Dental Crown and Bridge

Dental Crown and Bridge At Bangkok Smile Dental Clinic

Dental crown can be an effective option for Teeth that are badly damaged.

Dental Crowns can be an effective treatment option the For tooth that are badly damaged. The dental crown procedure utilizes tooth-shaped coverings made of metal, ceramic, or porcelain to improve the appearance, restore the strength and eliminate the discomfort. In addition, dental crown may be used to anchor a dental bridge or to cap a dental implant post.

Dental Crown will make your new tooth both strong and beautiful.  It is suitable for prosthetic reconstructions anywhere in the mouth. At Bangkok Smile Dental Clinic, we promise you the best experience in dental crown in Thailand. Dental crowns and bridges are a major part of our practice. We are one of the very few dental clinics in Thailand with its own in house dental laboratory, so nothing has to be sent out thus delaying your treatment. Our in-house dental lab combines high tech equipment with experienced dental technicians, to guarantee that all of our dental crowns and bridges are made to exact specifications. Most dental clinics have to outsource these needs to separate facilities – sometimes even to other countries, giving you a more “mass manufactured,” less personal result, rather than an independent, customized result that we can give here at Bangkok Smile Dental Clinic.

Benefits of Dental Bridges

• Restores your smile
• Prevents remaining teeth from drifting out of position
• Restores your ability to properly chew and speak
• Helps preserve the natural function and position of the teeth
• Maintains the shape of your face

Benefits of Dental Crowns

• Restore your beautiful smile
• Covers discolored and irregularities in teeth in improving cosmetic appearance
• Protects severely damaged tooth or tooth weakened by decay, fracture, large fillings or root canal therapy from fracturing. Teeth with large fillings tend to "flex more" forcing the tooth apart possibly causing stress fractures
• Holds together cracked or weaken teeth and seal the tooth from decay
• Helps preserve the natural function and position of the teeth
• Restores tooth with large decay, cavities or filings
• Supports the replacement teeth in a bridge
• Restores and maintains natural bite
• Covers a dental implant

Types of Dental Crown

Dental crowns are made of metal, ceramic, porcelain fused to metal or composite/polymer. The type of crown utilized during your dental crown procedure will depend on your unique needs and goals, as well as the recommendation of your dentist.

All Porcelain Crown

All ceramic crown is made of porcelain or dental ceramic materials. They create an extremely natural-looking appearance and are typically used on front teeth. The tooth-colored ceramic material is translucent, like the enamel of your natural teeth, and size and shade can be carefully matched to complement the rest of your smile. All porcelain crowns will make your new tooth both strong and beautiful. This tissue friendly porcelain crown recreates the strength and natural beauty of your tooth. Due to the strength in the modified core material, all porcelain crowns are suitable for prosthetic reconstructions anywhere in the mouth. In addition, more and more patients are asking for constructions made of materials not containing metal or other alloys. All porcelain crowns are made of a biocompatible material which minimizes the risk of allergic reactions.

Porcelain fused to metal Crown

Porcelain fused to metal dental crown is a hybrid between all-metal crown and all porcelain crown. When being manufactured, our dental technicians will make a shell of metal (substructure) that is custom fitted for your affected tooth. A veneer of porcelain is then fused over this metal, giving the crown a white tooth-like appearance. Porcelain fused to metal crowns has the advantages of having a nearly natural appearance from the porcelain, and the strength and stability provided by the underlying metal. Porcelain fused to metal dental crowns is stronger than the all porcelain crowns but are more prone to fracture than an all-metal dental crown.

Metal Crown
Although their metallic color makes them a poor choice for highly visible teeth, dental crowns made of metal can be an ideal option for repairing decayed or damaged back teeth. They are extremely durable and can be applied with less removal of the natural tooth than all porcelain or ceramic crowns. Metal crowns may consist of various materials, including gold alloy, palladium, nickel alloy, or chromium alloy.

The Dental Crown Procedure

Typically, the dental crown procedure is completed in two stages. During the first stage, we will prepare your natural tooth’s structure to accommodate the dental crown. Surrounding teeth may also be prepared in this way. An impression is made and sent to the lab, where your dental crown is created in about 6-7 days. A temporary crown will be in place between visits to ensure the most natural look and feel. When you return to the dentist’s office, the temporary crown is removed and your new, custom dental crown is securely bonded in place.
For some patients, the dental crown procedure is altered to meet specific goals. For example, if crowns are being utilized to anchor a dental bridge or as a dental implant, the steps in the dental crown procedure will be slightly different. Also, teeth with extensive damage may require that a root canal be performed prior to placing the crown. Additionally, new technology has made it possible to complete some dental crown procedures in a single office visit. A consultation with your dentist can help you better understand the unique steps in your dental crown procedure.

