Restorative Dentistry

Crowns & Bridges

A crown covers and protects a damaged tooth, while a bridge replaces one or more missing teeth using support from adjacent teeth or implants. Zirconia and DMLS crowns are among the materials that may be recommended, depending on the tooth position and clinical requirements.

Crowns & Bridges is carried out by Dr. Gajulavarthi Joel Sandeep, MDS, Implantologist & Periodontologist, at our Guntur clinic and Narasaraopet clinic.

Crowns & Bridges at Swasthya Advanced Dental Care & Implant Centre

Common reasons patients seek treatment

  • A fractured or heavily restored tooth
  • A tooth after root canal treatment
  • Replacing a missing tooth without an implant

Who it may suit

Patients with heavily filled, fractured or root-treated teeth, or those replacing missing teeth with a bridge.

General benefits

  • Can protect and strengthen a weakened tooth
  • Restores chewing function and tooth shape
  • Material options selected to suit the tooth and case

Treatment process

  1. 01

    Examination and treatment planning

  2. 02

    Tooth preparation and impressions or digital scanning

  3. 03

    Temporary restoration while the crown is fabricated

  4. 04

    Fitting, adjustment and cementation of the final restoration

  5. 05

    Review appointment

When a crown may be recommended

  • A tooth weakened by a large filling, extensive decay or a fracture line.
  • A back tooth after root canal treatment, to protect it from splitting.
  • A tooth with a worn or repeatedly failing restoration.
  • As the visible part of an implant-supported or bridge restoration.
  • Where shape, alignment or colour of a single tooth is being corrected as part of a plan.

Crown materials used

  • Zirconia — a strong, tooth-coloured ceramic used widely for both front and back teeth.
  • DMLS metal-ceramic — a metal framework produced by direct metal laser sintering with a ceramic layer on top.
  • The choice depends on the position of the tooth, the biting forces on it and the appearance you want; the options are explained before the tooth is prepared.

How the crown is made and maintained

  • The tooth is prepared under local anaesthesia and a digital or conventional impression is taken.
  • A temporary crown protects the tooth while the final crown is fabricated.
  • The final crown is checked for fit, bite and appearance before it is cemented.
  • Crowns are cleaned like natural teeth, with particular attention to the gum margin.
  • Avoid biting very hard objects, which can chip any crown material.

Frequently asked questions

How long do crowns last?

Longevity depends on the material, bite forces and oral hygiene, so no fixed lifespan can be promised.

Which crown material is right for me?

This is decided after evaluating the tooth position, appearance requirements and function.

How long does a crown last?

It varies with the material, the bite, oral hygiene and gum health. Crowns are checked at routine reviews so that any wear or margin problem is picked up early.

Is the natural tooth removed for a crown?

No. The tooth is reshaped so that the crown fits over it; the amount of reduction depends on the material chosen.

Who should consult a dentist: Consult a dentist if a tooth is cracked, worn, heavily filled or missing.

Treatment recommendations vary from patient to patient. A consultation with a qualified dental professional is required to determine the appropriate treatment.

Related treatments

Ready to Take the Next Step Toward Better Dental Health?

Schedule a consultation with Dr. Gajulavarthi Joel Sandeep and discuss the right treatment options for your dental needs.