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A bridge is a restoration that replaces one or more missing teeth. Crowns are used on the teeth in front of and behind the missing tooth to support the false tooth. This entire restoration is cemented on to those supporting teeth.

There are multiple reasons to replace missing teeth, but basically it can be narrowed down to three:

  • Migration: The teeth surrounding a vacant area in the mouth, including the teeth above or below, will move into that open area. The position that these teeth move into is unnatural for them and can cause them to develop problems, that can lead to tooth loss, in extreme cases.
  • Function: Teeth in every part of the mouth are designed for particular functions. If there is an area that has missing teeth, that area cannot function properly. The result is for other teeth to assume the added work, of which they were not designed or intended. This added work can create problems that might cause additional teeth to need treatment or extraction.
  • Appearance: This is the most obvious reason patients' think of. The state of the art techniques and materials we use, results in a very natural look.

PROCERA is the material of choice for full porcelain crowns and bridges in the posterior teeth as it offers the strength of material but at the same time gives aesthetics of a natural tooth.


Endodontic therapy is a sequence of treatment for the pulp of a tooth whose end result is the elimination of infection and protection of the decontaminated tooth from future microbial invasion. Although this set of procedures is commonly referred to as a root canal, this term is imprecise; root canals and their associated pulp chamber are the anatomical hollows within a tooth which are naturally inhabited by nerve tissue, blood vessels and a number of other cellular entities, whereas endodontic therapy includes the complete removal of these structures, the subsequent cleaning, shaping and decontamination of these hollows with the use of tiny files and irrigating solutions and the obturation, or filling, of the decontaminated root canals with an inert filling, such as gutta percha and a usually eugenol-based cement. After the surgery the tooth will be "dead", and if the infection is spread at apex, root end surgery is required.

In the situation that a tooth is considered so threatened (because of decay, cracking, etc.) that future infection is considered likely or inevitable, a pulpectomy, removal of the pulp tissue, is advisable to prevent such infection. Usually, some inflammation and/or infection is already present within or below the tooth. To cure the infection and save the tooth, the dentist drills into the pulp chamber and removes the infected pulp by scraping it out of the root canals. Once this is done, the dentist fills the cavity with an inert material and seals up the opening. This procedure is known as root canal therapy. If enough of the tooth has been damaged, or removed as a result of the treatment, a crown may be required.

The standard filling material is gutta-percha, a natural thermoplastic polymer of isoprene, which is melted and injected to fill the root canal passages. Barium is added to the isoprene so the material will be opaque to X-rays, allowing verification afterwards that the passages have been properly completely filled in, without voids.


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