What Is A Bridge?

A bridge is a device used to fill the space where a tooth has been removed. A typical bridge consists of a pontic (a filler tooth) that is attached to two surrounding abutments (crowns) which is then bonded into the mouth. 
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Without the use of a bridge, spaces in the mouth from missing teeth can cause multiple teeth to shift, lead to biting and/or jaw problems and can cause periodontal problems. Bridges safeguard the integrity of existing teeth and help maintain a healthy, vibrant smile. These are currently done in two visits with the off-site lab fabricating the final restoration. This can be done in all ceramic or with a metal substructure under the porcelain material. 

What is a Crown?

Crowns are designed for individual teeth to cover them completely. They may be needed due to breakdown from decay or trauma, or if the tooth has had root canal treatment done. 

We offer CAD-CAM restorations in our office too, which allow our patients to have only one visit for these crowns or inlays or onlays. This is done with the CEREC machine, and the restoration is milled directly in our office.

The Process

During the initial visit, Dr. Miles will prepare the surrounding teeth by reducing them, so that there is enough clearance for the single unit crown or bridge's thickness. Then a mold or impression of the teeth is made. The lab uses the customized impression to prepare the model. The bridge takes about three weeks, and crowns take two 2 weeks. After the impression is complete, the patient is fitted with a temporary bridge or crown constructed of acrylic resin. This plastic material is very aesthetic but not as strong as the final product. Upon completion of the permanent crown or bridge, we will remove the temporary bridge or crown, and fit the permanent restoration, doing any adjustments needed and finally permanently cement.
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