A dental crown or a dental cap is simply a manufactured tooth placed over a damaged tooth to cover it and restore its shape and size, strength and improve its appearance. The dental crown protects the tooth structure in a way that cannot be done by fillings or other types of restorations.
Dental bridges are prosthetic appliances that replace missing teeth. While a dental crown is sufficient when the patient has lost a single tooth, dental bridges are more functional and more suitable when several missing teeth need to be replaced. A dental bridge is made up of one or more dental crowns on either side of the prosthetic teeth. The anchoring teeth over which the dental crowns are to be placed are called “abutment” teeth and the prosthetic teeth placed where the missing teeth used to be are called the “pontics”.
There are certain prerequisites for getting dental crowns and dental bridges. Dr. Orfaly has suggested a set of conditions for candidacy for the treatments:
You have severely decayed teeth.
You have one or more missing teeth.
You have enough bone density of the teeth surrounding the missing tooth.
You have misaligned teeth or too closely spaced teeth.
If you meet any of the above criteria, you should book an appointment immediately.
During the consultation, Dr. Orfaly will do a thorough dental checkup. After checking the oral condition, he will suggest to you the treatment for missing teeth. If the most suitable treatment is to get dental crowns or dental bridges, Dr. Orfaly will explain to you the full process. Depending upon your case, your first appointment for dental crowns or dental bridges will be scheduled. A dental crown or dental bridge procedure generally requires two appointments.
Your first appointment for dental crowns and dental bridges will include taking several highly accurate molds (or impressions) that will be used to create your custom dental crown. A mold will also be used to create a temporary dental crown or temporary dental bridge which will stay on your tooth for approximately two weeks until your new dental crown is fabricated by a dental laboratory.
During the first step of the dental crown procedure, the dentist will prepare the tooth by removing any decay and shaping the surface to properly fit the crown. Once these details are accomplished, your temporary dental crown will be placed with temporary dental cement (also called dental glue) and your bite will be checked to ensure you are biting properly.Your temporary dental crown will be removed at your second appointment, the tooth will be cleaned, and your new dental crown will be carefully placed with permanent dental glue to ensure the spacing and bite are accurate.
While various dental crowns types are available, ceramic crowns, also called porcelain crowns, are the most popular. They are usually recommended when the dental crown needs to be placed over one of the front teeth. Ceramic crowns or porcelain crowns are highly durable and will last many years, after which they can be replaced. Ceramic crowns or porcelain crowns are made to suit the structure, shape, and size, and color of your natural teeth. Another popular choice is the porcelain fused to metal crown, which is a dental crown with a metal-alloy interior and porcelain exterior. Porcelain fused to metal crowns have the strength of metal crowns and the aesthetic of porcelain or ceramic crowns, and they are more affordable than porcelain or ceramic crowns.
Dental bridges consist of two crowns - one on either end - that are fused to the existing teeth or attached to dental implants. The existing teeth that act as anchors for the dental teeth are called “abutment teeth.” A set of replacement teeth called “pontics” rest in between the crowns and are used to cover the gap caused by the missing teeth. The first step in the dental bridge procedure is the preparation of the abutment teeth. The dentist will remove enamel and dentin from the abutment teeth to make space for the dental crowns. Then a temporary bridge will be placed over those teeth with the help of temporary dental glue. The temporary dental bridge and crowns will protect the abutment teeth until the permanent dental bridge and crowns are ready.During the second appointment for a dental bridge, the dentist will remove the temporary crowns and bridge, and carefully place the permanent dental bridge with permanent dental glue. At Fisher & Orfaly Dental, you will be given care instructions and encouraged to have regular dental visits to check your dental bridge.
The most popular types of dental bridges are traditional dental bridges and cantilever dental bridges. Implant-supported dental bridges are considered to be the most stable, but they are also the most expensive. Also, the procedure to get implant-supported dental bridges is very lengthy. Two surgeries are required during the treatment (one to place the implants, second to place the bridge) and so the treatment will take many months to be complete.
Dental crown recovery and dental bridge recovery take a few days as the body recovers from the inflammation from the procedure. You may have soreness or sensitivity in the gums and your mouth may feel tender immediately after the treatment. This may be because of the dental glue used or the reshaping of the affected tooth during the procedure. Fortunately, the soreness will most likely go away after a few days.
You are allowed to resume your day-to-day activities usually a day after the appointment. The soreness of gums and bleeding in a few cases may take a few weeks to heal. If the soreness or sensitivity continues after a few weeks or if it is too severe, book an appointment with the dentist immediately.
At Fisher & Orfaly Dental, you will be given care instructions and encouraged to have regular dental visits to check your new dental crown or dental bridge. Follow these instructions very carefully to ensure the longevity of your dental crown or dental bridge
Dr. Orfaly suggests you completely avoid eating anything for 1 hour after the treatment. In the coming days, you are advised to follow a care routine
Avoid hot and cold foods. Instead, choose lukewarm foods.
Avoid eating hard and crunchy foods. Force on the bridges can create pressure. Consume soft foods.
Use toothpaste for sensitive teeth for a few days for brushing your teeth.
Use over-the-counter pain relievers if necessary.
The lifespan of a dental crown depends on many factors like:
The type of dental crown
The skill of the dentist
The health of the affected tooth
Lifestyle of the patient
The lifespan of a dental bridge depends on many factors like:
The type of dental bridge
The skill of the dentist
The health of the affected tooth and the gum around it
Lifestyle of the patient
It is difficult to make an estimate on the dental crown cost and the dental bridge cost because the total cost of the procedure is based on many different factors like the type of dental crown or dental bridge, the skill of the dentist, the extent of prep-work needed, etc. So the total dental crown cost or dental bridge cost will be different for each individual case. That is why the dentist will determine the dental crown cost or the dental bridge cost after carefully examining the affected area and creating the most suitable treatment plan for the patient.
Most dental insurance companies cover dental crown costs fully and major portions of dental bridge costs. These are restorative treatments that affect the oral health of the patient and hence these are typically under dental insurance cover.
Fisher & Orfaly Dental can find the best possible way to make payments for dental crowns or bridge treatment depending on your dental insurance plan.
Dr.George Orfaly, of Fisher & Orfaly Dental, has written a detailed blog about dental crowns and dental bridges which includes the types, benefits, and cost of dental crowns and bridges.
Coming to Dr Orfaly is The best decision I could have made. I didn’t have a dentist for years and they saw me when I had an emergency. Now I am getting all of my dental work here, perfect caps, bridges and hygiene. I highly recommend Dr Orfaly and his staff.
After having a negative experience with a filling with a past dentist, I was nervous to go to a new dentist with tooth pain. Dr. Orfaly and team were very understanding and knowledgable when walking me through my options for a cracked tooth. 10/10 would recommend due to their professionalism, attention to detail, and level of care. Thanks team!
Dr Orfaly is the best dentist around! I have alot of anxiety around going to the dentist & Dr Orfaly always makes sure to check in to see how I'm doing & is so nice. If a referral is needed to a specialist, he makes the call for you & gets you an appt quickly (mine was even the same day) I love how they book you with the same dental hygienist for all cleanings.. Adds another level of comfort... Shoutout to mine, Kathy!
Dr. George Orfaly is a Doctor of Medicine in Dentistry and has been practicing as a dentist in Salem, MA since 2005. He has consistently improved the lives of his patients by providing them relief, confidence, and healthy smiles. He believes that oral health is directly related to overall health and well-being. Dr. Orfaly has also been an active member of the American Dental Association, Massachusetts Dental Society, and North Shore District Dental Society.