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Crowns & bridges

Dental crowns and bridges in Miami

A crown restores a tooth that's cracked, weakened or heavily filled; a bridge replaces a missing tooth by anchoring to the teeth beside it. At Perla, both are made with our in-house ceramist to match the shape and color of your own teeth.

Medically reviewed by Dr. Rodolfo Rodriguez, DMD · Updated

What a crown does

A crown covers the whole visible part of a tooth, holding it together and protecting it from breaking further. It's the usual answer for a tooth that is cracked, worn down, weakened by a large filling, or treated with a root canal, and it can also improve the shape or color of a tooth that bothers you.

When you might need one

  • A cracked or broken tooth
  • A large old filling that's failing, or that leaves little tooth behind
  • A back tooth after a root canal
  • A badly worn or discolored tooth
  • On top of a dental implant

What a bridge does

A bridge replaces one or more missing teeth with a false tooth held between crowns on the neighboring teeth. It's fixed in place — you don't take it out. A bridge can also be anchored on implants instead of natural teeth.

Because a traditional bridge relies on the teeth on either side, those teeth are shaped for crowns. When they're healthy and untouched, an implant is often the more conservative choice. We'll explain both, and options for replacing missing teeth compares them.

How it works

Preparing the tooth

Under local anesthesia, the tooth is shaped to make room for the crown and any decay is removed. We take records of the tooth and your bite, and match the shade of your teeth.

Your temporary

You wear a temporary crown or bridge while the final one is made. It protects the tooth; avoid sticky and hard foods on that side.

Made with our ceramist

Your crown is made with our in-house ceramist, who matches its shape, translucency and color to your neighboring teeth.

Fitting

At your second visit we check the fit, the color and your bite, then cement the crown or bridge in place.

Materials

Most crowns today are all-ceramic — porcelain or zirconia — which look natural and are strong enough for back teeth. Dr. Rodriguez recommends the material that suits the tooth, your bite and how much it shows when you smile.

Caring for crowns and bridges

Brush and floss as usual, and clean under a bridge with a floss threader or a water flosser. A crown can't decay, but the tooth underneath can, at the edge where the two meet — so keep your regular cleanings. If you grind your teeth, a night guard protects your crowns.

Cost and insurance

Many dental plans pay part of the cost of crowns and bridges. We're currently out of network and submit claims as a courtesy; without insurance, our membership plan includes member savings on treatment. See Insurance & membership.

FAQs

How long does a crown last?
With good care, many years. How long depends on your bite, your habits and how well the tooth underneath is kept clean.
Does getting a crown hurt?
The tooth is numbed first, so the preparation itself shouldn't hurt. Some sensitivity for a few days afterward is common.
Can I get a crown in one day?
We make crowns over two visits so our ceramist can craft each one; you wear a temporary in between.
Do I need a crown or a filling?
A filling repairs a smaller cavity. When a large part of the tooth is missing or cracked, a crown protects what's left. Sometimes an inlay or onlay sits in between.
Should I get a bridge or an implant?
A bridge is quicker and needs no surgery, but it means crowning the teeth beside the gap. An implant stands on its own. We'll go through both for your mouth.

Terms

Crown
A cap that covers the whole visible part of a tooth.
Bridge
A fixed replacement for a missing tooth, held by crowns on the teeth beside the gap.
Abutment tooth
A tooth that holds one end of a bridge.
Pontic
The false tooth in a bridge.
Zirconia
A strong, tooth-colored ceramic used for crowns and bridges.
Temporary crown
A crown worn for a short time while the final one is made.
Cement
The material that bonds a crown or bridge in place.

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Tell us what's going on, in English or Spanish. We'll take it from there.

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