Crowns & Bridges
Smile Design Studio of Bethesda, Maryland
When teeth are heavily decayed they may be too weak to survive with just a filling. By placing a crown, a tooth may be given a new lease of life. If your teeth are broken or have large defective fillings, they can be restored to proper form, function and appearance with crowns. Crowns can also be used for cosmetic enhancement. Crowns are often needed for teeth that have large metal fillings that need to be replaced. Over time the forces of biting and chewing can cause a large portion of the tooth to break and a crown can be a perfect solution to fix this problem.
Porcelain is usually always used for the front teeth but may be used for the back teeth. This material can be made to appear very natural though several factors affect this. Some porcelain crowns have metal inside which gives strength and support to the porcelain. This acts as a barrier for light and gives the crown a dull color. On posterior teeth this won't be noticed but in the front of the mouth it can occasionally be a problem as the tooth looks duller than the natural teeth.
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Two appointments are usually needed to create a crown. The family team of Dr. Michael Wright and Dr. Maria Wright with Dr. Treva Willis will start by shaping and preparing the damaged tooth so that it can assist in the retention of the crown. It is often necessary to build up the tooth. The tooth is then measured for a new , beautifully shaped tooth made from cosmetic porcelain- A Crown. Crowns can be all metal, all ceramic, or a combination of both.Once the new crown is fabricated the dental cement is placed on the new crown. The crown is then cemented to the prepared tooth. The tooth is now restored to a healthy functioning state.
What type of crown is best?
Every case varies. We will make a recommendations for you. All ceramic crowns are used to enhance aesthetics when a primary concern. All metal crowns maybe used where strength is required but some ceramics can provide adequate strength. Ceramic metal crowns may also be used when a combination of aesthetics and strength is required.
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A Dental Bridge
When there is a tooth missing sometimes a dental bridge can be a solution. It usually involves putting a crown on each tooth on either side of the missing tooth, and then a false tooth or teeth is suspended between the crowns.
What Are Fixed Bridges?
A fixed bridge is an appliance made of porcelain design to replace missing teeth in the most natural way possible. This procedure usually takes two appointments to complete and is very similar to having a crown placed on a tooth. Fixed bridges can restore missing teeth to their natural form, function, and appearance.
At the first appointment the teeth on either side of the space are prepared or shaped. Preparing the teeth allow space for the finished bridge to fit over the teeth properly. An impression is taken of the prepared teeth. A temporary bridge is then placed ending the first appointment. The impression is used to make the bridge. Bridges are usually made with a porcelain exterior for aesthetics and a metal interior for strength. At the second appointment the bridge is cemented to place. Any excess cement is removed completing the procedure.
Do bridges require special care?
It's important to maintain good oral hygiene including brushing and flossing.
Why should missing teeth be replaced?
The two main reasons are appearance and dental health. Teeth adjacent to a missing tooth will tend to drift into the space. Areas such as this can collect food and plaque easily which can lead to decay or gum problems. Teeth opposite the space can drift into it causing more problems.
Now is the time to take the first step to your beautiful smile! Please contact our office today to schedule your private dental consultation in our exclusively comfortable, state of the art downtown Bethesda, Maryland office.(click here to watch our office tour). Learn more about Prosthodontist Dr. Michael Wright, and Exceptional Cosmetic, Pankey Trained Dentists Dr. Maria Wright and Dr. Treva Willis We accept many insurance plans and will help with patient financing options We have free parking in our building garage for your convenience.