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All Posts in Category: Dental Bridges

dental-crowns-bridges

Investing in Quality Crowns and Bridges

Although you may assume that crowns or bridges are the same at every dental office, this isn’t the case. Some older dental work might have received placement that didn’t have proper bite alignment or may be inferior quality to what’s available today. Paying less for a crown or bridge may seem like a good budget decision, but when the material used is cheap, the crown or bridge can appear fake, feel rough and be an overall bad fit. It’s important to invest in quality dental work because it can last longer than work that cuts corners.

Placement Considerations

Some patients might believe that when they require a crown or bridge in an area that’s not visible in a smile, the quality and fit isn’t as important. However, since such locations are usually in the back of the mouth, quality is just as important as anywhere else. How long a crown or bridge lasts depends on the materials it’s made of and having it placed properly. Better materials last longer and placing the tooth takes precision. Creating a crown or bridge in the dental lab requires knowing the shape, size, and color of the device and if it has even the slightest flaw in shape or size, it can cause problems with the teeth above or below it. A crown or bridge fitted to the incorrect height can incorrectly contact the tooth above it, and this can lead to sore jaw joints, headaches, dizziness, facial pain, ear ringing and even pain as far down as the shoulders and neck. Bridges and crowns that fit properly, look natural, and consist of quality, durable materials, can last a long time and are worth the investment.

Worthwhile Investment

It’s easy to let the cost of dental work distract you and make you believe that spending less is a better choice, but when a crown or bridge requires replacement due to some damage or failure, it can cost more in the future. Investing in a quality crown or bridge means that it looks as natural as surrounding teeth, feels comfortable in your mouth, is made of durable materials and has the correct size and shape for your mouth and bite.

Creative Dental provides quality dental work of all kinds including bridges, crowns, veneers and other cosmetic and restorative dentistry options. Make a lifelong investment in the health and appearance of your smile by contacting us today.

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Care after dental restoration procedures

Updated Guidelines for Dental Restoration Care

At the end of 2015, The American College of Prosthodontics (ACP) published new guidelines regarding the care and maintenance of dental restorations. These guidelines covered restorations supported by dental implants and those supported by natural teeth. The new guidelines don’t contain anything surprising, but it’s important to understand the reasoning behind any oral health recommendations.

Long-standing recommendations

The updated recommendations from the ACP uphold what’s been the standard of dental restoration care for a while. The ACP still recommends visits to the dentists every six months for inspection, care and maintenance of dental restorations including dental implants, porcelain veneers and dental crowns. The guidelines encourage dentists to clean natural teeth and restorations thoroughly and with the correct tools to avoid potential damage to restorations.

At home recommendations from the ACP encourage people to follow good oral hygiene practices including twice daily brushing, flossing at least once a day and using any supplement methods necessary to remove food debris and plaque from the gum line and between teeth. Patients with complex and multiple restorations on natural teeth that surround or support a removable restoration, the ACP suggests using chlorhexidine rinses, high fluoride toothpaste and the addition of triclosan antibiotic when necessary.

The need for additional study

One of the biggest revelations from the ACP’s 2015 guidelines was that only a few of the current clinical care recommendations have good, science-based support. In clinical care guidelines, the quality of evidence receives ratings that range from A to D; with A being the best score. The ACP issued a “D” rating for a majority of the guidelines because they’re extrapolated from or based on lower-quality evidence. The recommendations that received an “A” rating from ACP include thorough dental exams, brushing and flossing twice a day and the guidelines for complex and multiple dental restorations. Despite the “lower quality” evidence, it’s still advisable to follow the existing care recommendations as they’re based accurately on existing evidence. Additional study and research will yield better information and help create recommendations that receive a higher rating from the ACP.

The best place to receive recommendations that pertain to your specific dental restorations is from a qualified dental professional. At Creative Dental, we have extensive experience with many forms of dental restorations and understand the proper care and maintenance required to help those restorations last without the need for replacement or removal. Contact us today to discuss ways to improve and protect your smile.

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Basic information about dental bridges

Guide to Dental Bridges

Dental bridges can restore your smile and ability to speak and chew properly, as well as maintain a healthy face structure. Additional benefits of dental bridges include distributing bite force properly with tooth replacement and helping remaining teeth maintain their correct positions. With support from natural teeth or implants, dental bridges close the gap created by one or more missing teeth to give you a complete smile that boosts your self-esteem and overall health.

How dental bridges work

Dental bridges consist of two or more crowns placed on teeth on either side of the gap created by a missing tooth. The natural, anchoring teeth or implants are abutment teeth, while the replacement, false teeth are called pontics. Materials used to make pontics include porcelain, gold, alloys, or a combination of materials.

Types of dental bridges

There are three main types of dental bridges and each of them are used to treat specific issues with the location of the missing teeth.

  • Traditional dental bridges – The most common type of bridge, traditional bridges involved placing a crown on the tooth or implant on either side of a missing tooth and a pontic in between to fill the gap. This type of bridge usually consists of porcelain fused to metal or ceramic materials.
  • Cantilever dental bridges – This style of bridge isn’t common today. Cantilever bridges received placement at the back of the mouth when there’s only adjacent teeth on one side of the missing teeth. Cantilever bridges can put too much force on the supporting teeth and cause damage.
  • Resin-bonded bridges – Resin-bonded bridges are also called Maryland bonded bridges or just Maryland bridges. Made of porcelain fused to metal or plastic teeth and gums supported by porcelain or metal framework, resin-bonded bridges feature wings on all sides of the bridge that the dentist bonds to your natural teeth.

Dental bridge procedure

The procedure for receiving a dental bridge can take multiple visits as your dentist works to create a comfortable fit. During the first visit, the dentist prepares the abutment teeth by removing enamel to re-contour them and allow room for crown placement. Following re-contouring, the dentist makes impressions of your teeth that serve as a model the dental lab uses to design the bridge, pontic and crowns. During the wait for your permanent bridge, the dentist makes a temporary bridge that protects the exposed gums and teeth.

On the second visit, the dentist removes the temporary crown and places the new metal or porcelain bridge, adjusting as necessary for a good fit. Depending on your situation, achieving the proper fit may take multiple visits as the dentist checks the metal framework and your bite. For a fixed dental bridge, the dentist can cement it temporarily to check the fit and then permanently cement it after a few weeks.

Living with a dental bridge

When you practice good oral hygiene and have regular dental exams, dental bridges can last 5-15 years or longer. Maintaining the health of your mouth with daily brushing and flossing that prevents gum disease and tooth decay is essential for the longevity of your dental bridge. Having a dental bridge makes eating easier as it replaces missing teeth, but there may be an adjustment period where you’ll need to eat softer foods. In addition, dental bridges restore normal speech that may have suffered due to missing teeth.

If you’re missing one or more teeth contact Creative Dental to learn additional information about the replacement options we offer including dental bridges, dentures, and dental implants.

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