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| Crowns & Bridges |
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Dental Crown
Goa, India
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THE PROCEDURE OF DENTAL CROWNS goa
The first step is for your dentist to make an impression of the tooth. This is taken to a dental laboratory where a custom-made crown is fashioned. A temporary crown is installed and you will wear this until the permanent crown has been made which usually takes about two weeks. However we can speed up to 2-7 days if requested.
The cement color used for your permanent crown must be the same as used for your temporary crown as the color of the cement does affect the overall color of a porcelain crown.
When you return for your second appointment the permanent crown will be cemented onto your tooth. The crown should last for ten to fifteen years.
The placement of a crown can usually be completed with only two appointments. However, it is possible that your tooth may require a preliminary restoration. In order to stabilize your tooth, a filling will be put in place prior to placing a crown due to the loss of original tooth structure. |
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Here is a breakdown of the entire procedure.
1) The initial dental crown appointment.
A) Your dentist will numb your tooth.
B) Your dentist will shape your tooth.
C) Your dentist will make an impression of your tooth.
D) A temporary dental crown will be made for your tooth.
E) Your dentist will select the proper shade of porcelain needed for your dental crown.
2) Your second dental crown appointment
A) permanent crown is cemented in place. |
Empress dental crowns
Procera dental crowns |
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| Dental Crowns made of Resin and Porcelain |
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The new reinforced resin or bonded all-porcelain type of dental crowns has the most natural appearance as the color is specifically chosen to match the color of your teeth. They can be made from pure ceramic or a new reinforced composite resin, and as they are almost indistinguishable from natural teeth they are used primarily for front teeth. Unsurprisingly, more and more patients are also requesting them for other areas of the mouth. They are bonded using material which is metal-free which is of great benefit to patients with metal sensitivities.
There are basically two types of porcelain. The felspathic type is the original method that has bee n around for 20 years. Porcelain is baked onto tin foil and then heated in an oven after which a ceramist is able to create tints and opaques inside the porcelain and produce an extremely natural looking dental crowns. The other method is pressed ceramic porcelain which is created from single ingot. This is milled in one piece to create the required shape. Stains and opaques are applied only to the surface of the porcelain. |
Advantages of resin and porcelain crowns :
Disadvantages of resin and porcelain crowns :
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It is necessary to remove more tooth structure because of the thickness of the porcelain.
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The thickness of the porcelain also means it is more difficult to get an ideal fit where your gum meets the crown.
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Gingival inflammation appears to be more common with porcelain crowns than gold crowns.
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Porcelain crowns require a higher skill level from your dentist
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| Dental Crowns Made of Gold |
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Gold crowns are often the preferred choice when the patient is not overly concerned about their appearance. Gold is extremely pliable making gold crowns a better fit than any other type. The strength and durability of the gold offers a more solid crown that will not chip or crack, which is possible with other types of crown. Gold crowns are normally used in molars, where the forces from chewing and grinding are most prevalent |
Advantages of gold crowns :
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It is easier to prepare a tooth for a gold crown as there is minimal tooth structure removal and more of the original tooth remains intact.
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Gold is less likely to cause wear on opposing teeth.
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Gold is more pliable and offers a better fit.
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Of all the crowns gold offers the healthiest environment for the gum tissue.
Disadvantages of gold crowns:
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| Dental Crowns made of Porcelain and Metal |
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Porcelain fused to metal crowns offer a natural appearance with a better fit than a standard porcelain crown. On the down side they have a metal substructure making it difficult to replicate the translucency of natural teeth. It is possible that a darker line will appear at the edge of the crown, near the gum, as it recedes with age.
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Advantages of porcelain and metal crowns:
- Porcelain fused-to-metal crowns offer a very natural look.
- They fit to the tooth very well.
- Disadvantages of porcelain and metal crowns:
- They have a metal substructure and require an opaque below the porcelain.
- In time, a darker line may be visible at the edge of the crown.
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Dental Bridges
Dental Crown
Goa, India
Dental bridges literally bridge the gap created by one or more missing teeth. A bridge is made up of two crowns for the teeth on either side of the gap – these two anchoring teeth are called abutment teeth – and a false tooth/teeth in between. These false teeth are called pontics and can be made from gold, alloys, porcelain or a combination of these materials. Dental bridges are supported by natural teeth or implants.
What Are the Benefits of Dental Bridges?
Bridges:
- Restore your smile
- Restore your ability to properly chew and speak
- Maintain the shape of your face
- Distribute the forces in your bite properly by replacing missing teeth
- Prevent remaining teeth from drifting out of position
What Types of Dental Bridges Are Available?
There are three main types of bridges:
- Traditional bridges involve creating a crown for the tooth or implant on either side of the missing tooth, with a pontic in between. Traditional bridges are the most common type of bridge and are made of either porcelain fused to metal or ceramics.
- Cantilever bridges are used when there are adjacent teeth on only one side of the missing tooth or teeth.
- Maryland bonded bridges (also called a resin-bonded bridge or a Maryland bridge) are made of plastic teeth and gums supported by a metal framework. Metal wings on each side of the bridge are bonded to your existing teeth.
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Step by Step Procedures
| Bridges |
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| Teeth around the space are prepared. |
The bridge is mounted and adjusted for fit and comfort. |
The bridge is cemented into position. |
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What Is the Process for Obtaining a Dental Bridge? During the first visit, the abutment teeth are prepared. Preparation involves recontouring these teeth by removing a portion of enamel to allow room for a crown to be placed over them. Next, impressions of your teeth are made, which serve as a model from which the bridge, pontic, and crowns will be made by a dental laboratory. Your dentist will make a temporary bridge for you to wear to protect the exposed teeth and gums while your bridge is being made. During the second visit, your temporary bridge will be removed and the new permanent bridge will be checked and adjusted, as necessary, to achieve a proper fit. Multiple visits may be required to check the fit of the metal framework and bite. This is dependent on each individual's case. If the dental bridge is a fixed (permanent) bridge, your dentist may temporarily cement it in place for a couple of weeks to make sure it is fitting properly. After a couple weeks, the bridge is permanently cemented into place.
How Much Do Dental Bridges Cost?
The cost of dental bridges varies depending on the type of bridge selected and the area of the country in which the procedure is performed. Dental insurance will typically pay a percentage of the fee depending on the individual dental plan.
How Long Do Dental Bridges Last?
Dental bridges can last 5 to 7 years and even longer. With good oral hygiene and regular prophylaxis, it is not unusual for the life span of a fixed bridge to be over 10 years.
Will It Be Difficult to Eat With a Dental Bridge?
Replacing missing teeth should actually make eating easier. Until you become accustomed to the bridge, eat soft foods that have been cut into small pieces.
Will the Dental Bridge Change How I Speak?
It can be difficult to speak clearly when teeth are missing in the front or anterior areas. Wearing a dental bridge with the anterior teeth in their proper relationship will help you speak properly.
How Do I Care for My Bridges?
It is important to keep your remaining teeth healthy and strong as the success of the bridge (depending on the type selected) depends on the solid foundation offered by the surrounding teeth. Brushing twice a day and flossing daily helps prevent tooth decay and gum disease that can lead to tooth loss. Your dentist or dental hygienist can demonstrate how to properly brush and floss your teeth. Keeping a regular cleaning schedule will help diagnose problems at an early stage when treatment has a better prognosis. Selecting a balanced diet for proper nutrition is also important. |
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