Crowns and bridges
High-quality full ceramic tooth replacement, tooth restructuring with a ceramic crown, closing of a gap with a ceramic bridge with dentist Dr. Paulsen in Bad Honnef near Bonn
Crowns at a glance
Even though crowns are called tooth replacement, they really don't replace a tooth, but reconstruct a tooth that still has a firm root. Most of the time, a crown is necessary after decay has damaged the affected tooth to such an extent that a filling or inlay is no longer possible. Crowns may also become necessary if larger portions of the dental substance are lost through an accident. A crown is like a "protective cap" that is placed over the affected tooth. Before a crown can be placed, however, the dentist must treat the decay, grinds down the dental substance and reconstruct the tooth. Subsequently, an impression is taken of the prepared tooth and the opposing jaw, which serves as a pattern for the dental technician in producing the crown. Since the production takes several days, the tooth is protected with the temporary crown in the meantime. As soon as the crown has been finished by the dental technician, it is "tried on for size" and after a positive result is affixed with a special cement.
Our dental laboratory is proud to be working with one of the best German dental laboratories, Oral Design Laboratory in Bochum. The director of the Oral Design Laboratory, Ömür Pak, is an artist and perfectionist in the area of high-quality tooth replacement. His motto: Good tooth replacement should not be recognized as such. Therefore, he places great value on his crowns, bridges and dentures looking as genuine and natural as possible and having a functionally perfect fit.
Fully ceramic crowns - the most beautiful of all crowns
The most esthetically pleasing and highest quality solution for a crown is the fully ceramic crown, because ceramic can be perfectly matched to the natural teeth in shape and color and has a very natural appearance. Thanks to its special layered technology, the crown can be constructed in such a way that the ceramic material cannot be distinguished from the natural teeth with regards to coloration and translucency. For this reason, fully ceramic crowns are the best choice especially for visible areas.
Compared to the metal crown with a ceramic veneer, the fully ceramic crown has the additional esthetic benefit that the ceramic edge is next to the prepared tooth. This may prevent that a metal edge becomes visible in the area of the gum at a later point in time. A fully ceramic crown reconstructs the former natural to one-to-one in form, color and shape
Production of crowns - time-consuming detail work
The production and placement of fully ceramic crowns is an elaborate process with several steps that requires precision work by the dentist. This not only includes complete removal of decay and a possible contour filling. Of special importance are the precision impressions with special measurements and customized color determinations, because they serve as the "template" for the production of the new tooth. Frequently, the dental technician requires additional supporting measures to determine the bite (functional analysis), because the more information he receives, the more precisely he can work in producing the fully ceramic crown. For this reason, the production of fully ceramic crown is very time-consuming and requires the highest level of accuracy from the dentist as well as the dental technician. As a rule, production takes several days. In the meantime, the patient receives atemporary crown made of synthetic material. When the crown has been completed, the dentist checks accuracy, fit and color. Only then can the ceramic tooth replacement affixed with a complicated adhesive technique.
The partial crown
If the damage to the two is too extensive for a filling, but not extensive enough that a full crown is needed, the dentist usually resorts to a partial crown. For a partial crown, only a portion of the tooth is prepared rather than the entire tooth, in order to preserve the healthy dental substance as much as possible. The partial crown can be made of gold or of pure ceramic material.
Partial ceramic crowns are characterized by their excellent esthetic qualities. However, due to their more labor-intensive production process (see fully ceramic crowns) they are also more expensive than gold partial crowns.
Bridges - a fixed tooth replacement
Why should missing teeth be absolutely replaced?
Not all patients consider it a matter of course to have a missing tooth replaced. Particularly in the case of side teeth, patients often assume that a missing tooth affects neither their appearance nor their overall teeth. This assumption is incorrect, however, because a missing tooth is also obvious in the area of side teeth and, what is of even more significance, the upper and lower jaw can be affected. Neighboring teeth to the right and left of the gap may move or tilt into the gap. The teeth in the opposing jaw "extend" since they no longer have the opposing support. Damage of this sort can ultimately lead to damage to the masticatory system or craniomandibular dysfunction (CMD). Health-related consequences of CMD in turn can put stress on the entire body and cause illnesses such as ear aches, headaches, neck and back pain, among others. To avoid this, a missing tooth must be replaced!
What is a bridge?
Bridges belong to the so-called fixed tooth replacements. In contrast to dentures, for instance, they cannot be removed. Depending on the number and position of the missing teeth, a bridge span one, two, or several teeth. A bridge consist of two parts: the anchor crowns and the bridge body. The anchor crowns are attached to the teeth in front of and behind a gap, the so-called pillar teeth, with a spacial cement. They support the bridge body, which may consist of one or more connecting links. Bridges not only have the advantage of being fixed. In contrast to partial prostheses, they are constructed rather delicately; for this reason, no metal elements or large synthetic parts are needed.
Bridge - material selection
If a veneer of full ceramic is chosen as material, the shape and color of every bridge is matched to still existing teeth. A bridge can be placed in the are of the front or side teeth in order to maintain well functioning and visually harmonious teeth over a long period of time. Depending on the position of the teeth to be replaced and the esthetic requirements of the patient, bridges as a rule consist of a metal core which is fully or partially covered with ceramic or synthetic material. If the patient wishes restoration that is free of metal, and has especially high requirements of the visual appearance of the teeth, the bridge can be made completely of ceramic, for instance zirconium oxide, based on the findings. The fully ceramic bridge and the bridge with a full ceramic veneer have the most beautiful and natural appearance based on their special characteristics.
Procedure of placing a bridge:
Before a bridge can be made, the dentist inspects the health of the pillar teeth (the teeth to the right and left of the gap), in order to guarantee the firm attachment of the bridge. In the end, the pillar teeth bear the weight of the missing tooth (or teeth). If the pillar teeth are healthy and stable, the preparatory work can begin.
The production and placement of a bridge are an elaborate multi-step process that requires precision work from the dentist. To anchor the future tooth replacement, the teeth next to the gap must first be ground down. Under local anesthesia, as little as possible of the natural dental substance is removed. Subsequently, the dentist takes some precision impressions with special measurements and determines the ideal color for the veneer. This impression becomes the "template" for the dental technician for the creation of the bridge. Since the customized production in the laboratory takes several days, the patient is given a temporary bridge in the meantime. When the bridge has been completed, the treating dentist tests the optimal fit before the new tooth replacement is firmly cemented in place.
In some cases, a functional analysis (precise determination of the bite) may be required, which helps the dental technician to construct the bridge with an even more precise fit.
Care of your valuable dental replacement.
As with your own teeth, thorough oral hygiene at home as well as regular individual prophylaxis by your dentist is imperative in order to preserve the tooth replacement or your natural teeth as long as possible.
Careful cleaning of the pillar teeth and the bridge body, especially in the area of the adjoining the gum tissue, is of utmost importance. Aids such as inter-dental brushes or dental floss assist in preventing inflammation of the guns and decay.
At your dental practice:
Optimal prevention consists of regular checkups and individual prophylaxis measures as well as professional teeth cleaning every six months.
Do you have questions? Please contact us - we will gladly advise you.
Telephone: +49 (0)2224 / 911033 or Email
Your dental practice team in Bad Honnef near Bonn