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Crown and Bridge Information

What is a crown?

A crown is a means of protecting a tooth that has been weakened through multiple large fillings and decay (cavities). It is usually recommended when there is no other filling material that can be used. There are various kinds of crowns and the one best suited to your situation will be used. You will be given options if possible and the pros and cons of each will be discussed.

How many visits do I need?

A crown is usually done in two appointments. If a large bridge is being done there may be additional appointments for try-in of various components. With the addition of CEREC to our practice most crowns are now done in one appointment.

What is done on each visit?

The first appointment is to remove any decay and old filling materials, immediately followed by preparation for the crown. This appointment takes approximately 70-80 minutes for a single crown and more for multiple crowns. You will usually be advised prior to your visit.

The second appointment (single crown) is to place the new crown. Usually no anesthesia is required since there is no grinding on your tooth. Any adjustments (if necessary) will be made to the crown. The crown is then glued into place with a special glue.

In instances where a bridge is being placed, the bridge may be temporarily cemented for a week or so to make sure that your bite is correct. A followup appointment will be made for permanent cementation.

What can I expect after each visit?

Many people experience very little to no discomfort following the procedures. Much is dependent on your particular situation and you will be advised of such. It is recommended that you rinse with warm salt water rinses on the evening following preparation and possibly the following day as well. Some biting sensitivity may be present for a day or so. Any anti-inflammatory medication should take care of any discomfort you may have. If there are special circumstances you may be prescribed a stronger analgesic.

If you experience continued discomfort please call our office as soon as possible.

I have my temporary, now what?

A temporary crown will be placed following the first visit (preparation). It will be placed with a temporary glue that will allow us to easily remove the temporary at the cementation appointment. This temporary is made from a very hard plastic. It is very durable, but can be broken by eating very hard foods or dislodged because it is temporarily cemented.

It is highly recommended that you not eat very hard foods or chew gum or sticky foods while you have your temporary. If you temporary does come out, call the office immediately as it serves to not only protect your tooth, but it also holds space for the permanent crown(s).

My permanent crown is cemented. Is there anything I cannot do?

The last appointment is for cementation of your new crown. If it is a bonded (all porcelain) crown you will be required to get numb, otherwise no anesthesia is required. This appointment entails slight adjustments (if necessary) to ensure proper function. Also being evaluated will be color match and shape. This appointment is rather quick and takes from 10-30 minutes. Again, if there are multiple teeth being crowned it may take a bit longer.

Your new crown should look and feel like "the real thing". All that is needed to ensure success is proper home care and regular maintenance here in our office. Thanks for allowing us to care for you.

If you have any further questions regarding these procedures please do not hesitate to ask.


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Daniel L. Martinez, D.D.S. Copyright © 1997-2013

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