Replacing Old Dental Crowns
Individuals may be interested in replacing old dental crowns for a number of reasons. Concerns about the appearance of metal crowns on prominent teeth may compel some patients to have their dental work restored with all ceramic or porcelain crowns. Other times, dental crown problems like wear, decay, or poor fit may lead patients to inquire about replacing older dental crowns. Typically, patients should expect to replace their dental crowns after approximately 10 years.

Porcelain Crowns vs. Porcelain Veneers

Both porcelain crowns and porcelain veneers have unique advantages and limitations that make them appropriate for treating specific dental concerns. For example, all ceramic or porcelain dental crowns improve both the appearance and function of injured or damaged teeth. They cover and protect the entire surface area of the tooth, eliminating pain and restoring strength. Porcelain veneers, on the other hand, typically address only cosmetic concerns and are applied to otherwise healthy teeth. Stains, minor chips, misalignment, or other imperfections can be concealed with the thin porcelain shells, which slide over the front surface of teeth. Also, because they cover less of the natural tooth, less tooth structure has to be removed to accommodate porcelain veneers. A dentist can provide more information on porcelain crowns versus porcelain veneers and help determine which treatment is best for you based on cost and your unique goals and needs.

Care for Dental Crown

Dental crown requires the same regular and consistent home and professional dental care, as your natural teeth to prevent decay at the tooth-dental crown junction. To provide optimum longevity for your restorations, please follow the home care tips below:

1. Brush after eating and before bedtime around the crown with a soft toothbrush, especially where the crown meets the gum line. At the gum line harmful bacteria can be harbored to cause decay and gum disease.

2. Floss at least once to twice a day. Use the proxy brush or floss threader to remove plaque under and around these areas to maintain good oral hygiene. Buildup of food debris and plaque on your teeth and gums can become infected.

3. Rinse with fluoride rinse before bed. Swish the fluoride rinse vigorously in your mouth for at least one minute. Do not swallow any of the rinse and do not eat or drink anything for 30 minutes

4. Be careful about chewing toffees, gum, grainy rolls and tough food in this area

5. See your dentist for regular professional check-ups and cleanings


What Problems Could Develop With a Dental Crown?
1. Discomfort or sensitivity. Your newly crowned tooth may be sensitive immediately after the procedure as the anesthesia begins to wear off. If the tooth that has been crowned still has a nerve in it, you may experience some heat and cold sensitivity. Your dentist may recommend that you brush your teeth with toothpaste designed for sensitive teeth.

2. Chipped crown. Crowns made of all porcelain can sometimes chip. If the chip is small, a composite resin can be used to repair the chip with the crown remaining in your mouth. If the chipping is extensive, the crown may need to be replaced.

3. Loose crown. Sometimes the cement washes out from under the crown. Not only does this allow the crown to become loose, it allows bacteria to leak in and cause decay to the tooth that remains.

4. Allergic reaction. Because the metals used to make crowns are usually a mixture of metals, an allergic reaction to the metals or porcelain used in crowns can occur, but this is extremely rare.

How Long Do Dental Crowns Last?
The life span of a crown depends on the dentist’s skill, the quality of material used, your maintenance and the amount of "wear and tear" the crown is exposed to, how well you follow good oral hygiene practices, and your personal mouth-related habits. Habits such as grinding or clenching your teeth, chewing ice, biting your fingernails and using your teeth to open packaging puts on greater wear and tear to the crown. On average in general, dental crowns last between 5 and 10 years.

Does a Crowned Tooth Require any Special Care?
While a crowned tooth does not require any special care, remember that simply because a tooth is crowned does not mean the underlying tooth is protected from decay or gum disease. Therefore, continue to follow good oral hygiene practices, including brushing your teeth at least twice a day and flossing once a day-especially around the crown area where the gum meets the tooth.

Porcelain fused to High Noble metal crowns / bridges

Porcelain veneered crown or Porcelain fused to metal crown is a hybrid between all-metal crown and all porcelain crown.  When being manufactured, our dental technicians will make a shell of metal (substructure) that is custom fitted for your affected tooth.  A veneer of porcelain is then fused over this metal, giving the crown a white tooth-like appearance.   Porcelain fused to metal crowns has the advantages of having a nearly natural appearance from the porcelain, and the strength and stability provided by the underlying metal.

