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Tell Me About Dental Crowns and Bridges!

December 27, 2015

Filed under: All-Porcelain Bridge,Crowns — Tags: , , — Dr Gillis @ 7:32 am

Another name for a dental crown is a tooth ‘cap’.  Made out of a variety of materials including porcelain and gold, a dental crown covers and protects and/or changes the shape of the tooth or implant below it.  A dental bridge is composed of at least two dental crowns affixed to teeth or implants, and additional crown(s) and used to replace missing teeth.

Anterior crowns

Anterior crowns

Various posterior crowns made with and without metal.

Various posterior crowns made with and without metal.

Dental Crowns and/or dental bridges can be used:

  • to repair broken teeth.
  • to replace missing teeth.
  • to provide strength to an existing tooth.
  • as a replacement for very large fillings.
  • to support dental bridges.
  • to add stability and function to your bite.
  • cosmetically, to conceal permanent stains.

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Smile Naturally Again!

December 17, 2015

Smile Naturally Again!

Dazzling smiles look natural and feel comfortable.

Dazzling smiles look natural and feel comfortable.

Why is it that these days you can’t tell whether someone’s terrific smile is a gift of nature or has been revitalized by dentistry?  (more…)

Precision Partials and Bridges Can Be Good Tooth Replacement Options!

August 27, 2015

porcelain bridgeIf you have teeth that are damaged or missing, then you’re familiar with the challenges these may present. You may not be able to eat some of your favorite foods, many of which might be key ingredients of a nutritious diet. Missing or broken teeth may make speaking difficult in both professional and social settings. You may even be reluctant to smile. And whether you have one or more missing teeth, there may be consequences to your oral health, which range from periodontal disease to a misaligned bite. Thus, the need to replace missing teeth or repair broken teeth is significant. There are a few excellent choices to replace missing teeth including, partial dentures, bridges and dental implants. Fortunately, Dr. Julie M. Gillis and her friendly staff in Grand Junction, CO, are well-versed in the pros and cons of each option and can help you select the best option for your circumstance.

Partial Dentures Grand Junction, CO, Smiles About

Partial dentures are appropriate if you are missing some teeth, but others remain in place. A partial fits like a puzzle piece between intact teeth, and is usually held in place by clasps that attach to teeth that are adjacent to your missing teeth. A partial denture is removable and easy to keep clean. When you brush your teeth, be sure to brush your partial denture, too. Never sleep with a partial denture in your mouth. Instead, place it in a glass of water and let it soak overnight.

Bridges

stained and decayed teethA dental bridge, as the name implies, bridges the gap in your smile that missing teeth leave behind. The bridge consists of a false tooth or teeth that replaces the missing one or two teeth and two crowns that are attached to adjacent teeth with strong roots. The crowns secure your bridge in place. If the roots of these abutment teeth are not strong enough to hold a bridge, or if the tooth is damaged, then Dr. Gillis may recommend dental implants to support the bridge.

Dental Implants

repaired teethUnlike partial dentures and bridges that depend on your other teeth for placement and stability, a dental implant is a stand-alone tooth replacement option. Dr. Gillis and her surgical team carefully implants a small titanium post or dental implant in the jawbone where there is a tooth missing. This implant mimics the function of a natural tooth root. As you heal from surgery, the post and bone fuse together to form a stable base. After a few months, Dr. Gillis attaches a custom-made porcelain crown to the post, and you have a new, independent tooth replacement.

Call Our Office Today

When considering bridges, dental implants or partial dentures, Grand Junction, CO, relies on Dr. Julie M. Gillis and her team for the best guidance and treatment.  We serve patients from the Western Slope of Colorado, eastern Utah and Fruita, Palisade and Orchard Mesa, CO.

Born Without Lateral incisors? You have Options For Replacing These Teeth!

December 4, 2014

Born Without Lateral incisors? You have Options For Replacing These Teeth!

Canine and Lateral incisor is missing on one side and lateral incisor is 'peg' shaped on the other!

Lateral incisor is missing on one side and  ‘peg’ shaped on the other!  Adult canine teeth have not yet erupted.

One of the most common teeth to be missing is the upper lateral incisor.  (The most common missing tooth is one or more of the wisdom teeth)  Because a lateral incisor is in the front of the mouth, it is almost always an aesthetic concern when it is not present.  There are many treatment options to  replace a missing lateral incisor:

  1. The adult canine tooth can be re positioned with orthodontic treatment into the lateral incisor position and then reshaped either with a porcelain veneer, direct bonding, and/or conservative enameloplasty (grinding to reshape the tooth) to make the canine tooth look more like a lateral incisor.
  2. An implant can be placed in the lateral incisor position of enough bone is available to do this.
  3. A cantilever bridge (the tooth adjacent to the missing one is crowned and supports a crown in the place of the missing tooth) can be placed to make it appear as if the  tooth is not missing.
  4. A fixed porcelain bridge can be placed to replace the missing incisor.
  5. A tooth can be bonded between the existing teeth to replace the missing tooth.
  6. A ‘flipper‘ or removable partial denture can be made that replaced the missing tooth.
This patient is missing several front teeth including the lateral incisors which will be replaced by all-porcelain bridges.  The dental laboratory has cut away the tissue on the models to check the margins of this bridge.

This patient is missing several front teeth including the lateral incisors which will be replaced by all-porcelain bridges. The dental laboratory has cut away the tissue on the models to check the margins of this bridge.

There are advantages and disadvantages to each of these.

