unfilled, they may cause the surrounding teeth to drift out of position. Additionally, spaces from missing teeth can cause your other teeth and your gums to become far more susceptible to tooth decay and gum disease.
Glassman Dental Care
160 West End Ave, #1R,
New York, NY 10023