Dental Crowns & Dental Bridges near Wheeling, WV
This is an ideal solution to restoring teeth that have been damaged by severe decay, extreme wear, or trauma resulting in a crack or break. Dr. Wylie designs crowns that fit and feel like your natural teeth. Our porcelain crowns provide you with the all white smile you deserve and help keep you healthy and looking good.
A dental crown is a tooth-shaped “cap” that is placed over a tooth — to cover the tooth to restore its shape and size, strength, and improve its appearance. The crowns, when cemented into place, fully encase the entire visible portion of a tooth that lies at and above the gum line.
Why Is a Dental Crown Needed?
- To protect a weak tooth (for instance, from decay) from breaking or to hold together parts of a cracked tooth
- To restore an already broken tooth or a tooth that has been severely worn down
- To cover and support a tooth with a large filling when there isn’t a lot of tooth left
- To hold a dental bridge in place
- To cover misshapened or severely discolored teeth
- To cover a dental implant
- To make a cosmetic modification
What Steps Are Involved in Preparing a Tooth for a Crown?
First Visit: Examining and preparing the tooth.
At the first visit in preparation for a crown, your dentist may take a few X-rays to check the roots of the tooth receiving the crown and surrounding bone. If the tooth has extensive decay or if there is a risk of infection or injury to the tooth’s pulp, a root canal treatment may first be performed.
Before the process of making a crown begins, your dentist will anesthetize (numb) the tooth and the gum tissue around the tooth. Next, the tooth receiving the crown is filed down along the chewing surface and sides to make room for the crown. The amount removed depends on the type of crown used (for instance, all-metal crowns are thinner and require less tooth structure removal than all porcelain or porcelain-fused-to-metal ones). If a large area of the tooth is missing (due to decay or damage), your dentist will use filling material to “build up” the tooth to support the crown.
After reshaping the tooth, your dentist will use a paste or putty to make an impression of the tooth to receive the crown. Impressions of the teeth above and below the tooth to receive the dental crown will also be made to make sure that the crown will not affect your bite.
The impressions are sent to a dental lab where the crown will be manufactured. The crown is usually returned to your dentist’s office in two to three weeks. If the crown is made of porcelain, your dentist will also select the shade that most closely matches the color of the neighboring teeth. During this first office visit your dentist will make a temporary crown to cover and protect the prepared tooth while the crown is being made. Temporary crowns usually are made of acrylic and are held in place using temporary cement.
Second Visit: Receiving the permanent dental crown.
At the second visit, your dentist will remove the temporary crown and check the fit and color of the permanent crown. If everything is acceptable, a local anesthetic will be used to numb the tooth and the new crown is permanently cemented in place.
There are several types of crowns that can be used, including ceramic, porcelain, resin, and stainless steel (cosmetic crowns are usually made of porcelain or ceramic). Since, according to the American Dental Association (ADA), there are pros and cons for each type, you should have your dentist address your specific situation and make a recommendation on which is best for your tooth.
Dental bridges literally bridge the gap created by one or more missing teeth. A bridge is made up of two or more crowns for the teeth on either side of the gap — these two or more anchoring teeth are called abutment teeth — and a false tooth/teeth in between.
How do Bridges Work?
A bridge may be recommended if you’re missing one or more teeth. Gaps left by missing teeth eventually cause the remaining teeth to rotate or shift into the empty spaces, resulting in a bad bite. The imbalance caused by missing teeth can also lead to gum disease and temporomandibular joint (TMJ) disorders.
What Is the Process for Getting a Dental Bridge?
During the first visit for getting a dental bridge, 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 the teeth are made, which serve as a model from which the bridge, pantie, and crowns will be made by a dental lab. Your dentist will make a temporary bridge to wear to protect the exposed teeth and gums while the bridge is being made.
During the second visit, your temporary bridge will be removed and the new porcelain or metal 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 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 cemented into place.