Your Auckland Dentists for Dental Crown and Bridgework - Our Patient Guide

We pride ourselves in having provided quality crowns and bridges in Auckland for over 35 years helping many thousands of patients to smile, laugh, talk and chew confidently and effectively again.

 

 

 

This patient needed a cosmetic smile makeover to correct their heavily restored, discoloured and rotated teeth which we achieved with Procera® All-Ceramic Crowns

Why Dental Crowns and Bridges?

A perfectly healthy, properly developed adult tooth should not need to be crowned, and we would strive to minimise any invasive dental treatment to a tooth such as this at all.  Unfortunately not all teeth are as fortunate with damage to teeth resulting from tooth decay and resultant dental treatment and restorations, external trauma and other tooth fractures as well as wear and erosion of natural tooth surfaces all able to lead to weakened or compromised tooth structure and sometimes a crown can be the best way of rebuilding and stabilising such teeth.  Occasionally there can also be abnormal tooth development which can include weakened or unaesthetic tooth surfaces or positioning which can also be corrected using crown treatment.  A crown (sometimes called a cap by laypeople) is essentially a tooth shaped artificial shell which seals, protects and provides a new surface for an existing natural tooth.  The main aim of providing a dental crown is to minimise the risk of future deterioration of the existing tooth.  A bridge is one way to stabilise and restore missing teeth and can be used when the other options of either dental implants or denture treatment are either not possible or not desired.  There are several designs that a dental bridge can be made to but the most common fixed bridge is where natural supporting teeth are crowned and the missing tooth/teeth are built in/attached to these support teeth.

The Dental Crowns and Bridges That We Make

There are many different types and brands of dental crown and bridgework available today.  At Fraser Smith Lowe Dentists, your dentist will put the time and effort into having all your crown and bridgework laboratory custom made as we believe that we get superior results with the fit, strength as well as beautiful aesthetics in our restorations.  For aesthetic cases, the majority of the treatment that we provide today is all-ceramic.  We still make traditional gold and porcelain fused to metal crowns and bridges, especially in cases where there may be higher biting forces present or limited space in the bite and aesthetics are not of prime concern.  In some cases it is also appropriate to conserve remaining tooth structure and provide partial coverage restorations such as porcelain veneers, or gold or porcelain inlays and onlays.  Where an all-ceramic crown or bridge is decided as the best treatment option we have excellent success as one of the leading Auckland providers of Procera® All-Ceramic Crowns and Bridges from Nobel Biocare, a world leader in innovative restorative and aesthetic dental solutions.  More recently we are now providing IPS e.max All-Ceramic restorations also and these have excellent physical properties where extra strength is required.  Benefits of All-Ceramics include:

  • No "Grey Lines" along the gumline.  With metal-based porcelain crowns, the gum around the tooth can reced over time revealing the metal shadow underneath as an ugly grey line.  This does not happen with All-Ceramics because they are metal-free.
  • Biocompatible.  All-Ceramics all-ceramic solutions are completely tissue-friendly. The crown, bridge or veneer (laminate) integrates beautifully with its surroundings, encouraging gum to grow back up to the tooth, as it would naturally. And because they are bio-compatible, there are no allergic reactions, no sensitivity to temperature and no impact on taste.
  • Perfect Fit.  All-Ceramics solutions are precision-engineered in state of the art production facilities. And they fit so well you will forget they are there.
  • Perfect Match.  All-Ceramics uses a unique system to subtly match your real tooth’s colour and translucency so they’re almost impossible to tell apart from real teeth.
  • Excellent track record.  8 million restorations of Procera® restorations alone to date worldwide with over 15 years track record and clinical documentation providing beautiful long lasting results with excellent success rates.

 

   Heavily restored teeth which we treated with Procera® All-Ceramic Crowns

What's Involved?

Comprehensive examination and treatment plan

Before any treatment is commenced, your dentist will see you for a full evaluation of your dental situation.  Your dentist will then be able to develop a suitable treatment plan specific to your mouth that is appropriate for you.  We see this as one of the most important phases of crown and bridge treatment as often a well planned restoration will maximise the quality of the final result. It is important that the overall health of the mouth is at a satisfactory standard for this type of treatment so the whole mouth must be taken into consideration and not just the teeth that need restoring.  Occasionally some preliminary treatment may be required before commencing with crown or bridge treatment.

Tooth Preparation Appointment

Your dentist will see you for an appointment to reshape the surface of the teeth which are going to be restored to allow enough room for the crown or bridge material to fit over the teeth.  Usually this involves reshaping the outer few millimetres of the tooth and can be done under local anaesthetic.  An impression or mould of your teeth will be taken to create an accurate model of your teeth and the construction of the crown or bridgework can be completed using this model.  This may take around 2 weeks to be completed to allow the restoration to be beautifully hand crafted by an expert dental ceramist.  Your dentist will construct a provisional crown or bridge for you to use during this time. For Procera® restorations the model is digitally scanned and sent to a computerized production facility where the base material is custom machined to fit before it returns to our ceramist to layer the porcelain surface.  For some cases we will send you to see the ceramist to evaluate the shade and aesthetics of your teeth so the crown or bridgework can be properly matched to blend in.

Fitting the Crown or Bridgework

Once the construction of the crown of bridgework is completed you will return to your dentist to have the new restoration fitted.  This is cemented in place and can be performed under local anaesthetic.  Regular dental visits and good at home oral hygiene will maximise the long term success of the restoration.

Please Contact us for further information or to make an appointment