preloader

Crowns and Bridges

Crown: (per unit)
- Porcelain Fused to High Nobel Metal: $240.00
- Zirconium $450.00
Bridge: (per unit)
- Bridge – Porcelain Fused to High Noble Metal $250.00
- Bridge – Zirconium $475.00

DENTAL CROWNS

2 APPOINTMENTS NEEDED
DENTAL CROWNS
Also referred to as “dental caps,” “tooth crowns,” or “tooth caps,” are fixed prosthetic devices that are cemented onto existing teeth or implants by a dentist or prosthodontist. In addition to strengthening a damaged tooth, crowns can be used to improve a tooth’s appearance, shape, alignment and dental occlusion (bite). Gaps left by missing teeth can cause the remaining teeth to shift, which can result in a pathological bite. Crowns help prevent this from happening. Crowns cover most of the exposed portion of your tooth and decay does not affect a crown since it is made of metal and /or porcelain. However, where the natural tooth meets the crown can become decayed.
DENTAL CROWN PROCESS
At your first appointment, our dentist will examine the tooth to make sure that it can support a crown. If the existing tooth is healthy enough to support a crown the dentist will file the tooth down to prepare for the crown. However, if the tooth is severely damaged or broken, our dentist may need to restore the tooth base to make it large enough to properly receive the crown.

• After the tooth is filed or filled to the proper shape, our dentist will take an impression of the tooth, as well as those surrounding it, and send it away to our dental lab, where a permanent crown is made. After the impression is made and sent to the lab, our dentist will create and seat a temporary crown that protects the otherwise exposed post until the final crown is ready to be permanently placed.
• When the permanent crown is ready and returned from our lab, you will return for your second visit. At this appointment, the temporary crown is removed, after which our dentist will position and fasten the new crown to the tooth with a special adhesive.
• At Amazing Dental Care, we schedule next day appointments for patients who provide their own transportation and remain in the Yuma area overnight. For those patients who rely on Amazing Dental Care transportation from the valley, we normally schedule non-consecutive days of travel. This significantly reduces the length of day for our drivers, making our operation much safer for everyone involved.

PORCELAIN FUSED TO HIGH NOBLE METAL (PFM) CROWN

PFM crowns are a hybrid of metal and ceramic materials. A metal alloy is used to create a thin thimble-like “cap” that fits snugly over the tooth. Porcelain is then fused over the substructure to form the shape of the unit or crown and give it a white tooth-like appearance. Porcelain-fused-to-metal restorations have a 50+ year track record of providing lasting and durable service.

Note: PFM crowns prepared for Amazing Dental Care contain nickel. Some people are allergic to nickel. If you are unsure about being allergic to nickel it is best to discuss this alternative with your primary care physician and inform the dentist if this is the case.

Advantages of PFM

• Due to differences in how they’re made, a PFM’s metal substructure typically achieves a more exacting fit over its tooth than an all-ceramic restoration.
• Even if some of its surface layer of porcelain fractures off, the metal substructure underneath will characteristically stay intact thus maintaining the crown’s seal over and reinforcement of the tooth. In comparison, the full thickness of an all-ceramic may fracture, thus compromising both the seal and structure of the crown or bridge.
Disadvantages of PFM

• Appearance is a difficulty with PFM’s. For teeth located where appearance is critical (like incisors or eyeteeth and when one or a few crowns are being placed), an all-ceramic restoration might create a better appearance. For appearance, we recommend you use zirconia, which is made from zirconium silicate.
• For posterior teeth (like premolars and 1st molars) the added strength that a PFM offers allows for a “just-average” appearance, which may be an acceptable tradeoff.
• PFMs require a greater amount of tooth reduction (trimming) than their all-metal and zirconia counterparts.
• Some people are allergic to the metals used, rendering PFM a poor choice.
• Corrosion is sometimes a concern with these PFM materials.
ADJUSTMENT PERIOD
It is normal for the crown to feel a little out of place for a few days after cementing because the teeth around this area are adjusting to new forces both in between the teeth and upon biting.
PREVENTIVE PROCEDURES
To provide optimum longevity for your restorations and to prevent future decay and supporting-tissue breakdown, please use the following home care tips:

