Crowns and Bridges in Deltona, FL

At Deltona Smiles Dentistry in Florida, Dr. Michael Zerivitz provides dental crowns to patients who have lost significant tooth structure that won’t allow a tooth to have another filling. Often, after a root canal, there is significant tooth structure lost from either decay, fracture, or from creating access to the root canal as well, and that might indicate the need for a crown.

Who hasn’t heard of movie stars “getting their teeth capped?” That’s right, a “cap” (in dental language, we call this a Crown) is the dental treatment that can make your teeth look almost perfect. But crowns are not just for the Hollywood stars…. you, too can have crowns. Crowns are used to make teeth look more perfect, but they are also used to repair teeth that are broken or that have decay or large fillings.

Dr. Z is a good example. He has half-dozen crowns on his molar teeth. Why? Well, not for cosmetic reasons…. he had crowns placed on his molars for functional reasons. His story might be similar to yours. When Dr. Z was a teenager, he drank soda. Everyone did, and we did not know any better. So, his molars got cavities that were filled with large silver fillings. Over time, those fillings wore out and Dr. Z was faced with a choice that might be familiar to you. He could re-fill those teeth, knowing that those new fillings would wear out in time. Or, he could place crowns. Dr. Z chose to place strong crowns on his molars because dentists know what is really best for their teeth and yours! Thirty-five years later, those crowns are still in place and functioning perfectly.

The best of both worlds is to combine functional treatment with cosmetic dentistry. We see many patients who have had large fillings on their front teeth or even those premolar teeth on the sides that show when you smile. Placing crowns for functional reasons will preserve your natural teeth, while at the same time, looking great. Dr. Z knows the best dental lab technicians who make the most beautiful and artistic-looking crowns. His crowns look perfect but natural.

As you know, Dr. Z is also an artist. He knows the proper shape, color, and texture for your crowns and how to fit these into your smile line. It is amazing how your whole face (and even your personality) will light up when you can smile with confidence!

Here are some additional “textbook” descriptions of dental crowns and bridges:

What is a Dental Crown? 

A dental crown is a covering that protects a single tooth, restoring the chewing function and esthetics back. It is typically made of porcelain, metal, or a combination of the two. Bonded zirconium crowns are quickly becoming very popular due to their esthetics and high strength. In addition, many patients appreciate the lack of nickel or other metals under that crown structure from years ago. In addition, these types of all-porcelain crowns can be “bonded” as opposed to being cemented which tends to create a stronger seal around the tooth. A crown is essentially the same as a “cap”. That is more of an older term for tooth-colored crowns to differentiate them from gold crowns.

What is a Dental Bridge? 

When you are missing a tooth, one option is to place a crown on each of the adjacent teeth and “bridge the gap” with another crown, also called a pontic. This is a simple way to replace a tooth. Options for a bridge include doing a partial denture, or a dental implant.

The advantage or doing a partial denture is that it does not require much, if any drilling. An impression is made of the area and a plastic or metal supported retainer that is removable is made. The disadvantage is, there is a foreign object that is removable in your mouth.  

The advantage of doing an implant is that you don’t need to drill down the adjacent teeth. If the two adjacent teeth are “healthy”, it is not necessary to touch them in order to place an implant. We refer to it as “not turning a ‘one-tooth problem’ into a three-tooth problem”. It protects the teeth adjacent to the missing spot and also helps to preserve the bone by having something stimulating the tissue between the teeth.

If you currently have crowns on the adjacent teeth that need replacing, then doing a bridge between them connecting those crowns may make better sense. There are cost differences between the different options.

What is the process to get a crown? 

To restore a tooth with a crown at our office, typically takes two visits. In the first visit, we will remove any old filling material, and decayed tooth structure and prepare and shape the tooth to allow room for the crown. We will take an impression of the tooth and send that to our lab to craft a crown to restore the missing tooth structure. In the time between visits, you will have a temporary crown to protect the tooth and keep the teeth from shifting.

At the second visit, we remove the temporary crown, clean off the tooth and fit the crown onto your prepared tooth. At that time, it will either be bonded or cemented on top of your own natural tooth and the bite will be checked to make sure it looks and feels natural. With proper home care, your crown should give you many years of use!

Give our Deltona, Florida dental office a call to schedule a consultation if you’d like to hear more about crowns or bridges!