Fillings, Crowns, & Bridges
In this section you will find information on the following procedures. You can click the name of the procedure you want to learn more about to be taken to that section.
- Composite - Tooth Colored - Fillings
- Amalgam Fillings
- Porcelain Crowns
- Dental Inlays & Onlays
- Dental Bridges
Make sure to consult with Dr. Montoya to understand which type of filling is right for you.
Compared to fillings which just cover a small portion of a tooth, a crown (or cap) encases the entire visible portion of a tooth. In effect, the crown acts as the tooth's new outer surface. A dental crown is used when a tooth is broken or decayed to such an extent that fillings aren't able to repair the problem. The crown is able to provide a protective shell around the damaged or decayed tooth to strengthen it, as well as to improve the appearance of the tooth. They can also help restore a tooth to it's original shape and are commonly used for teeth that have been broken. While crowns come in different materials, the most common crowns typically have some mixture of porcelain in them to give them a look and feel similar to a natural tooth.
How It's Done
The first visit to Dr. Montoya involves reshaping the tooth and taking impressions to create the crown. Typically a portion of you tooth will have to be removed for the crown to fit properly. After Dr. Montoya reshapes your tooth, he will use a special material to create an impression of it. This impression will be sent to a dental laboratory to be made into a permanent crown. Before sending you home, Dr. Montoya will provide you with a temporary crown to cover your tooth in between visits.
When you return to Dr. Montoya, he will have received the permanent crown from the laboratory. He will remove the temporary crown and fit the new permanent one. Before cementing the permanent crown in place, he will ensure that it fits comfortably and matches the color of your teeth.
View the videos below for further explanation:
Dental inlays and onlays are a more conservative approach to tooth restoration than full crowns. The are used to repair rear teeth that have mild to moderate tooth decay, or for cracked teeth where the damage does not warrant a dental crown. Porcelain, composite resin and sometimes gold are used to create inlays and onlays. Inlays refer to those procedures where the bonded material limited to the center of the tooth, while onlays refer to those procedures where the bonded material can extend further to one or more cusps of the tooth.
What are the benefits of inlays and onlays?
- Natural look: Inlays and onlays have a natural tooth color that makes them virtually invisible compared to metal fillings.
- Great fit: Inlays and onlays will not expand or contract based on temperature like metal fillings.
- Longevity: Inlays and onlays can last up to thirty years, longer than any other type of filling.
- Minimal tooth structure removed: Inlays and onlays require the minimal removal of a tooth’s surface, helping to preserve the maximum amount of healthy tooth structure while restoring decayed or damaged areas.
A dental bridge is a false tooth that is used to fill the gap created by a missing tooth or teeth. A gap between your teeth can be potentially dangerous to your dental health, as it can cause your teeth to shift resulting in a change in your bite that could be painful. Dental bridges help alleviate this problem by using the two surrounding teeth as anchors to hold a false tooth in the place where the gap is. Typically, porcelain crowns are placed over the surrounding teeth, and the false tooth, known as a pontic, is fused between them.
How It's Done
A minimum of two visits are required for placing a dental bridge. At the first visit, three important steps are completed. Firstly, the surrounding teeth are prepared to be fitted with a crown. This may include filing down the tooth so that the crown can fit over it. Secondly, an impression is taken of your teeth which will be sent to a laboratory to prepare the bridge and crown. Finally, Dr. Montoya fits your teeth with a temporary bridge to protect them while the bridge is prepared at the laboratory.
At the second visit, the temporary bridge is removed and the new bridge received from the laboratory is fitted and adjusted. Multiple visits may be necessary to check and adjust the fit.