If
you want a smile that's your crowning glory, you
may need a crown to cover a tooth and restore it
to its normal shape and size. A crown can make your
tooth stronger and improve its appearance.
It can cover and support a tooth with a
large filling when there isn't enough
tooth left. It can be used to attach a bridge, protect
a weak tooth from breaking or restore one that's
already broken. A crown is a good way to cover teeth
that are discolored or badly shaped. It's also used
to cover a dental implant.
If your dentist recommends a crown, it's probably
to correct one of these conditions. Your dentist's
primary concern, like yours, is helping you keep
your teeth healthy and your smile bright literally,
your crowning glory.
CROWNS AND BRIDGE TYPES
There are several types of currently used crowns,
here some examples.
1.
All Porcelain Bonded Crowns:
A. Feldspathic Porcelain: is the traditional
porcelain, that many cosmetic dentists feel is the
most beautiful porcelain used for Crowns and Veneers.
These crowns are made by shaping and stacking the
porcelain on a model of the prepared teeth color
is added in the porcelain, which is then baked in
porcelain oven. These crowns while by far the most
aesthetic, tend to be the most technique sensitive
and are less desirable on the back teeth.
B.
Empress Crowns: Empress while not a true porcelain
crown, can be called a ceramic material that is
more like a glass. The Empress material is pressed
rather than baked unlike a feldspathic porcelain
crown and are reinforced pressed Lucite, giving
it greater strength and durability. The fit of Empress
is precise. However, the color in Empress is mostly
baked on the outside after casting. Empress can
be very beautiful. Some expert cosmetic dentists
prefer Empress Crowns on front teeth while other
like the feldspathic porcelain both materials are
commonly used for Veneers.
C. Cerac Crowns: are produced in dental offices
as well as laboratories using CAD technology. In
the dental office they allow the dentist to fabricate
all procelain crowns
in
about an hour.
2.
Porcelain Crowns with a ceramic substrate of Zirconia
or Alunina:
A.
Procera Crowns: Procera Crowns are produced
using CAD technology utilizing either Zirconia or
Alumina core on the inside with a porcelain baked
onto the outside. This combination results in excellent
strength. An advantage of Procera is that it doesn't
have to be bonded to the tooth but can be cemented
with ordinary crown and bridge cement.
B.
The Lava Crowns: Lava is similar to Procera, but
the Zirconia CAD/CAM produced ceramic substrate
is more translucent rather than an opaque white
material, the proprietary pre-blended ceramic exterior
is pressed onto it resulting in more translucent
crown than that of Procera. The Zirconia is shaded,
and then the final esthetics of the crown are achieved
in the baked-on outer layer. The Lava crown can
also be cemented with traditional techniques. Some
of the other brand names that are of this type include
In-Ceram, Cercon, and more!
3.
Porcelain Crowns fused to a cast metal substrate
A.
Porcelain Fused to Gold or Other Metals:
Porcelain fused to metal crowns have a nearly
natural appearance, subject to two limitations:
Because they have a metal substructure, they require
the use of an opaquer under the porcelain, which
makes it impossible to re-create the translucency
of natural teeth. They can also show a dark line
at the edge, next to the gum. Dentists try to hide
this line under the gum, but sometimes they are
unable to do this; and sometimes the line doesn't
show when the crown is first placed but shows later,
as the gum recedes But porcelain fused to metal
is stronger than all porcelain.
B. Captek Crowns: Captek Crowns
achieve esthetics that rival all-ceramic restorations.
Ceramic material is pressed or fuse to a 22kt gold
understructure. The unique gold color of the coping
provides a warmer and more life like appearance
at the gingival margin. Because the Captek coping
is not cast there are no dark oxides on the surface
that discolor the porcelain. This makes Captek one
of the most esthetic porcelain fused to metal restoration
ever developed.
4.
All Gold Crowns:
Full-Cast Gold restorations are the standard for
long term durability.
Where appearance is not a concern to you, gold could
be the best choice. Since the gold metal is very
workable, gold crowns have a extremely precise fit.
Gold also eliminates the slight possibility of chipping
that exists with anything that contains porcelain.
For simple longevity, nothing beats gold. Be careful
of cheaper alloys, because some of them can provoke
a metal allergy.
BRIDGES
If you're missing one or more teeth, you may
notice a difference in chewing and speaking. There
are options to help restore your smile.
Bridges help maintain the shape of your face, as
well as alleviating the stress in your bite by replacing
missing teeth. Sometimes called a fixed partial
denture, a bridge replaces missing teeth with artificial
teeth, looks great, and literally bridges the gap
where one or more teeth may have been. The restoration
can be made from gold, alloys, porcelain or a combination
of these materials and is bonded onto surrounding
teeth for support. Unlike a removable bridge, which
you can take out and clean, a fixed bridge can only
be removed by a dentist
An
implant bridge attaches artificial teeth directly
to the jaw or under the gum tissue. Depending on
which type of bridge your dentist recommends, its
success depends on its foundation. So it's very
important to keep your remaining teeth healthy and
strong.