1529 Kyle Ave, Eaton Rapids, MI 48827
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Crowns and Bridges
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A guide to dental crowns, Rebuild and preserve damaged teeth or to replace teeth as part of a dental bridge

You would be hard-pressed to find a more versatile dental procedure than the humble dental crown (or “cap”). Crowns can be applied to preserve natural tooth structure and to replace teeth that cannot be preserved through other means, such as endodontic procedures like root canal therapy. 

So, the crowns that are skillfully yet comfortably prepared, designed, and placed at Douglas Hoppe, DDS, Eaton Rapids, Michigan, may “stand alone” or function as an essential part of a dental bridge.

Putting a crown on it 

The crown is part of the tooth that is white and visible when you smile. Crowns may, however, be damaged due to progressive decay or injury. Damaged crowns can be replaced by talented dentists like Dr. Hoppe. The crown is fashioned from a wide range of dental materials, including metals such as gold and ceramics like zirconia. We are happy to discuss the advantages and disadvantages of these materials. 

Recommendations are generally based on factors like:

  • The location of the tooth to be crowned
  • The function of the tooth
  • Budget and other personal preferences

All crown processes involve removing the damaged tissue and reshaping the tooth. Information collected about the tooth is used to make the crown. A temporary crown is placed on top of the tooth to protect the treatment site while the permanent one is being made. After our lab has made the crown, the temporary is removed, and the permanent is cemented or secured to the tooth. Typically, it takes two appointments to prepare, design, and place your new tooth structure!

Before & After Results

  • The patient presented with his front teeth broken and chipped over time. He was unhappy with the overall look and color of his upper front teeth when he smiled. He had done bonding over the years on the front teeth to close gaps. The bonding continued to chip and deteriorate in color over time. He wanted a better looking and longer term solution for his smile. Crowns on his maxillary front 6 teeth (#’s: 6-11) were proposed. Pt. requested the teeth to be whiter than his natural teeth color.
  • The 6 teeth were prepared for crowns and the patient wore temporary crowns for 3 weeks while the lab was fabricating the 6 all porcelain crowns. The 1st visit took 3 hours to prepare the teeth for the crowns and fabricate his temporary crowns. The crowns were delivered on the second visit which took 60 minutes.
  • He was extremely happy with the final result and his new smile.
Porcelain Crown Before and After - 04
  • The patient presented with his front teeth broken and chipped over time. He was unhappy with the overall look and color of his upper front teeth when he smiled. He had done bonding over the years on the front teeth to close gaps. The bonding continued to chip and deteriorate in color over time. He wanted a better looking and longer term solution for his smile. Crowns on his maxillary front 6 teeth (#’s: 6-11) were proposed. Pt. requested the teeth to be whiter than his natural teeth color.
  • The 6 teeth were prepared for crowns and the patient wore temporary crowns for 3 weeks while the lab was fabricating the 6 all porcelain crowns. The 1st visit took 3 hours to prepare the teeth for the crowns and fabricate his temporary crowns. The crowns were delivered on the second visit which took 60 minutes.
  • He was extremely happy with the final result and his new smile.
Porcelain Crown Before and After - 03
  • Patient was unhappy with the crookedness and appearance of the crown on her upper right maxillary central incisor and overall appearance of her upper front teeth. The crown on #8 was an older porcelain fused to metal (PFM) crown with the metal from the crown visible. The crown on #8 was crooked and too wide and not symmetrical to the natural tooth next to it.
  • Bonding was performed on tooth #9 to widen the appearance of #9 and give symmetry to her upper front 2 teeth (teeth #8 & #9). A new all porcelain/ceramic crown was placed on tooth #8 replacing the old porcelain fused to metal (PFM) crown on #8.
  • Patient was very happy with the final result. The bonding and the crown preparation were completed in the first visit and the patient wore a temporary crown for 2 weeks. On the second visit (2 weeks later) the temporary crown was removed and the lab fabricated all porcelain crown on tooth #8 was cemented into place. Final photos were also taken on the second visit.
Porcelain Crown Before and After - 01
  • Patient was unhappy with the crookedness and appearance of the crown on her upper right maxillary central incisor and overall appearance of her upper front teeth. The crown on #8 was an older porcelain fused to metal (PFM) crown with the metal from the crown visible. The crown on #8 was crooked and too wide and not symmetrical to the natural tooth next to it.
  • Bonding was performed on tooth #9 to widen the appearance of #9 and give symmetry to her upper front 2 teeth (teeth #8 & #9). A new all porcelain/ceramic crown was placed on tooth #8 replacing the old porcelain fused to metal (PFM) crown on #8.
  • Patient was very happy with the final result. The bonding and the crown preparation were completed in the first visit and the patient wore a temporary crown for 2 weeks. On the second visit (2 weeks later) the temporary crown was removed and the lab fabricated all porcelain crown on tooth #8 was cemented into place. Final photos were also taken on the second visit.
Porcelain Crown Before and After - 02
  • Patient presented with tooth #9 broken in an accident down to the gum line. Upper left maxillary central incisor (tooth #9) was not able to be saved. Pt. was also unhappy with crowns next to the fractured tooth and overall color and appearance of his teeth and smile. Custom bleaching trays were recommended to whiten all of his teeth. Extraction of tooth #9 and replacement with implant crown #9 was recommended along with replacement of older crowns on teeth #’s: 7, 8, and 10.
  • Models of his teeth were taken for fabrication of at home bleaching trays for both upper and lower teeth. Patient wore bleaching trays for 30 minutes/day for 3 weeks to whiten his teeth. Pt. was referred to the surgeon for extraction and implant placement of tooth #9. Pt. wore a flipper or temporary maxillary partial denture during healing and integration of implant on #9 (~ 4 months). Next the older crowns were removed and teeth prepared for new crowns. Models were taken for fabrication of all ceramic crowns on teeth #’s: 7, 8, and 10 along with fabrication of custom abutment and all porcelain crown on #9.
  • The patient was very happy with the final result. The entire treatment took ~ 8 months with about 6 months of time for healing of the extraction site and implant integration.
Dental Implants Before and After - 01

Bridging the gaps 

Crowns may also be made as part of a unit or dental bridge. For individuals who are missing one or some of their teeth, Dr. Hoppe may recommend replacing them with a bridge. The bridge includes at least one replacement tooth (or “pontic”) and two dental crowns. The crowns and pontic are fused to form the bridge. The bridge is then secured to the neighboring abutment teeth. These “abutments” function as anchors to hold up and stabilize the pontic or replacement tooth. As with all crowns, the abutments must be slightly reduced in size. So the crowns fit on top of the teeth properly.

Call (517) 667-7066 to learn more about your options and schedule an appointment with Dr. Hoppe to discuss crowns and conventional bridges today.

Dental Bridges

Dental Bridges
A bridge is a non-surgical way to replace one or many teeth. A bridge uses the adjacent teeth as anchors to support the missing tooth or teeth. With today’s dental advancements, a bridge can be fabricated in a fairly short period of time, using a metal or nonmetal foundation. Don’t let that missing tooth affect the way you speak, eat, and smile. Bridges yield immediate results that last a lifetime. Ask your dentist what type of bridge may be right for you.

For Excellence In Dental Care, Schedule An Appointment With Dr. Hoppe Today!

It does not matter if you are seeking preventive dental care in the form of a teeth cleaning and exam or more intensive dental care like a root canal or dental emergency. Douglas Hoppe DDS is here to make sure you get the care you need. Schedule an appointment with us today by calling (517) 667-7066.

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