Degudent® LS

Degudent® LS is a high noble alloy with 87% gold, 5.8% palladium and 7% silver. Degudent® LS is a micro-fine, extra-hard alloy suitable for single crowns and long span bridgework, milled restorations in conjunction with precision attachments, partial dentures and implant superstructures. Degudent® LS displays a golden color and can be veneered with Duceragold® Porcelain. Our premium crown utilizes this low fusing porcelain in a four-layer build up. Both  restorations provide outstanding results that will rival all-ceramic crowns; yet they can be cemented in a conventional manner.

This is an advanced metallurgical technology for producing high gold content, yellow metal substructures. This 22-karat gold substructure offers the strength and stability of a platinum-palladium alloy. So strong in fact, that this material is equally suitable for both single crowns and bridges.

It has a unique metallurgical structure called a "dual phase interpenetrating composite." When combined with an electrolyte (saliva), a very small electrical charge results. Researchers are calling this a "bacteriostatic effect," and it is reported to repel plaque and bacteria.

Procera - All Ceramic Crowns

Procera All Ceram combines excellent and profound strength with beautiful esthetics. The material consists of 99.5 percent pure aluminum oxide and is biocompatible, thereby ensuring excellent long-term esthetics.

Procera All Ceram is translucent giving the tooth a natural appearance. At the same time Procera All Ceram is excellent for concealing underlying surfaces, such as amalgam and root fillings. This ceram is also customized but still industrially produced, ensuring predictable results. You should try quickly in your mouth with minimal adjustments.

With the strength in the core material, Procera All Ceram can be recommended for prosthetic reconstructions anywhere in the mouth. More and more patients are asking for constructions made of material not containing metal or other alloys. Procera All Ceram is made of bio-compatible material (comparable to Titanium) which minimizes the risk of allergic reactions. No need to worry about your allergies when you use Procera All Ceram. The translucent coping offers remarkable esthetic characteristics. When combined with Procera All Ceram Porcelain the advantages are clearly demonstrated. To recreate the beauty of natural your teeth, the porcelain has been formulated to make the most of the coping’s inherent potential and efficient.

Procera® Crown ZirconiaProcera® Crown Zirconia

  • Fracture rate only 0.26%
  • Proven strength and all-ceramic beauty
  • Highly biocompatible material
  • No specialized clinical preparation or cementation procedures
  • Zirconia for the highest load situations

Procera® Crown AluminaProcera® Crown Alumina

  • Fracture rate only 0.26%
  • Proven strength and all-ceramic beauty
  • Highly biocompatible material
  • No specialized clinical preparation or cementation procedures
  • Alumina for the most outstanding light transmission

Procera® Bridge Zirconia NEW - Procera® Bridge Zirconia up to 9 units

  • Extends the span for existing bridges from four units within 15 x 50 mm to bridgemaintaineds from 25 x 60 mm
  • Marginal fit to less than 15 microns along full length of bridge
  • Excellent esthetics when combined with NobelRondo™
  • Highly biocompatible material
  • Indicated for all positions within the mouth

Procera® Bridge AluminaNEW - Procera® Bridge Alumina

  • Densely sintered Alumina bridge
  • maintaineded for the anterior region, premolar to premolar
  • Unsurpassed light transmission for the best cosmetic results
  • Possible with conventional cementation, saving valuable chair time compared to bonding

Titanium-porcelain crowns / bridges by CAD-CAM technology

Titanium Porcelain is matched to the specific material properties of titanium. The inherent versatile properties of titanium provide an incredibly biocompatible, corrosion-resistant coping that is lightweight, hypo-allergenic, mechanically strong (Vicker's hardness of 180-250, degree 1-4) and has low thermal conductivity.

Because the pure titanium is characterized with good biological compatibility, titanium is widely applied into the area of clinical science. In dentistry, the application is mainly as implant body, pure titanium removable partial denture and titanium alloy porcelain laminates, etc.

At Bangkok Smile Dental Clinic, we use the latest 3D CAD-CAM system to mill the medical-graded titanium for use as the framework for crowns, bridges and implant works. Our results are consistently impressive convincing our clients of the quality and sustainability of the technology.

The pure Titanium is a superior dental solution for the following reasons :

  • A titanium casting is totally bio-compatible
  • Titanium castings are over 35% lighter than chrome castings
  • Extremely low metal contraction results in a precision fit
  • The physical properties of titanium enable clasp placement in a deeper undercut resulting in a more aesthetic restoration
  • Titanium has very low thermal conductivity. Hot and cold food can be enjoyed without worrying about the discomfort of temperature shock
  • Food and drink is unaffected by a ‘metallic taste’ due to titanium’s remarkable physical neutrality
  • Titanium is very high corrosion-resistance. Very little thermal irritation of the vital hard and soft tissues