Same day Crowns, Partial Crowns, Bridges and Implants Crowns

This patient came to our office and Dr Burke found decay under the bridge from teeth #9-11(upper left) and a diastema(space) between the two bridges.

This patient came to our office and Dr Burke found decay under the bridge from teeth #9-11(upper left) and a diastema(space) between the two bridges.

Dr Burke removed the old bridge on the upper left, removed decay, disinfected with laser and O2/O3 therapy. The new bridge was made and the diastema was closed. Patient was very pleased with the result.

Dr Burke removed the old bridge on the upper left, removed decay, disinfected with laser and O2/O3 therapy. The new bridge was made and the diastema was closed. Patient was very pleased with the result.

SAME DAY CROWNS, PARTIAL CROWNS, BRIDGES AND IMPLANT CROWNS

Our office offers the last CEREC technology to offer same day crowns, partial crowns and bridges.

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CEREC uses CAD/CAM (Computer Aided Design/Computer Aided Manufacturing) technology that incorporates a small, hand-held camera and a computer in one instrument, and a milling unit to grind/mill restorations in-house. The camera is used to capture the 2D or 3D image of the affected tooth/teeth and the surrounding area. This image is then displayed on a computer screen where the dentist then uses the special CEREC Software to create the perfect restorative tooth/teeth. Once the virtual restoration is created, the information is then sent to the milling unit via software and milled onsite within 8-10 minutes.When you have a tooth or teeth that are missing some structure due to fractures, decay or grinding wear, or you lost a tooth, you can strengthen them with crowns or replace them with implants or bridges.

A crown is for an individual tooth. A bridge is done to replace 1 missing tooth using two adjacent teeth as a support.  An implant replaces one tooth without compromising its adjacent teeth.

A crown ("cap") is a covering placed over a tooth. Crowns serve many functions, such as strengthening, restoring and improving the appearance of your tooth. A crown covers the tooth when there is no longer sufficient structure left to place a filling. Crowns may also be used to protect the structure of a tooth that is fractured or broken, and can be attached to bridges or dentures.

Crowns and bridges can be made of porcelain, metal or porcelain fused to metal. I recommend all porcelain crowns and bridges since we are a free mercury and metal free dental office. Dental porcelain can be sculpted to closely replicate the look of natural tooth enamel, while providing desirable strength and resilience. They are more biocompatible and there is no need for metals in your mouth.

Partial crowns, often referred to as on-lays, are a type of restoration or filling that covers one or more cusps. An inlay is similar to a filling but the work resides completely within the cusps on a tooth’s chewing surface. These restorations are much more conservative than crowns, and can be imperceptible from your natural tooth.  These "partial crowns" can be done the same day using our in office technology.

If you don’t want to involve adjacent teeth, you can choose an implant.  An implant is a type of screw which is placed inside of your bone and a crown is placed later. If you want to have an implant, I will be happy to refer you to a specialist to complete the surgical part, and then months later, once your implant is oseo-integrated, I will do the definitive crown for you.

What precautions should I have after a crown placement?

There may be some sensitivity and irritation after the temporary and permanent crown or bridge is placed. When we are preparing the tooth to receive the new crown, we work on dentin so sensitivity is expected for the next few weeks. You can take  homeopathic hypericum 30C for the sensitivity after drilling or  take ibuprofen(Advil) or Acetaminophen (Tylenol) for pain if necessary( consult with your primary physician if any contraindications for you)

This is normal, and the pain will subside after the soft tissue heals. A warm salt water rinse will help with the soft tissue irritation. Homeopathic Ledum 30C ( 3 pellets in 8 oz bottle of water, let them dilute and then take 1/2 tsp as needed for 2 days) would help as well. 

If you are experiencing sensitivity please avoid those things that trigger the pain.  When the permanent crown or bridge is placed, it may feel a little awkward for a few days. Your mouth needs to adjust to the new restoration. It should feel like one of your natural teeth in less than a week. If your bite feels abnormal in any way, please let us know. Caring for your bridge or crown is just like caring for your own teeth. You should floss , waterpik and brush regularly.

The cement that was used needs  24 hours to set properly so please avoid eating or drinking for the following hour after cementation. For the first 24 hours please avoid crunchy and sticky food. Please floss at night  but pull the floss through instead of snapping it in and out. After 24 hours you can go back to normal eating, drinking and hygiene habits. A water-pik is recommended to help keep the edges of our new crown clean to prevent decay with regular brushing and flossing daily.

If you have any further questions, please don’t hesitate to call our office or submit a form through our website https://drcarmenburke.com/contact


 

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