Crowns and Bridges
Crowns are indicated for teeth that are significantly broken down and without crowning the tooth, it would most likely fracture and eventually be lost. Crowns can be made from ceramics, metal, or a combination of porcelain and metal (PFM). Each type of crown has its benefits and drawbacks and after some collaboration with Dr. Johnson, the correct choice can be made to fit your oral needs and lifestyle.
Dr. Johnson understands and believes that a crown should only be used as a last resort to save a tooth; because once a tooth is crowned there is often only a limited amount of options, if any, for further care if the tooth breaks down sometime in the future.
Dr. Johnson carefully diagnoses each tooth and recommends crowns, only if absolutely necessary to save the tooth. Once it has been determined that a crown is absolutely necessary, then Dr. Johnson and his team will carefully and meticulously execute the procedure to maximize the longevity of the crown.
Bridges are used to replace missing teeth, or teeth that have broken down to the point where they can no longer be saved. A bridge is a non-removable appliance that utilizes the adjacent teeth for support and this requires that they be altered either to their detriment or benefit, depending on their long term status.
For example, if the adjacent teeth are severely broken down or have existing restorations that are compromising the longevity of those teeth, then a bridge may be the right choice to take care of all the teeth at the same time.
However, if the adjacent teeth are not able to support the bridge long term due to periodontal disease or some other reason, or the teeth are perfectly flawless, a bridge may not be the best choice and another treatment would be indicated, such as an implant or removable partial denture.
Bridges can be made out of all the same materials as crowns and a proper diagnosis, followed by a mutual discussion with Dr. Johnson will determine, if and what type of bridge is the best fit.