An introduction to rebuilding your smile with crowns and bridges in 5 FAQs
At The Art of Dentistry, it is a true privilege for us to play a role in addressing the world’s most common health condition: tooth decay. Led by Dr. Moosa Dalwai, our team is proud to be great neighbors, healthcare partners, and environmental and community stewards in Lilburn, Georgia. When we are not actively preventing decay and other oral diseases, we are promptly resolving them. Treatment with crowns and bridges prevents a number of dire complications that affect oral and overall health and our patients’ quality of life. These complications include not only tooth loss but also jawbone loss or resorption.
A bridge is a non-surgical way to replace one or many teeth. A bridge uses the adjacent teeth as anchors to support the missing tooth or teeth. With today’s dental advancements, a bridge can be fabricated in a fairly short period of time, using a metal or nonmetal foundation. Don’t let that missing tooth affect the way you speak, eat, and smile. Bridges yield immediate results that last a lifetime. Ask your dentist what type of bridge may be right for you.
What are dental crowns?
Think of a dental crown as a protective “helmet” for your tooth. The crown is made from durable and natural-looking dental materials. It is perfectly shaped to fit on top of the natural crown. The remaining natural tissue has also been “prepared.” Decayed or damaged parts of the tooth are removed. The tooth itself is also shaped so that the crown fits on top of it just right. With the crown in place, the health, function, and strength of the tooth are restored. We also restore the appearance of your smile.
What materials do you use?
Dr. Dalwai uses high-quality dental ceramics (zirconia) as well as a blend of ceramic and metal (Porcelain Fused to Metal or PFM). After evaluating your mouth and discussing your preferences and goals, Dr. Dalwai recommends the most appropriate option for you. Factors that are considered include the location and function of the tooth. Some materials are more appropriate for highly visible areas, whereas others are more appropriate for the back teeth due to their high strength and durability.
What is a dental bridge?
There are different types of dental bridges. The “standard” bridge includes two dental crowns and at least one pontic, or replacement tooth. The crowns and pontic(s) are fused together as one piece or a single unit. When the crowns are applied to the neighboring teeth on either side of the gap where a tooth used to be, the pontic(s) fill the empty space. The neighboring “abutment” teeth also function as anchors to stabilize the dental bridge.
Am I a candidate for a crown or bridge?
Crowns are largely designed to preserve natural teeth. They may be used to hold together a broken tooth and to add strength to teeth that have sustained damage due to decay. Crowns also represent the “finishing touch” for teeth that have been preserved with root canal therapy. Without the crown to strengthen the treated tooth, it may still require extraction or removal. Then, a dental bridge or other form of tooth replacement is necessary. Dental bridges replace teeth and are generally most appropriate for individuals with one missing tooth or some missing teeth. The location of these missing teeth is important; bridges rely on neighboring teeth that serve as anchors. If you are missing several teeth, Dr. Dalwai can discuss alternatives such as partial or full dentures and dental implants.
How do I care for my crown (or bridge)?
These dental restorations should largely be treated like natural teeth. The Art of Dentistry can advise on good oral care products and techniques. It is also essential to maintain regular dental check-ups. There is no substitute for our dental hygienists’ professional cleanings. They have the skills and dental instruments to remove what you cannot—stubborn tartar or hardened plaque. We can even advise on floss threaders and interdental brushes to clean underneath the bridge. It is critical to clean this area properly and consistently; otherwise bacteria and plaque can accumulate, your teeth may be vulnerable to decay again, and your gums may be threatened by periodontal disease.
Frequently Asked Questions About Crowns and Bridges
How do I know whether I need a crown instead of a filling?
Fillings are ideal for smaller areas of decay or minor structural damage. However, when a tooth has extensive decay, fractures, or large failing fillings, a crown may be recommended to provide full coverage and reinforcement. A crown protects the remaining natural tooth and distributes biting forces more evenly, reducing the risk of further breakdown.
Can a crown improve the appearance of a misshapen or severely discolored tooth?
Yes. In addition to restoring strength, crowns can enhance the overall look of a tooth. When a tooth is significantly worn, uneven, or deeply stained, a custom-designed crown can create a more balanced shape and natural color that blends with your surrounding teeth.
How long does it take to receive a crown or bridge?
Most crown and bridge procedures are completed over two appointments. During the first visit, the tooth (or supporting teeth) are prepared, and impressions are taken. A temporary restoration is placed to protect the area. At the second visit, the final restoration is carefully fitted and bonded. Timelines may vary depending on complexity and lab fabrication.
Will my crown or bridge feel different from my natural teeth?
There may be a brief adjustment period as your bite adapts. However, once properly placed and adjusted, crowns and bridges are designed to feel comfortable and function naturally. If your bite feels uneven or uncomfortable after placement, your dentist can make minor refinements to improve comfort.
Are crowns and bridges durable enough for back teeth?
Yes. Modern materials are selected based on strength requirements and tooth location. Molars experience greater chewing pressure, so highly durable materials are often recommended in these areas. With proper care, these restorations can withstand daily function effectively.
What happens if a bridge is not replaced after tooth loss?
Leaving a gap untreated can lead to shifting teeth, misalignment of the bite, and uneven wear. Over time, surrounding teeth may drift into the space, making oral hygiene more difficult and increasing the risk of gum concerns. Replacing missing teeth with a bridge helps preserve alignment and balance.
Can a crown or bridge fail?
While these restorations are designed for longevity, they are not indestructible. Damage may occur due to trauma, teeth grinding, or untreated decay at the margins. Routine check-ups allow early detection of any issues so they can be addressed before complications develop.
How do I protect my crown or bridge if I grind my teeth?
If you clench or grind, your dentist may recommend a custom nightguard. This appliance helps reduce stress placed on both natural teeth and restorations during sleep. Protecting your bite can significantly extend the lifespan of your dental work.
Is it possible to replace an old metal crown with a more natural-looking option?
Many patients choose to upgrade older restorations for cosmetic reasons. Advances in dental materials allow for improved aesthetics while maintaining strength. Your dentist can evaluate the condition of your existing crown and discuss replacement options if desired.
How can I maximize the lifespan of my restoration?
Maintaining consistent oral hygiene, attending professional cleanings, and addressing dental concerns promptly are key. Avoiding habits such as chewing ice or using teeth as tools also protects your investment. With proper care, crowns and bridges can provide many years of dependable service.
We partner with you to sustain the health and beauty of your restored teeth. If you are overdue for a check-up or have noticed unsettling changes, call (470) 570-9699 to speak with a member of our team in Lilburn, GA, without delay.
