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Restoring teeth

Crowns and Bridges

A crown covers the whole visible part of a tooth. It is used to protect teeth that are weakened, heavily filled or root-treated, or to rebuild their shape. A bridge replaces a missing tooth by attaching it to crowns on the teeth either side.

Visits
Usually two
Material
Zirconia, glass-ceramic or metal-ceramic
Impression
Digital scan or conventional impression
Laboratory
Usually 3 to 7 days, case dependent

What is it?

A crown is a cap made to measure and bonded to a tooth after a controlled amount of tooth has been reduced around its sides and biting surface. It is used when a large filling leaves little healthy tooth, to protect a weak or cracked tooth, to support a bridge, to cover a tooth with a marked problem of shape or colour, and to restore an implant.

We choose the material together, depending on the tooth’s position and what it needs. Zirconia is very strong, while glass-ceramics have a translucency closer to natural enamel and are often preferred at the front. A well cared-for crown usually lasts many years, on average around 5 to 15 years or longer, depending on home care, grinding habits and regular check-ups.

A bridge requires the teeth on both sides of the gap to be prepared for crowns. When those neighbouring teeth are healthy, a dental implant is discussed as an alternative. We compare veneers and crowns in this article.

When can it be considered?

  • Teeth weakened after root canal treatment
  • Teeth with large fractures or very large fillings
  • Marked problems with shape or colour
  • Restoring a dental implant
  • Bridges: one or a few missing teeth with suitable supporting teeth

Examination and planning

The examination looks at the tooth, root and gum health, your bite and any grinding habit, with X-rays. Any root canal or gum treatment needed is completed before the crown.

Whether a crown, an onlay or something less invasive is right is discussed at this stage. If enough healthy tooth remains, an onlay can preserve more of it. For visible crowns, photographs and, when useful, a digital design help with colour and shape.

How the process works

  1. Examination and plan

    The tooth is assessed and the material chosen.

  2. Preparation

    Under local anaesthetic the tooth is shaped for the crown.

  3. Impression

    A digital scan or conventional impression is taken and the shade chosen.

  4. Temporary crown

    A temporary crown protects the tooth while the final one is made in the laboratory, usually within 3 to 7 days.

  5. Try-in and fitting

    Fit, contacts and colour are checked before the crown is cemented.

  6. Review

    Your bite and the gum margin are checked.

Digital tools that may be used

Intraoral scan
The prepared tooth, opposing teeth and bite are recorded digitally.
Digital design
Crown shape and contacts are designed on screen and shared with the laboratory as a file.
Shade photography
For front teeth, colour and surface texture are communicated with photographs.

Aftercare

Recommended

  • Brush around crowns and bridges every day
  • Clean under bridges with interdental brushes or special floss
  • Keep regular check-ups

Best avoided

  • Sticky or very hard foods while you have a temporary crown
  • Going without a night guard if you grind

Whether a treatment suits you can only be decided after an examination. Timelines and stages vary from person to person.

Frequently asked questions

Zirconia or glass-ceramic?

Both have their place. Zirconia is often chosen where chewing forces are high because of its strength, while glass-ceramics can look more natural at the front thanks to their translucency. The choice depends on the tooth’s position, your bite and the shade.

How long does a crown last?

A well cared-for crown lasts on average around 5 to 15 years, often longer. It depends on home care, grinding habits and regular check-ups, and is not a personal guarantee.

Are healthy teeth cut down for a bridge?

Yes, the teeth either side of the gap are prepared for crowns. If they are healthy, an implant, which leaves them untouched, is also discussed.

Will the tooth be sensitive after a crown?

Mild sensitivity to hot and cold is common in the first days and usually settles. Pain on biting or sensitivity that lasts should be checked at the practice.

Related articles

Related treatments

All treatments

Questions about crowns and bridges?

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