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.