Crowns & Bridges

Repairing damaged teeth

Dental Crowns & Bridges in London

Dental CrownsIf you have a weak tooth or are missing one or more teeth, you may need a crown or a bridge. A crown sits over a tooth that may have been broken or weakened and serves to return the tooth to its former strength and natural shape. If you are missing one or more teeth, a bridge may be fitted to stop the surrounding teeth from moving out of place and will be anchored by one or more crowns to restore the appearance and function.

Dental caps are exactly the same as crowns and bridges and is the more commonly used term amongst the general public. Dental caps are often spoken about in the media and the press however the official term is a crown or a bridge so you will be unlikely to find any dentist refer to them as caps!

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Dental caps are exactly the same as crowns and bridges and is the more commonly used term amongst the general public. Dental caps are often spoken about in the media and the press however the official term is a crown or a bridge so you will be unlikely to find any dentist refer to them as caps!

Dental Crowns for Front Teeth

When we make crowns for your front teeth, generally speaking, the appearance is the most important factor. One of the problems that is faced with dental crowns is finding a material that is strong and resilient enough to last in the oral environment with the constant impact and use that your teeth get.

The issue is one of the transmission and reflection of light through the dental Crown. We need to use a material which exhibits the same transmission and reflection of light as a natural tooth does, if we do not then the crown will look different to its surrounding natural teeth.

In years gone past gold alloys were used for dental crowns. The existing tooth was reduced down to a stump, a gold alloy thimble was made over the top and then highly aesthetic dental ceramic was applied to make the Crown look like the natural teeth. This technique is still used extensively today and the results are often excellent.

The problem with this type of porcelain fused to metal Crown is again one of the transmission and reflection of light, clearly light cannot pass through the metal and so it is reflected back. This has the tendency of making the Crown look brighter. It certainly is possible to make this type of Crown look fantastic, however a highly skilled dental technician is always required to work closely with the dentist to ensure that the result is perfect.

In more recent years metal free crowns have become more popular, especially with the advent of materials like zirconia which are used extensively in general surgery in the replacement of hips. Zirconia crowns can often be more expensive to manufacture than porcelain fused a metal crowns and some research shows that they may not be quite as resilient.

However, over all metal free crowns are far better to use in the front teeth area due to their natural light reflecting and transmitting properties which make them similar to natural teeth.

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Replacing missing teeth cover
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Problems with Dental Crowns

As dental crowns have been in common use since the 1960s they have had a considerable amount of research, testing and trialling and have proved themselves over and over to be an excellent choice to restore a broken down tooth. Dental crowns can be problematic in the following areas:

  • Aesthetic problems (the way they look).
  • Functional problems (the way they work with your surrounding teeth and jaw).
  • Longevity (the length of time they last)

Aesthetic and functional problems with dental crowns can almost always be noticed at the initial fitting stage. So when you go to the dentist and have a crown fitted you need to make sure that it is comfortable with your surrounding teeth and blends in, looking great. Once the crown is fitted it is often almost impossible to remove it again, and so this really is the opportunity at which you need to tell the dentist your honest opinion.

The longevity of dental crowns is down to the precision of their original manufacture and your ability to look after your teeth.

You need to continue to brush your teeth and floss between them taking special care to ensure that the tooth/crown margin is kept clean.

Grey Lines on Dental Crowns, why does this happen?

Many people say that they do not want a dental Crown due to the grey line that is often noticeable. This grey line is caused by two things:

  1. Underlying metal showing through, if indeed it is a porcelain fused to metal crown.
  2. A shadow from the Crown cast over the gum area.

The secret to hiding this grey line is to have either a metal free Crown or for the dentist to be especially careful about how he prepares the tooth ready to accept the Crown, ensuring that any metal is not showing.

However, even if the dentist designs the Crown like this in the first place, with any metal hidden underneath the gum, as you get older your gum has a tendency to resorb and pull away from the teeth-this can mean that over time any metal edge to a Crown becomes more visible. We suggest you discuss this with your dentist prior to having your crown manufactured.

The Procedure for Dental Crowns

The procedure for making a dental Crown would normally be as follows:

  1. An initial diagnosis is made that you need to have a broken down tooth restored.
  2. The remaining tooth structure will be reduced to a stump, known as a ‘preparation’. An impression will then be taken of this preparation and sent to the dental laboratory.
  3. The new dental Crown is then fitted approximately 2 weeks later.

Each of these steps requires a separate appointment and so the whole process can take four or five weeks from start to finish.

Of course, each dentist and dental practice (especially in London) will have a slightly different procedure for their dental crowns, however they will all have at least the minimum steps laid out above.