• Brush after eating and before bedtime around the crown with a soft toothbrush, especially where the crown meets the gum line. At the gum line harmful bacteria may exist which may cause decay and gum disease. An electric toothbrush is highly recommended over manual to help you keep this area clean.
• Your teeth and gums can become infected if you do not control the buildup of food debris and plaque.
• A prescribed antibacterial, alcohol free mouthwash can be used with a Water pik™ to keep your gum line healthy.
• Do not chew hard foods on the restorations for 24 hours from the time they were cemented—to attain optimum strength, the cement must mature for approximately 24 hours
• Avoid eating or chewing on hard objects, hard food, nails, hard candy or ice.
• Avoid sticky treats like caramels, taffy, gummy bears, jelly beans, gum and other sticky candy.
• Limit snacks. Avoid sugary food. If eaten, sugar brush this area and rinse.
• Avoid tobacco, coffee, blueberries, tea and other things that may stain the crown
• Do not worry about mild sensitivity to hot or cold foods. This sensitivity will disappear gradually over a few weeks. Infrequently, sensitivity last longer than six weeks.
PROBLEMS
– call us if any one of these conditions occurs:

• If the tooth is the first tooth to hit when you bite down after a couple of days, contact us for an adjustment.
• If you experience a feeling of movement or looseness in the restoration.
• If the crown becomes sensitive to sweet foods or it develops a peculiar taste from the restoration.
• If you experience breakage of a piece of material from the restoration or sensitivity to pressure.
• If a crowned tooth develops the need for a root canal procedure after a crown restoration.
• If your temporary crown falls off purchase and use dental adhesives like Polident or Fixodent until you are scheduled to return for your permanent fitting.
• If your permanent crown falls off purchase and use dental adhesives like Polident or Fixodent and call our office immediately to schedule an appointment to reseat the permanent crown.

ZIRCONIUM CROWN

Zirconia (zirconium oxide) is a white powdered metal used to create dental frameworks for crowns, bridges and other dental substructures. It creates the appearance of a whiter more translucent tooth and is transparent in x-rays. Zirconia has been in use in cosmetic dentistry for many years to achieve the most aesthetic result possible but has more recently become widely accepted as the dental material of choice. A zirconia crown is strong enough for molars and maintains sufficient cosmetics for front teeth.
ADVANTAGES OF ZIRCONIA
• Zirconia crowns can be translucent enough to blend with other teeth and give a natural look. What’s more, if bonded to the teeth rather than being cemented with conventional dental cement, these crowns won’t display a black line at the gum line.
• Where porcelain crowns are prone to chipping, zirconia crowns are almost indestructible.
• Zirconia crowns made of zirconia are very durable and likely to last a lifetime.
• Zirconia crowns offer superior strength with less volume than crowns made of other materials. Because they can be made to fit when less space is available zirconium crows offer less sacrifice of healthy tooth.
• Zirconia is completely biocompatible to human body. Since it is inert and the body does not reject zirconia, you need not worry about allergic or unfavorable reactions.
• Zirconia crowns are resistant to corrosion, which adds to their longevity.
DISADVANTAGES
• The toughness of zirconia crowns can cause friction against the root of the affected tooth as well as with other teeth, creating an abrasive quality.
• Though zirconia crowns are expected to last a lifetime, as with any crown, decay underneath the crown my cause them to loosen and fall out. Good dental hygiene is necessary.
ADJUSTMENT PERIOD
It is normal for the crown to feel a little out of place for a few days after cementing because the teeth around this area are adjusting to new forces both in between the teeth and upon biting.
PREVENTIVE PROCEDURES
To provide optimum longevity for your restorations and to prevent future decay and supporting-tissue breakdown, please use the following home care tips:

