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Crowns, Bridges, Veneers

At Doucas Dental, we offer a wide variety of fixed replacements for teeth. We have in house state of the art technology, and we keep up to date on the latest techniques and materials to continually provide our patients with the best dental treatment.

Dentures are delicate and may chip or break if dropped. If this happens we are able to have your broken denture repaired in most cases. Call our Doucas Dental team for an appointment today or Book Online through the Health Engine link.

What is a Crown?

A Crown is a tooth shaped cap that is placed over a tooth that has either broken due to a previous large filling or a lot of decay and a filling will not be strong enough to hold the tooth together. A crown is also sometimes put on a tooth after a root canal procedure as the tooth is weekend after treatment and it will prevent the tooth from breaking down or snapping. A crown prolongs the sustainability of the tooth, restoring its shape, size and increasing it strength and appearance

What is involved in your crown appointment?

  1. Before prepping your tooth for a crown, if there is not enough tooth structure remaining, your dentist may need to build up a core to support the crown. A core is needed if large areas of the tooth are decayed, damaged or missing, and is usually made out of a composite or white concrete like material. If you are receiving the crown after root canal treatment, your dentist may insert a post-and-core foundation.
  2. After the anaesthetic has worked and a preliminary impression has been taken, your dentist we start preparing for your crown, filling down a third of the tooth to make room for the porcelain to fit around the prepared tooth.
  3. After filing down the tooth, your dentist may use material to push the gum away from the tooth to get a good impression of the margins of the preparation.
  4. An impression is then taken either digitally or with a rubber like substance that sets in 3 minutes to make a direct copy of what is in your mouth.
  5. Once removed, your dentist will then put the first impression back in your mouth to make your temporary crown which is usually made of plastic. Temporary crowns are not supposed to last a long time and you do need to come back within the month to have your permanent crown inserted.
  6. Temporary cement is used to keep this crown in place. It is special cement that is designed to be weak. This allows your dentist to easily remove the temporary crown so your permanent crown can be placed.
  7. At your second visit, your dentist will remove the temporary crown and test the permanent one, for a good fit, shade match and bite. Sometimes crowns need more polishing or glazing or some other adjustment before they are placed. Once the crown is ready, it is permanently cemented onto your tooth.

A crown does not protect your tooth from decay, you have to continue to brush and floss twice daily, especially around the gum line of your crown. And see your dentist for regular checkups every year.

 

Planmeca CAD/CAM Crowns

http://www.planmeca.com/

At Doucas Dental we offer innovative dentistry with the use of CAD technology which allows us to make in house crowns, so you know where your crown is made and produced and there is no waiting time for labs.

It also makes it possible for us to have an extremely fast turnaround time, depending on the case, your crown can be prepped and inserted on the same day.

This option of having a same day crown can minimise your time out of your day to day life and reduce the visits to the dentist for this type of procedure.

Contact our Doucas Dental team to book a consultation with the dentist if you are interested in having a crown or you think you may need one.

What is a bridge?

Bridges are commonly used to replace one or more missing teeth left by congenitally missing or removed teeth. It usually spans three teeth encompassing the two teeth on either side of the gap. The reason dentists prefer to fill a gap left by an extracted tooth is to prevent rotating or shifting of other teeth into the gap, resulting in misalignments, or a bad bite. This can then lead to excessive pressure being placed on other teeth, leading to gum disease or temporomandibular joint pain.

If there is a large gap, implant reconstructed bridges can also be fabricated in a dental laboratory, with the assistants of a specialist. As with crowns, you have a choice of materials for bridges. Your dentist can help you decide on which to use based on the location of the missing tooth or teeth. Function and aesthetics should also be taken into consideration.

Veneers

Veneers are mainly cosmetic, to either brighten or create the smile that you are wanting. Correcting gaps or small misalignments, a veneer is a thin piece of porcelain or composite resin that is custom made and bonded to the front of your tooth. They can fix chipped, stained, misaligned or abnormally spaced teeth. If you are unhappy with colour or smile of your teeth, discuss with your dentist you options for veneers. NOTE whitening will not change the shade of veneers, and they will need replacing at some point which is important to keep in mind when considering the cost.

At Doucas Dental, a typical Veneer takes two appointments (same day appointments are available, but have to be previously discussed with your dentist. The first appointment is to prepare the tooth for the crown, depending on how many veneers you wanted, the appointment time would vary. The second appointment is to insert it. This is what a typical veneer appointment would be like.

  1. Local anaesthesia is given, to prepare the tooth for the veneer to make the patient as comfortable as possible. The dentist will discuss the shade with you and match it to the current shade of your teeth, or a shade that you are happy with.
  2. The dentist will remove a very small amount of the enamel of the tooth to provide room to place the veneer on the tooth, some chord may be placed to move the gum away from the tooth.
  3. An impression of the tooth will be taken, either scanned or with dental material and a temporary veneer will be placed on the tooth.
  4. A week later, after the porcelain veneer has been made, you come back to the surgery, the temporary veneer is removed, the tooth is cleaned with pumice and water. The veneer is then etched and rinsed thoroughly with water and air dried. Some adhesive is placed on the preparation and the veneer is cemented onto the tooth. It should be an exact fit and contour.
  5. The veneer is then light cured for 30 seconds on all surfaces of it to attach it to the tooth structure.
  6. Your dentist will remove any excess material and polish the margins of the veneer.

The dentist may schedule a follow-up visit to check for comfort; a comfortable veneer will be a long-lasting veneer. And with good oral hygiene and regular dental checkups, it will make your veneer last as long as possible.

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