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Dental Crown and Bridge
| Dental Crown |
Dental Bridge |
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Dental Crown is also called dental cap.
When you lost your tooth structure and dentists
cannot fill the cavity by just normal dental
fillings, you are required a crown to cover that
tooth. In fact, patients can lost their tooth
structure from many causes such as badly tooth
decay, broken by accident, undergoing root canal
treatment, etc. It would be deemed as a
“cover” as the crown will cover or replace part of the
tooth seen in the mouth. Another advantage of dental
crown is about aesthetic. Dental crown can help
patient for teeth appearance and this is called
cosmetic dental works or smile makeover because
dental crown can correct chip, discolor, misshape
and alignment teeth. |
Dental Bridge is quite similar to dental
crown. Normally, dental bridge is consist of two
dental crowns and one pontic. Dental bridge is
used in the patient who lost their tooth
structure and no remaining tooth left to be
crowned. Dentist need to use prep crowns on
nearby teeth one on the right and one on the
left to neighbor pontic and replacing missing
tooth space.
Toot loss indication:
- Gum
disease
- Severe wear
- Periodontitis
- Root canal failure
- Trauma
- Badly decay
- Congenital
- Accident
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Types of Dental Crown and Bridge in Pattaya and
Thailand
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| Porcelain fused
to Metal |
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Porcelain fused to based metal
Porcelain fused to precious metal |
Porcelain fused to metal are mainly comprise of
porcelain and metal alloy basis. The combination of
porcelain bonded to a supporting structure of metal
creates a stronger restoration than porcelain used
alone.
The metal provides
strength to crown and bridge while porcelain replace
natural teeth enamel appearance. Dental crown and bridge restorations are
traditionally used for 40-50 years. It is successfully
proved to be very strong and
durable. Dentist @ Beach offers 3 types of Porcelain
fused to metal crown and bridge
| 1. Based Alloy or
Non-Precious |
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Base metal alloys are non-noble metals with a silver
appearance. They are used in crowns, fixed bridges and
partial dentures. They can be resistant to corrosion and
tarnishing. They also have high strength and toughness
and are very resistant to fracture and wear. |
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Cost: 8,000
Thai Baht per tooth
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| 2. 54% Gold or Semi
Precious or Noble Alloy |
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Noble Alloys
contain gold, copper and other metals
that result in a strong, effective
filling, crown or a bridge. They
are highly resistant to corrosion and tarnishing. Gold
alloys exhibit high strength and toughness that resists
fracture and wear. This allows the dentist to remove the
least amount of healthy tooth structure when preparing
the tooth for the restoration. Gold alloys are also
gentle to opposing teeth and are well tolerated by
patients. However, their metal colors do not look like
natural teeth. |
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Cost:
14,000++ Thai Baht per tooth
(Prices depend on Gold Market) |
| 3. 87% Gold or
Precious or High Noble Alloy |
Some patients may show allergic sensitivity to base
metals and there may be some initial discomfort from hot
and cold. All porcelain crown are recently made to deal
with this problems.
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Cost: 16,000++ Thai Baht per tooth
(Prices depend on Gold Market) |
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2. Full-Porcelain
(Metal Free) |
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Full porcelain or metal free - there is no metal
inside.
Zirconia Full porcelain
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Because porcelain fused to
Metal has disadvantages for biocompatible, some patients
show allergic sensitivity after use crowns and bridges
1-2 years because of some particular alloys used in
crown and bridge.
So, full-porcelain (metal
free)
play key roles in this kinds of patients. Full porcelain
restoration is made of dental materials include porcelain, ceramic or glasslike
fillings and crowns. They are also used as inlay/onlay,
crowns and veneers. Full-porcelain restorations are particularly desirable because their
color and translucency similar to natural teeth.
The disadvantage of full porcelain over porcelain fused
to metal is resistant to
fracture when placed under tension or on impact. The
strength of this type of restoration depends on an
adequate thickness of porcelain and the ability to be
bonded to the underlying tooth. They are highly
resistant to wear but the porcelain can quickly wear
opposing teeth if the porcelain surface becomes rough.
However, new technology Zirconia can overcome this
problem. Dentist @ Beach offers
3 types of full
porcelain dental ceramic; IPS Empress,
Procera and Zirconia.
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1. IPS Empress Emax |
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IPS Empress is
Alumina Oxide
ceramic from Ivoclar Vivadent brand USA. It is
typically good enough for most of the cases
excepting posterior teeth |
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Cost:
10,500 -12000 Thai Baht per tooth
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2. Procera |
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Procera another brand from
Sweden (Noble Biocare) but made of Alumina Oxide ceramic as
well. However, it is used CAD/CAM technology to
mill its core. I personally don't suggest for
oversea patients who have a short time in
Thailand because working time is
unpredictable as we need to send dental
impression to Sweden to mill this. |
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3. Zirconia |
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Zirconia or
Zirconium Oxide is widely used in space
industry from space suit aircraft parts
because of its durable and erosion
resistant. Zirconia is the same
component of jewelry sub-structure and
more suitable for posterior teeth where
require greater loading chewing forces.
This is latest ceramic technology and
the most strength materials in Dentistry
market at the moment. |
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Cost:
14,000 Thai Baht per tooth
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| Dental Crown and
Bridge
Procedures in Pattaya
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| 1st visit:
Consultation and oral
examination |
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In first visit
once you arrive Pattaya and our dental practice,
dentists will discuss about selections of crown
and bridge restoration, choices of treatments
such as implant, advantages and disadvantages. Xray examination is required in some cases that
to check health of root and tooth structure.
During this visit, dentists will also explain
you about working procedures, time-frame,
limitation and costs. |
| 2nd visit:
Teeth preparation and temporary crowns
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Dentist will prepare a tooth dental crown and
bridge by removing 1-2 mm of enamel surface and
existing tooth to accommodate the restoration.
Then,
dentist will take patient teeth impression. This
model will be sent dental laboratory in order to
craft porcelain crown and bridge restorations.
It usually takes around 4-6 days. In this visit,
temporary dental crowns will be made. So, you
will have no problems for smiling and eating
while waiting for permanent one. |
| 3rd visit:
Dental crown and bridge placement
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| Before the dental
crown or bridge is permanently
cemented to your tooth in Pattaya, our dentist will
temporally
place it on your tooth to examine its fit and color. We will repeatedly remove and trim the
crown and bridge as
needed to achieve the proper fit; the crown and bridge color can
be adjusted with the shade of cement to be used. Next,
to prepare your tooth to receive the crown and bridge your tooth
will be cleaned, polished and etched – which roughens
the tooth to allow for a strong bonding process. A
special cement is applied to crown and bridge and then
inserted on your tooth abutment.
Then, dentist will removing any excess cement,
evaluating patient bite and make adjustments in
the crown and bridge if necessary. |
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4th: Post checkup and follow-up
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In some case, dentist
will ask a follow-up visit in for post
check up such as gum responding to the presence of
new crown and bridge or examine the crown and
bridge
placement before you can left Pattaya. |
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