Smile Gallery

Case presentation 1

Before Cosmetic Dentistry

After Cosmetic Dentistry

Case presentation 2

Before Cosmetic Dentistry

After Cosmetic Dentistry

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Sarah
Sarah
14:36 14 Oct 19
I’ve been coming to Dr Jones for about ten years now and I’ve always been impressed by her attention to detail. I’m a fairly nervous patient and she’s done some fairly complex work on me with utterly no pain and to a really high standard. I had grinding pain for a number of years and she’s tailored a splint for me to successfully get rid of it. I briefly tried a new dentist when I moved house, but it just wasn’t the same and have since returned to her and now make the long commute to see her because of the level of care she provides. Highly recommend!read more
Jeremy Kavanagh
Jeremy Kavanagh
20:43 09 Sep 19
Great experience visiting The Dental Centre for the first time. Very friendly, helpful staff, a first class check up from the dentist and exceptional clean from the hygienist. Will definitely return. Thanks to everyone there for looking after me 😁👍🏻read more
Robert Doel
Robert Doel
14:46 16 Aug 19
Been to my second appointment at dental smiles had my impressions done it was a breeze, I have a diabolical gagging reflex so I did what Dr Patel asked me to do and I went through it without any gagging whatsoever, in past times at other dentists it was always a rush to get you in and out with no consideration for the patients but at dental smiles what they have to do you comes second the nerves disappear after a reassuring chat and gentle approach they go through everything without any problems, which is why this is the dental practice to head for when you have any problems what so ever, don't be afraid of this practice, they are out of this world, ggggreat workread more
bob dylan
bob dylan
10:15 28 Jul 19
Told I needed a crown for a simple filling which fell out. Decided to trust her word and get it done. When the temporary filling fell out, she was unavailable for a week, while I called every day, walking around with a hole in my mouth. Turns out she actually was in the practice, but was too keen to leave every day at 5pm to provide basic care to her customers. Also told I needed a filling on another tooth for a superficial spot of decay. Saw another dentist about this who advised this is an out of date practice - superficial decay can recover and is best left to heal until it becomes a problem. Now I suspect the crown was also overkill to hand out a larger bill. I was also advised to get a splint, which would cost £900 - the "Rolls Royce" of splints (how very professional...). Another dentist advised that this can be done for £450. Not the same "Rolls Royce" - but they at least provide a more affordable option. Takes ages to get appointments - don't expect anything for 2 weeks. Receptionist seems to think she runs the practice. Bottom line is this place is run as a business, not a health care facility. Private patients are subsidising care for students, but don't expect any better service for your hard earned money - you're just a number in their books, and they're going to try making that number as large as possible.read more
Toby Payne
Toby Payne
08:08 17 May 19
I had a really great experience here, as a student. Friendly, quick and easy to book appointments. An appointment of mine had to be rescheduled and the process was very straightforward and with no inconvenience, so am grateful to them for that. I would recommend to any London based students!read more
Giulia Barbareschi
Giulia Barbareschi
20:15 20 Feb 19
I have been a patient for over three years now. Everyone at the centre is great. Dr Au is extremely competent and always willing to explain the situation clearly so that the patients can make the best choice. The hygienists are very professional. The nurses are always nice and reassuring and the reception staff is lovely and super efficient.read more
Stefano De Luccia
Stefano De Luccia
14:25 23 Jan 19
I had a splint done with Dr. Jones and it was great. My jaw is already way better. I felt they really put a focus on patient care and its a really lovely environment. Highly recommend it.read more
Greg
Greg
16:44 18 Jan 19
Good price and friendly, but I was told I need a filling however another dentist (who family members have used and trusted for years) assured me that I don’t. I got the impression that they were more interested in me spending money than the health of my teeth. The dentist also recommended I pay something like £50 to attend a session on brushing. Overall not great.read more
Juliet Ellis
Juliet Ellis
09:15 18 Dec 18
Carla and her team have looked after my teeth for 5 years now and I have always received excellent service even though I can be an awkward patient particularly with taking impressions. Under her care I have become a less nervous dental patient. Gemma the hygienist also performs wonders to my teeth and in a very professional manner. The surgery has ultra modern equipment, with excellent reception staff who are always helpful. I highly recommend the practice.read more
Danny Dailey
Danny Dailey
09:24 03 Dec 18
These guys are on point!! A really client centred service the moment you walk through the door. I had a hygiene not too many weeks ago with Emma which was the best I've ever had. Also what i really like is the that elite professionalism of Dr Jones is reflected in her front of house staff too, Jeeva always does an excellent job at making me feel welcome and valued, I'm really glad i found this place.read more
Martin Wright
Martin Wright
19:07 06 Nov 18
Carla Jones at The Dental Centre has looked after my teeth for well over 10 years now, and has done a great job. I feel in very safe hands with her. All the staff are warm and personable, and manage to combine being friendly with being super-efficient - a rare combination!read more
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