Crowns and Bridges

Crowns are necessary when a tooth has lost too much substance or its stability is called into question. This is commonly the case after a root canal or as the result of the restoration of a highly damaged, decayed tooth.

Missing teeth can be replaced with a dental bridge.A bridge is often utilized when missing teeth need to be replaced or there isn’t enough bone substance to use an implant. The neighboring teeth are used to attach and stabilize the bridge. They are highly significant for the long term prognosis of the entire treatment, as the anchoring teeth carry the entire construction. It should be thoroughly considered whether healthy teeth should be incorporated, or if other solutions such as implants would be a better alternative.

When individual or multiple teeth are missing completely, not only ones appearance is negatively affected. The remaining teeth also suffer from the gap: the opposing tooth no longer experiences resistance with each bite and therefore gradually grows out of the bone and into the opposing gap.

There is the additional danger that neighboring teeth will lean into the gap, causing even more teeth to start changing their position. This can lead to a worsening alignment of the bite.

These kinds of changes can cause stress to the temporal mandibular joints and musculature of the jaw. Neck-, back-, and headaches can also be caused and lead to further problems in the long run.

Pros and Cons of Bridges:

+ long term, permanent tooth replacement
+ comparatively low treatment effort
+ restores natural function
+ aesthetic tooth replacement

- healthy tooth enamel of neighboring teeth is affected
- increased stress load on the supporting teeth
- the gap cannot be larger than three missing teeth
- risk of cavities at the edge of crowns and increased need for oral hygiene

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