  1. When a canine tooth is in the position of a lateral incisor, it may be too large compared to a ‘normal’ lateral incisor. But often it looks great.
  2. An implant in the position of the lateral incisor may look like you grew a new, ideally shaped tooth! An implant may require orthodontic treatment and bone grafting for a successful result.
  3. A cantilever bridge may be the best treatment especially if the tooth supporting the cantilever bridge could benefit from a change in shape as well.  This does involve placing a crown or partial crown on either the canine or the central incisor.
  4. A porcelain bridge may be the best treatment IF the teeth involved in the bridge need treatment as well
  5. A bonded tooth is a very conservative treatment but may be prone to breaking or involve a change in eating habits.
  6. A flipper or removable treatment partial is a very conservative treatment option and can look very aesthetic but may feel artificial.

    A "flipper" or treatment partial can be made to fill the space where the missing tooth is.

    A “flipper” or treatment partial can be made to fill the space where the missing tooth is.

Our office would be happy to review your treatment options!  We want our patients to select the best treatment for their needs – now and in the future!

“Caring For And Enhancing Your Smile” has been our office’s bi-line ever since I opened my practice in Grand Junction, CO.  Our practice philosophy is to restore dental health and comfort as a priority and restore beauty whenever we can along with this! Our office’s phone number is (970) 242-3635. We would love to have you visit our office Facebook page and “Like” us!  www.facebook.com/juliegillisddspc

Yours for better dental health, Julie Gillis, DDS, Restoring Smiles/Restoring Health!

Smile restored with a combination of porcelain veneers and a porcelain cantilever bridge.

Smile restored with a combination of porcelain veneers and a porcelain cantilever bridge.

Lateral incisor is missing on one side and peg shaped on the other!

Lateral incisor is missing on one side and peg shaped on the other!  The right canine has been prepared for a cantilever bridge.

Missing Teeth? Crowns and/or Bridges May Be Your Solution!

May 9, 2014

Filed under: All-Porcelain Bridge,Crowns,Dental or Tooth Bridge — Tags: , , — Dr Gillis @ 10:00 pm

So What Is The Difference Between Crowns and Bridges?

This patient is missing several front teeth which will be replaced by bridges.  The dental laboratory has cut away the tissue on the models to check the margins of this bridge.

This patient is missing several front teeth which will be replaced by bridges. The dental laboratory has cut away the tissue on the models to check the margins of this bridge.

This is a good question and asked by many.  The term ‘crown‘ is used for a ‘cap’ that is placed over a tooth to make it stronger, modify the shape or color of a tooth.  Crowns are often needed when a tooth is broken down and there is not enough support for just a ‘filling’.

If you have missing, weak, or broken down teeth, dentistry that includes crowns and bridges can help!  Teeth can be lost from trauma, periodontal disease, or may be missing since birth. Teeth may have had several fillings over their life – each one bigger than the last which makes the remaining tooth weak.  Crowns or caps can strengthen the remaining tooth and help you keep your tooth for a lifetime. Bridges can be made to look like you have never lost a tooth.

Different types of crowns for front teeth

Different types of crowns for front teeth

Single posterior crowns - gold and porcelain

Single posterior crowns – gold and porcelain

If your cracked tooth isn’t capped with a dental crown or tooth crown, the fracture or crack can spread to the roots, meaning that extraction and replacement would be the next course of action. Don’t let your damage get that far, contact us or your dentist today to evaluate your options! If you have already lost a tooth, your dentist can tell you if the remaining teeth are strong enough to support a bridge or if an alternative treatment like dental implants would be best.

A bridge is multiple crowns splinted together to span a distance between teeth to replace missing teeth or fill in gaps between existing teeth. So, just as on  a highway, a bridge spans over a gap between teeth and fills in the missing area in the middle with tooth structure.  Sometimes a bridge will fill in the space present when the gums have receded or when periodontal disease has caused bone loss.  The bridge can fill in the areas of missing bone and gums and the gum area can even be shaded to match your gums!

 

Missing anterior teeth to be replaced by a dental bridge.

Missing anterior teeth to be replaced by a dental bridge.

Replacing missing anterior with a dental bridge.

Replacing missing anterior with a dental bridge.

 

For gaps made up of one to three missing teeth, Dr. Gillis offers dental bridges as a permanent correction solution. Our staff has years of experience providing this service to patients in need, and we’re well aware of the many benefits bridges give. The crowns that will secure your dental bridge will only be applied to teeth with strong roots, but they can also be applied to dental implants if your existing teeth are not sturdy enough. Dr. Gillis will work with you to take notes on the size, shape, and coloring of your teeth to send to the certified ceramist that will create your permanent tooth crowns and bridge. This is done to match your smile and jaw as closely as we can. If you want a brighter smile, it might be worth looking into the teeth whitening treatments that we have before your tooth bridge is ordered. Our staff will provide you with the necessary information and treatment options so you can make decisions that work best for you to return the health, function, and beauty to your smile.

Bridges and crowns can be made form many different materials to accomplish the necessary goals of strength and beauty.

Dr. Gillis practices restorative and cosmetic dentistry including porcelain veneers, tooth whitening, implants, crowns, bridges and periodontal care in Grand Junction, Colorado.  Our office website is www.juliegillisds.com.  For further information, please contact us at (970) 242-3635 or email us at jgillis@juliegillisdds.com.

Yours for better health,

Julie Gillis, DDS,

“Restoring Smiles – Restoring Health”

 

 

 

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