Veneers
Provides cosmetic appearance with minimal preparation (click)

Crowns
Provides function and cosmetics for more extensive problems (click)

Bridges
an excellent way of restoring a gap using your own teeth or implants (click)


Veneers
These are where the fronts of teeth are covered using tooth coloured fillings or porcelain. They can be used to change the length and shape and colour of teeth and are usually very conservative, particularly those teeth built up in tooth coloured filling (composite). The composite veneers can be just as aesthetically pleasing as porcelain ones and can be done at one sitting, differences in colours and shades can be subtly changed at the chair side. Porcelain veneers are more expensive and require two visits, although for many patients this is a better option than composite.

Please look at our gallery to the right for several examples of our own work. All photos are our own and not photos taken of what can be done by someone else.

New teeth with poorly formed enamel                Teeth built up with composite veneers
2a                                                  2b

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These teeth have worn so thin, possibly due to drinking fizzy drinks out of a can
1a

Restored using composite veneers
1b


 

 


Crowns
These are used when the tooth shape needs altering dramatically, or where the tooth is broken or  there is a large filling that might break soon. There are many types of crowns and these are briefly discussed below.

1. Gold crown.
2. Porcelain bonded to metal crowns.
3. Porcelain bonded to the tooth.

All three have their merits. The porcelain ones are the most popular because of appearance. Up until recently pure porcelain crowns have not been very strong and so they were bonded to metal for strength. Unfortunately this often left the tooth looking ‘dead’. One of the other very big problems is that because the crown does not let light through it makes the root below the crown look dark, this sometimes shows below the gum. By using strengthened and bonded porcelain without metal we can now produce very lifelike and natural teeth because light is transmitted through the crown in a similar way as it does through natural tooth, this improved the aesthetics around the gums as well.

Posts that are fitted to retain crowns are also important. Because they are usually made of metal they too can affect the way a crown looks after it is placed, it is also very rigid and often leads to high stresses that commonly cause the root to break. One modern approach is to use special fibreglass posts that are bonded within the root, these are very strongly stuck and can’t be removed, they are also slightly flexible so reducing the stress within the root canal.

Please look at our gallery below of several examples of our own work. All photos are our own and not photos taken of what can be done by someone else.

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Badly broken tooth, and poor tooth behind
1a

Both teeth after crowning with metal bonded crowns. The metal used in this case was 100% gold to try and stop the greying around the crown
1b


This tooth was badly broken on the other side
2a

Same tooth after being restored with a bonded porcelain crown
2b


Bridges
A bridge is a means of replacing a missing tooth with a fixed replacement. Usually bridges are attached either side to another tooth or implant although sometimes they can be attached only at one side but generally this is not as strong or long lasting. Although much better than leaving a gap or wearing a denture, if supported by your own teeth these must be strong enough to take the extra load. The success rate over 10 to 15 years is approximately 6 times better for implant supported bridges than for bridges supported by your own teeth READ Mr WARNES ESSAY. Although usually the frame of a bridge is made of metal and then covered in porcelain some hi-tech bridges that we now do are produced in extra hard porcelain that is milled after the teeth have been first scanned by computer, these although expensive can give superb aesthetic results.

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This gentlemans bite was totally wrong and he was embarassed to smile
1a

After bridging the bite was corrected and the smile restored!
1b