A crown is a tooth shaped ‘cap’ that is placed over a tooth to restore its shape and size, strength, and improve its appearance.
The crown, when cemented into place, fully encases the entire visible portion of a tooth that lies at and above the gum line.
There are many indications for crowning a tooth. These can be due to aesthetic considerations but most are due to a lack of remaining tooth structure. If a tooth is broken down or heavily filled, the crown is placed to protect the tooth from the high biting forces we exert on our teeth whilst eating.
In almost all circumstances crowns are made from porcelain (We use E-max and Zirconia). In a few circumstances where there is very little space then it might be necessary to use gold.
The latest advances in porcelain allows light to transmit through the crown, thereby creating a restoration that is virtually undetectable from the other natural teeth in your smile. With the absence of any metalcore on the inside of the crown, there will be no more black lines that are usually seen with the older metal ceramic crowns.
The porcelain crown is the bigger molar tooth on the right of the picture.
Dental veneers are wafer thin pieces of porcelain designed specifically to bond onto each tooth like a false fingernail.
This treatment is often used for chipped teeth, as well as discolouration, crowding of the teeth or if the teeth are uneven in appearance or badly worn to protect against further wear in the future. It is often necessary to create a mock-up that we can put on your teeth to show you what can be achieved before going ahead. We may need a period where temporary veneers are cemented to make sure that our design is going to work.
Dental Veneers are extremely thin but once bonded to the tooth are unbelievably strong.
Porcelain veneers look absolutely amazing. We often do veneers in composite using a highly polishable composite or Smilefast
Inlays and onlays are essentially porcelain fillings (either part or full) bonded into place to protect the tooth from chewing forces.
Onlays are often used instead of a full crown as they retain more of the tooth. This is possible as we bond them in place. This has been made easier with the use of our 3D scanner as they can be made with a very high degree of accuracy.
A bridge is restoration that replaces missing teeth. ie fills gaps in your teeth A bridge will use the teeth either side of the gap to anchor onto. It will only be possible if the teeth supporting the bridge are strong enough and if they have good bone support.
With a conventional bridge, usually the teeth either side of the gap are prepared, crowns are placed over the prepared teeth and these are attached to the artificial tooth (also called a pontic).
Adhesive bridges require virtually no drilling of the teeth on either side of the gap to be filled and can be made with metal or ceramic wings (brackets) glued to hold the false tooth securely in place.
They work best when the teeth next to the gap are perfect or have very small fillings in them. We have placed a lot of these and they work really well and are aesthetically very good. Much cheaper and easier than an implant, but they are not suitable for filling every gap. Please ask your dentist for further advice.
On the right, you can see we have a retained deciduous tooth instead of an adult canine. The tooth was extracted and a ceramic adhesive bridge constructed to fill the space. The lower picture shows the bridge glued in place with super strong dental adhesive.
Please go to our smile gallery for more examples of these treatments.
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