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perfect smile dental surgery

PUTNEY
Tel: 020 8789 2323

BATTERSEA
Tel: 020 7223 3293

BRENTFORD
tel : 020 8569 8533

FULHAM (MUNSTER ROAD)
Tel: 020 7381 4455

FULHAM (PARSONS GREEN)
Tel: 020 7731 1166

RICHMOND
Tel: 020 8948 1675

 

Frequently Asked Questions about Dental Implants

 

Dental Crowns - Porcelain, Gold and Castable glass

Crowns are fitted when a tooth is badly damaged or a root canal filling is in place. The crown is created in a laboratory after the dentist has prepared and taken an impression of problem tooth. They are available in the following materials and we will advise you of all the options during your appointment:

  1. Porcelain - white or tooth coloured for the front teeth.
  2. Porcelain bonded to precious metal - a stronger alternative for back teeth.
  3. Gold - suitable for back teeth where they need to be strong enough to withstand biting pressures. Gold crowns are probably the most durable option, but can be cosmetically unappealing.
  4. Castable glass - created to give a natural appearance that is stronger than pure porcelain.

The before and after shows a porcelain/metal to a fully ceramic restoration. The resoration was required because of receding gums showing the uderlying metal supporting the porcelain crowns. Please give us a call if you want any advice on porcelain and metal crowns.

The Treatment Plan

You will need to have at least two appointments if you have a crown fitted.

Appointment 1
Tooth preparation, impression, temporary crown.

  1. You will be given a local anaesthetic around the working area before preparing the tooth.
  2. For the crown to work effectively the tooth will need to be reduced in size and shaped to both support the crown and to make sure it doesn't protrude.
  3. Once the tooth is prepared, your dentist will take an impression and a colour match from surrounding teeth. The crown will then be made in the laboratory by a dental technician.
  4. A temporary crown will be cemented into place ready for you second appointment.

Appointment 2
Cementing the permanent crown into place.

  1. You will be given another anaesthetic to numb the area and then the dentist will remove the temporary crown.
  2. Once you and the dentist are happy with the fit and positioning of the crown, it will be cemented into place.

Crowns with Single Tooth Replacement using Dental Implants

An implant may be used to replace almost any missing tooth, provided there is adequate bone at the site. If not, modern procedures can usually be performed to regenerate enough bone to safely place an implant.

The implant is placed in the bone below the gum tissue. A temporary abutment may be placed on the implant until the healing phase is complete. A cosmetic temporary crown can often be made to fill the missing space.

After healing, the abutment is attached to the implant. It will hold a custom-made crown that the dental laboratory will mold and match to your existing teeth.

In the final step, the custom crown is cemented onto the abutment. The tooth has been replaced without disturbing the healthy teeth next to it and bone loss has been eliminated.