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Restorative

Crowns & bridgework

A crown covers a tooth that has lost too much structure to be restored with a filling. A bridge replaces a missing tooth by joining to the teeth either side. Both are made outside the mouth by a technician and fitted to a preparation designed for the purpose.

Who it may suit

These are reasons people come in to discuss it, not a checklist that decides whether it is right for you.

  • A heavily filled or fractured tooth at risk of splitting
  • A tooth that has been root treated and needs protecting
  • A missing tooth where an implant is not appropriate or not wanted

Overview

A crown wraps and protects a tooth that has broken down or been heavily filled, holding it together so it can keep doing its job for years rather than fracturing.

Replacing a large, failing filling with a crown or an onlay at the right time is often what saves a tooth, before it splits and has to be taken out and replaced with an implant.

A bridge replaces a missing tooth by joining to the teeth on either side. Where those teeth are otherwise healthy, that is weighed against the implant option at the assessment.

Consultation and assessment

The assessment establishes how much sound tooth remains, whether the tooth has a reasonable long-term prognosis, and which restoration gives the best balance between protecting it and preserving what is left.

What the process looks like

  1. Assessment

    Examination and radiographs to establish what remains of the tooth and whether it can support a restoration.

  2. Preparation

    The tooth is prepared, records and shade information are taken, and a temporary restoration is fitted.

  3. Fit

    The restoration is tried in and checked with you before it is cemented, then the bite is adjusted.

  4. Review

    A follow-up to check the margins, the gum and how the restoration is settling.

Common questions

Can a dark tooth be matched to the ones beside it?

Often, though a very dark underlying tooth is more demanding and may need a different material choice. What is realistic for your tooth is discussed before treatment begins.

Crown or bridge or implant?

They solve different problems and involve different amounts of intervention. The options that apply to your case, including doing nothing, are set out at the assessment.

Will the tooth be sensitive afterwards?

Some sensitivity after preparation is common and usually settles. What to expect and when to get in touch is explained at the appointment.

Dental treatment is planned for the individual. Whether any treatment described here is appropriate for you can only be established at a clinical assessment, and the options discussed with you may differ from those set out on this page. Photographs show the outcome for one patient and are not a prediction of anyone else’s result.

Start with a consultation.

An examination, a conversation about what you would like to change, and a written plan to take away.