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Fixed crowns and bridges

What you should know before your treatment starts

When preparing crowns and bridges the dentist shaves off the surface of the teeth and takes impressions for the dental technicians, who will prepare the new teeth.

Crowns and bridges are prepared in a dental laboratory in 3-5 working days. For the period temporary plastic crowns /bridges are prepared for you. Please remember that these temporary solutions are not similar to or equivalent with the final result either from aesthetical or functional aspect. As it is prepared from liquid plastic the dentist can reconstruct the shape of the previous teeth and we can provide the temporary teeth only in the shades that are available; there is no such a wide range of shades and transparencies as in case of porcelain. Under the temporary crowns and bridges the teeth may be sensitive; please bite and chew with them very carefully because they may come off or chip off. When the permanent crowns and bridges are fitted the dentist has to be able to remove the temporaries easily, without damaging the tooth underneath; this is why the temporaries cannot be fixed with some strong type of cement.

In case the temporary crown or bridge comes off.. Please contact your agent immediately so that arrangements can be made to refit or replace it. If you find it easier to replace it yourself, please never use any superglue as they contain dangerous acids. What you can safely use to refit the temporary crowns or bridges until you can see the dentist is any type of strong denture glue. Please also note that the temporary crowns do not cover and seal the tooth surface perfectly so they can be used only for a few weeks; after that the tooth may decay under them.

In some cases you will be asked to see technicians in order to select the best matching shade for your new crowns and bridges. The agent will drive you to the laboratory and assist you in the process. The technicians will be happy to meet you there and choose the ideal shade with the shade guide they use. In case you have any special requirements, ideas or requests with regards to the shade or the shape of your new teeth, please feel free to discuss it with them and also with the dentist. In case of full front reconstruction you may prepare with some photos or pictures to show us what Perfect Smile means for you. The shape and the form of your new teeth is mostly determined by your bite, the size and structure of your jawbone and many other factors but we will do our best to take your expectations into consideration and meet your requirements.

The new crowns and bridges can be fitted with temporary or permanent cement. In case you had extraction before the bridge was prepared, the new bridge will be fitted with temporary cement in any case as the bone level will change at the place of the extraction and settles down only after 3-4 months. You may feel some gap between the bridge and your gum during the healing time; In this case, patience is needed because the bone level constantly changes and the dentist can make the final correction only when the healing is over. We expect to see you in the surgery at the time agreed, the dentist removes the temporarily fitted bridge and if necessary, takes it back to the dental laboratory for the corrections; the technicians will adjust the bridge to the actual gumline.

The other advantage of temporary fitting is that any aesthetical or functional problems can be corrected at a later date, when the temporary cement has dissolved. Temporary fitting lasts for about 3 months in case of bridges, and 1-1.5 months in case of crowns. During this time you have the opportunity to decide if the new teeth perfectly meet your expectations and if you require any corrections (shade, form, etc.) they can be done in the dental lab. Temporary fitting is suitable only for about 6 months; after that time please contact us for an appointment when permanent fitting and possible corrections will take place.

In case the crowns and bridges are fitted with permanent cement, they can be removed only with dental instruments by cutting them off. In most cases it is necessary only after 10-20 years when they are due to be replaced.

Information after the treatment

After fitting the new crowns and bridges the dentist adjusts the bite so that biting and chewing should be absolutely comfortable. At the same time only you can exactly feel if the new tooth perfectly fits, if you feel anything unpleasant. If you had your teeth missing for a longer period, probably it will take some time until you get used to the new tooth; in the first few days it will surely feel strange even for your tongue. Some sensitivity under the new crowns or bridges is also normal; it will completely disappear in 1-2 weeks’ time.

Please let your agent know and arrangements will be made for you to return to the surgery for further adjustments and corrections.

Occasionally it happens that after the preparations the tooth’s nerves may die; in this case root canal filling becomes necessary to prevent any further infection.

Temporary fitting is suitable only for about 6 months, after that time please contact the surgery for an appointment when permanent fitting and possible corrections will take place.

In case you feel that your teeth get sensitive under the new crown/bridge or you feel any slight movement it shows that temporary cement has dissolved and the crown or bridge can be fitted permanently. Before the permanent fitting please let us know of you wish to get anything adjusted or corrected (shade, colour, etc.).

In case the crowns and bridges are fitted with permanent cement, they can be removed only with dental instruments by cutting them off but smaller adjustments and corrections can be done in this case as well.

Crowns should be cleaned just as normal teeth but bridges require some special way of cleaning. Special flosses and toothbrushes are available especially for bridges and using antibacterial mouthwash is also advised. Still the ideal way of cleaning natural teeth, crowns and bridges is using a water flosser or oral shower as it sprays water on your teeth with high pressure and removes any remaining food from between your teeth and under the bridge.

All crowns and bridges should be checked by your dentist at least once a year.