Dental Crowns & Bridges

It’s no exaggeration to say that dental crowns and bridges have been used to restore missing or structurally compromised teeth for thousands of years. While elements of their design have remained the same, the materials and methods used to create these reliable dental restorations have changed dramatically within the last few years. Today, Dr. Goldberg uses modern, state-of-the art materials to craft dental bridges and dental crowns that allow his Bradenton patients to enjoy complete smiles that look natural and function flawlessly.

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Dental Crowns: Restoring Your Teeth

If your mouth were a movie, dental crowns would be those hardworking “that guy” character actors who can inconspicuously play a number of necessary supporting roles. In a similar way, dental crowns are a veritable workhorse of a dental restoration. Constructed from durable dental porcelain and often fabricated during a single visit using our state-of-the-art CEREC® crown milling machine, crowns have a wide range of applications in restorative, prosthetic, and cosmetic dentistry. Dental crowns can:

  • Anchor a dental bridge.
  • Add structural support and return functionality to a tooth that has been damaged by tooth decay or injury or that needs reinforcing after root canal therapy.
  • Serve as the restoration (the replacement tooth) on a dental implant.
  • Improve the appearance of your smile by covering broken or severely stained teeth that will not respond to other teeth whitening treatments.

If Dr. Goldberg suggests placing a CEREC® crown, he will prepare your tooth, take precise digital impressions, and design your crown in a digital environment. Once completed, the design feeds into the milling machine, which fabricates the crown from a dental porcelain block. After tinting and glazing the crown to blend with your natural dentition, Dr. Goldberg will bond the tooth into place.


Crowns & Bridges Historical Past

From a design perspective, nothing much has changed about dental bridges in a couple of thousand years. Archeologists digging in Central Italy discovered a bridge crafted from pure gold and belonging to a woman of the ancient Etruscan civilization.

Surprisingly, the basic design principle of the bridge – two clasps attached to the natural teeth neighboring the missing tooth that hold a false tooth between them – bore a striking similarity to bridges used today. Scholars theorize that Etruscan women wore them primarily as a way to display their wealth and secondarily as a restorative dental appliance.

When it comes to their function and materials, on the other hand, dental bridges have come a long way in the last 2500 years. First, discrete dental restorations are the name of the game now, and dental bridges are designed and crafted to blend in with the surrounding teeth. Second, rather than pure gold, today’s dental bridges are fabricated using dental porcelain in combination with different biocompatible metals, or all ceramic materials with no metal at all. In many cases, the prepared tooth can be digitally scanned and sent directly to the laboratory for final modeling.

Unlike its historical predecessors, contemporary bridges are held in place via abutment crowns, rather than golden clasps. And in case you didn’t know, President George Washington was known for having notoriously bad teeth, so if he had seen Dr. Goldberg today, that one-dollar bill may have him showing his pearly whites a lot more.


Crowns & Bridges: What to Expect

If Dr. Goldberg recommends placing a dental bridge to fill in the gap left by a lost permanent tooth, you can expect at least two separate appointments:

  • At the first appointment, Dr. Goldberg will prepare the abutment teeth (those natural teeth that lie on either side of the missing one) to receive crowns. He will also take a number of precise impressions and take several records that will assist the dental lab technician who will handcraft your dental bridge. At the end of this first appointment, Dr. Goldberg will place a temporary bridge to protect the abutments and aid in chewing and speaking in the interim.
  • At the second appointment, Dr. Goldberg will remove the temporary bridge and check the permanent bridge for fit. If adjustments are needed, he will note them and return the bridge to the lab for alterations. Once an ideal fit has been assured, Dr. Goldberg will bond the bridge permanently into place.
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