Crowns & Bridges

Advanced techniques used by Bellevue cosmetic dentists Dr. Wendy Spektor, Dr. Molly McIntosh and Dr. Danny Tremblay make crowns and bridges strong and aesthetically pleasing.

Cosmetic crowns and bridges

Our desire is to save your natural teeth and avoid extractions whenever possible. A crown can restore a severely chipped or broken tooth when bonding is not an option, or repair a tooth when there is not enough tooth left to replace an old or cracked filling. Crowns look natural, and can help reshape and restore your smile.

If you lose a tooth and do not replace it, your teeth will shift out of proper alignment over time. When a tooth is missing, we can often ‘bridge’ crowns together to fill the gap.

What is involved in making a crown or bridge?

Crowning or capping teeth requires two or three appointments:

  • At your first appointment:
    • You’ll receive anesthetic, and we will remove the old crown or filling and any decay that has formed underneath.
    • After the tooth is prepared, we place a temporary crown for you to wear while a lab makes the permanent crown. Crowns and bridges can be made from gold, other metals and porcelain.
    • With a bridge, the teeth on either side of the space are prepared to accept the bridge.
  • At your second appointment (and third if needed):
    • You will try on the crown or bridge so we can evaluate it for proper fit, accurate color and shaping. The artificial replacement tooth and gum in a bridge are carefully matched to your coloring.
    • When ready, we will glue your crown or bridge in place with an adhesive.

Bridges can be fixed or removable. A removable bridge is also called a removable partial denture. Your dentist will help determine the best option for you, depending on the health and amount of jaw bone and gum tissue you have.

BEFORE
AFTER

Natural looking crowns can close a gap between teeth.

BEFORE
AFTER

Crowns can ‘bridge’ the space where a tooth is missing.

Care Instructions for crowns or bridges:
  • While numb, be careful not to bite or chew your tongue or lips.
  • Your gums may be sensitive. Rinse with warm salt water and take a pain medication such as Tylenol as needed.
  • You may experience hot and cold sensitivity. This should improve over time.
  • Floss carefully between or under your temporary, making sure to pull the floss out the side to prevent it from snapping off.
  • Avoid sticky foods that can loosen your temporary.
  • Should you lose your temporary, call the office and we will gladly re-cement it. Placing Vaseline or toothpaste in the temporary and seating it back on your tooth can sometimes help hold crowns until we see you.

Please call our office if you have continued sensitivity or discomfort of any kind.

Call Spektor Dental at (425) 454-1322 for an appointment or today, or request an appointment online.