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 that can broken down into four classifications:
1.
All Porcelain Bonded Crowns:
There are several brands of all procelain
crowns they include Procera, Empress and Cerac
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
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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!
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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.
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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.