Crowns (Caps)

A crown is a tooth shaped "cap" that completely encases the entire tooth restoring it to its original shape and size.  A crown is used to strengthen and protect the tooth. Dr Giannos will recommend a crown for any teeth that cannot be restored with fillings or other types of restorations.

Although there are several types of crowns, porcelain (tooth colored crown) are the most popular.  They are highly durable and will last many years, but like most dental restorations, they may eventually need to be replaced.  Porcelain crowns are made to match the shape, size, and color of your teeth giving you a natural looking , long-lasting beautiful smile.

Reasons for crowns:

1.Fractured teeth / badly worn teeth 
2.Cosmetic enhancement
3.Decayed teeth
4.Fractured fillings
5.Large fillings / tooth at risk of fracture
6.Tooth with a root canal / implants

What does getting a crown involve?
CEREC uses a combination of infrared imaging, CAD CAM computer design and a very precise milling unit that allows the crown to be made by Dr Giannos right in the office. This procedure allows the crown to be made with only one appointment in about 2 hours.  No temporary or second appointment needed. Click Cerec to read more about it

A lab fabricated crown procedure usually requires two appointments.  Your first appointment will include taking highly accurate impressions that will be used to create your custom crown.  The impression will also be used to create a temporary acrylic crown which will stay on your tooth for approximately two weeks until your new crown is fabricated by a dental laboratory.

While the tooth is numb, the dentist will prepare the tooth by removing any decay and shaping the tooth to accept the new crown. After taking an impression of the prepared tooth your temporary crown will be fabricated and placed with temporary cement. Your bite will be checked to ensure you are biting properly.

At your second appointment your temporary crown will be removed, the tooth will be cleaned, and your new crown will be fitted to ensure the spacing and bite are accurate. When everything is perfect the crown will be cemented onto the tooth. 

You will be given care instructions and encouraged to have regular dental visits to check your new crown.

Bridge
A dental bridge is essentially 3 or more crowns joined together to replace any missing teeth. It is permanently cemented onto adjacent teeth to fill in spaces of the missing teeth. For a bridge to be plausible there has to be a tooth both in front of and behind the missing teeth. The part of the bridge that has a tooth underneath is called an abutment while the part that fills in the empty space is called a pontic.

Dental bridges can be a cosmetic and functional solution for missing teeth. A bridge is one option that you have when deciding how to deal with a missing tooth or teeth.  The replacement of these missing teeth is necessary in order to maintain the proper mouth functions.  Tooth loss can affect the way you eat, speak, and the alignment of the other teeth in your mouth.

Types of Bridges
Traditional bridge involve creating a crown for the tooth or implant on either side of the missing tooth, with a pontic in between. Traditional bridges are the most common type of bridge and are made of either porcelain fused to metal or ceramics.

Maryland bridge (also called a resin-bonded bridge) involves a pontic with metal wings attached on either side that are bonded to your existing teeth. This allows less tooth structure to be removed from the neighboring teeth.

Procedure
The procedure begins with preparation of the natural teeth that will support the bridge. The abutment teeth will be shaped so that the ends of the bridge will fit comfortably on each one.  The next step is to take an impression of the area.  This impression will be sent to our lab where your new restoration will be fabricated. A temporary bridge will be placed which will resemble your natural teeth so that you can continue with your daily life. During the second visit , we will proceed with the placement of your final restoration; occasionally we will need to try on a substructure prior to the completed bridge.  We will make every effort to ensure that the new bridge feels exactly like your natural teeth. The final step in the process is to cement the bridge into your mouth, leaving you with a beautifully restored smile.

You will be instructed how to clean around the bridge and care for it and encouraged to have regular dental visits to check your new bridge.

Veneers
Veneers are essentially new "facings" for your teeth. They are very thin pieces of durable, tooth shaped porcelain that are custom made for your teeth. They are bonded onto the front of teeth to create a beautiful and attractive smile.

Veneers can completely reshape your teeth and smile as well as close gaps and improve the color of your teeth.  They can often be alternatives to crowns and the ideal solution in treating many dental conditions.

As with most dental restorations, veneers are not permanent and may eventually need replacement.  They are very durable and will last many years, giving you a beautiful long lasting smile.

Reasons for veneers

  • Cosmetic, to create a uniform, white, beautiful smile.
  • Crooked teeth.
  • Misshapen teeth.
  • Severely discolored or stained teeth.
  • Teeth that are too small
  • Unwanted or uneven spaces.
  • Worn or chipped teeth.

What does getting veneers involve?
Getting veneers may require one or two visits to complete. The teeth are prepared by lightly buffing and shaping the surface to allow for the thickness of the veneer. Depending on the situation occasionally no preparation is needed.  An impression or digital scan is taken of the teeth and a shade (color) will then be chosen by you and Dr Giannos. If Cerec technology is being used the veneer will be fabricated while you wait and bonded into place. If Dr Giannos and you have chosen to have a lab fabricate the veneers then you will be given a date for another visit in about two weeks.

On the second visit the teeth will be prepared for your new veneers.  Durable bonding cement is then placed between the tooth and veneer and a special light beam is used to harden and set the bond.

You will receive care instructions for veneers.  Proper brushing, flossing and regular dental visits will aid in the life of your new veneers.