• Brush after eating and before bedtime around the crown with a soft toothbrush, especially where the crown meets the gum line. At the gum line harmful bacteria may exist which may cause decay and gum disease. An electric toothbrush is highly recommended over manual to help you keep this area clean.
• Your teeth and gums can become infected if you do not control the buildup of food debris and plaque.
• A prescribed antibacterial, alcohol free mouthwash can be used with a Water pik™ to keep your gum line healthy.
• Do not chew hard foods on the restorations for 24 hours from the time they were cemented—to attain optimum strength, the cement must mature for approximately 24 hours
• Avoid eating or chewing on hard objects, hard food, nails, hard candy or ice.
• Avoid sticky treats like caramels, taffy, gummy bears, jelly beans, gum and other sticky candy.
• Limit snacks. Avoid sugary food. If eaten, sugar brush this area and rinse.
• Avoid tobacco, coffee, blueberries, tea and other things that may stain the crown
• Do not worry about mild sensitivity to hot or cold foods. This sensitivity will disappear gradually over a few weeks. Infrequently, sensitivity last longer than six weeks.
PROBLEMS
– call us if any one of these conditions occurs:

• If the tooth is the first tooth to hit when you bite down after a couple of days, contact us for an adjustment.
• If you experience a feeling of movement or looseness in the restoration.
• If the crown becomes sensitive to sweet foods or it develops a peculiar taste from the restoration.
• If you experience breakage of a piece of material from the restoration or sensitivity to pressure.
• If a crowned tooth develops the need for a root canal procedure after a crown restoration.
• If your temporary crown falls off purchase and use dental adhesives like Polident or Fixodent until you are scheduled to return for your permanent fitting.
• If your permanent crown falls off purchase and use dental adhesives like Polident or Fixodent and call our office immediately to schedule an appointment to reseat the permanent crown.

Dental Bridge

When considering a bridge vs. dental implants, you need to understand what their respective advantages and disadvantages.
BRIDGE

• Advantages
- Preparing and installing a bridge can normally be completed in two visits.
- A bridge is cheaper than a dental implant.
• Disadvantages
- Bridges must be attached to two anchor teeth or implant posts for security. This may require the cutting down of healthy, adjacent teeth to support the bridge.
- Normally bridges don’t last as long as implants.
- Debris and bacteria can become lodged under the bridge.
- Patients can’t floss between the units of a bridge. Amazing Dental Care recommends including a Waterpik® as part of one’s daily dental hygiene..
DENTAL IMPLANT

• Advantages
- Dental implants do not affect your other healthy teeth; therefore more of your own original teeth are left intact.
- Dental implants bond to the jaw bone, becoming part of it – A bond that is nearly as strong as a natural tooth root.
- Dental implants offer more flexible dental treatment plans than bridges.
- Individual dental implants allow easier access between teeth, enabling everyday normal dental care.
• Disadvantages
- Dental implants are more expensive that bridges.
- The dental implant procedure takes longer – taking up to 6 months to complete a normal installation. If additional work, such as sinus lifts or bone grafting is needed, an additional three to six months may be required.
- Before any additional dental or medical procedure is undertaken, the patient must be pre-medicated with an antibiotic.
- Patients with dental implants must consult with a medical doctor before an MRI can be conducted.
- Dental implant patients must report having a dental implant to medical specialists.
- Because they are grafted to the jaw, the patient’s body may reject the dental implant.

BRIDGE VERSUS DENTAL IMPLANT

3 UNIT BRIDGE
2 DAY PROCESS
A bridge is a fixed dental restoration used to replace one or more missing teeth by joining an artificial tooth definitively to adjacent teeth. A bridge will span the area where teeth are missing. They are attached to the natural “anchor” teeth).

Amazing Dental Care offers two options for materials used to make the units on the bridge, Zirconia or Porcelain Fused to High Noble Metal (PFM). Advantages and Disadvantages are listed in the Dental Crown section above.
HOW TO TAKE CARE OF A DENTAL BRIDGE
• Avoid chewing hard food, ice or candy, which can damage the bridge or the anchor teeth.
• Grinding your teeth can cause damage to crowns and dental bridges. Use a prosthetic aid (night guard) to assist the reduce damage from grinding your teeth.
• Purchase a good quality dental Waterpik®. Do not floss in the bridge area. Watepik® will keep the area clean. Brush as usual.
• If you experience any pain or problems, see your dentist. After a short healing period you should not notice any pain. Pain could be an indication that the bridge has a “high spot” or gums are not healing properly, causing swelling. Please schedule a dental appointment if pain or irritation occurs after 5 days.
• appointment if pain or irritation occurs after 5 days.