Crowns and Bridges

If you have teeth that are discolored, cracked, chipped, rotated or have broken fillings, Steven Markow, DDS and David A. Daniel, DDS of MD Family Dental Care in Randallstown, Maryland have got you covered! Single crowns, multiple crowns, bridges, smile makeovers, even full mouth reconstructions are our favorite things to do. These are life-changing processes, that not only can help boost your self-esteem, but also improve your chewing function and longevity of your teeth.

 

When you have teeth that are worn down or chipped, it often puts extra stress on the rest of your teeth. By replacing or repairing those teeth with a new crown, you can bring back a more natural bite and function to your mouth.

Here’s a sample ACTUAL PATIENT that we treated with multiple lower crowns to reverse years of being worn down from grinding:

Before After

Here’s another full upper arch case we did recently on a patient with multiple stained, cracked and decayed front teeth:

Before After

Finally, here’s another case of upper arch crowns done at our office that we did for a lady who had rotated, stained and discolored teeth:

Before After

What’s the difference between a “crown” and a “bridge”?

A crown is a sometimes also called a cap. It basically covers the top portion of the tooth. It can be used to strengthen a weak portion of the tooth, restore a broken portion of tooth that has come off, or change the shape or color of a tooth.

A dental bridge is a replacement for a missing tooth. When you are missing one or more adjacent teeth, a bridge is an option to restore those teeth and improve your chewing function on that side. Generally speaking, a bridge consists of a crown on the neighboring teeth and a middle “pontic” that connects the two and fills in the space. They can be made of all gold, all porcelain, or a combination substructure of metals with porcelain on the outside.

What types of “bridges” are there?

There are two categories of bridges. There are “Fixed” bridges that are cemented onto the adjacent teeth and stay there. These tend to be the most common as they can be simply completed in two visits. They have nice esthetics and can allow you to chew and speak normally.

The second category of bridges is the “Removable” bridges, or partial dentures. As it implies, they come out of your mouth and are often completely made of acrylic, or may also have a metal framework for strength, and tend to be more conservative, since you don’t need to grind down the adjacent teeth to have room to cement crowns on adjacent teeth.

Both types of bridges will help to maintain the integrity of your chewing function, while providing lip support and speech function. Some patients mention it takes a little longer getting used to the removable type of bridge, because they tend to be a little bulkier.

What is the process for making a bridge?

If we are doing a traditional fixed bridge, we will prepare the adjacent teeth to make room for a crown on them. Then, we will take impressions for the lab to fabricate the specific type of bridge we have selected for your specific situation. We will fabricate a “temporary bridge” that you will wear for about two weeks while your final bridge is being made. At that time, we pop off the temporary and make sure the new bridge “fits” perfectly and we bond it into place.

If you are missing a tooth, give us a call at our office in Randallstown, MD in the Baltimore area and we would be happy to help you!