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Dental Crown and Bridge Toronto
A dental crown (or cap) covers your entire tooth surface restoring it to its original shape and size. A crown will also protect and strengthen your tooth structure that cannot be restored by any other types of restorations.
Porcelain (tooth coloured) crowns are the most popular crowns out of the other types of crowns available as they resemble your natural teeth. They are highly accurate and long-lasting, however, they may eventually need replacement. Porcelain crowns are fabricated to match the appearance such as shape and colour of your teeth giving you a long-lasting beautiful smile.
Reasons for Crowns:
- Broken or fractured teeth
- Cosmetic enhancement
- Decayed teeth
- Fractured fillings
- Large fillings
- Tooth has had a root canal
How to Get a Crown?
Getting a crown involves two steps. In the first step, your dentist will clean any plaque or decay and then check your tooth surface to take an impression or moulds for your custom crown. This impression will also be used to create a temporary crown that will stay on your tooth for almost two weeks until you get a newly fabricated crown.
The placement of a temporary crown is done by placing temporary cement and after that, the dentist will check your biting movements in order to ensure you are biting properly.
In the second step, the dentist will take out the temporary crown and will clean the tooth. Once this has been done, your new crown will be placed carefully and gently so that the spacing and bite are correct.
If you have missing teeth, a dental bridge (non-removable fixed appliance) is a perfect way to replace it.
Out of the various bridges available, your dentist will suggest an optimal option according to your needs. A porcelain-fused-to-metal bridge is the most popular one today as they resemble our natural teeth. During the process, to fill the gap created by one or more teeth, two crowns that go over two anchoring teeth (abutment teeth) are attached to pontics (artificial teeth).
Dental bridges can last for many years if you take proper care of them. However, they may need replacement due to normal wear.
Reasons for a Fixed Bridge:
- Fill space of missing teeth
- Maintain facial shape
- Prevent remaining teeth from drifting out of position
- Restore chewing and speaking ability
- Restore your smile
- Upgrade from a removable partial denture to a permanent dental appliance
Process of Getting a Bridge
Getting a bridge is divided into two or more visits. The dentist will make your teeth numb and a portion of the enamel from the anchor teeth will be removed to allow for a crown. In the next step, for the fabrication of a bridge, an impression from your teeth will be sent to a dental laboratory. Meanwhile, before you get your custom permanent bridge a temporary bridge will be placed for a few weeks.
In the next visit, the dentist will take out the temporary bridge and will place your permanent bridge after checking the calibration. Sometimes, your dentist may place a temporary cement to make your teeth and tissue comfortable with the bridge and then will be permanently cemented on a later stage.
Your dentist will also provide complete care instructions once the treatment is over. Regular brushing, flossing, and dental check-ups will increase the life of your new permanent bridge.
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Post and Core
Before placing the crown, reinforcing the tooth is a necessary step. Post removal of the affected nerve and blood vessel the tooth becomes weak with time, thus a crown is required. If you do not opt for a crown, it can result in a fracture or even tooth loss.
In the case of an intact crown, a prefabricated titanium post can provide reinforcement, however, when there is decay or fracture a cast post and core is recommended to strengthen the tooth before placing the crown.
For post and core, it usually takes two appointments. Before proceeding with the treatment, all decayed and damaged material will be removed by your dentist.
Post this, some of the RCT sealers will be removed and your dentist will prepare a channel or post hole for about 10mm deep in the center of the tooth. An impression of this hole and the rest of the tooth structure is taken and will be sent to the lab for a custom-fabricated post and core which usually takes 7-10 days, meanwhile, a temporary crown is placed over the top of the preparation.
Once the post and core is completed, the crown preparation is done on the same visit.
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