Dr. Manuel Englander - Edina Dentist
Near 50th & France in Edina, MN

Restorative Dentistry

Restorative Dentistry

Our expertise with crown bridges, implants, dentures, and other restorative dentistry are the fastest way back to a strong bite and beautiful smile.

Crowns

A crown, or cap as some people call it, is a tooth restoration for many purposes. A crown is a tooth-like restoration that is used to cover up the tooth. The existing tooth is smoothed down on the top and sides to make room for a crown to fit. The dentist then takes an impression or model of the tooth. It is then mailed to a lab where the crown is made. In the meantime, the patient goes home with a temporary crown that looks and feels like the final crown. At a second appointment, typically two weeks later, the crown is cemented to the existing tooth. Crowns can be all porcelain, porcelain fused to metal, or gold. It is important to talk to your dentist to find out what is best for your mouth.

Crowns are recommended for a number of reasons. Broken teeth, misaligned teeth, root canal treated teeth, teeth badly worn, and enamel defects can all be corrected. The most common reason for a crown is for a tooth that breaks because of a large existing filling. When a large filling is placed, it compromises the strength of the tooth. To prevent it from breaking, a crown is placed that will protect the tooth. Crowns have been a common procedure for many years and they last a very long time with good home care and professional cleanings.

Fixed Bridges

A bridge is used to replace one or more missing teeth in a patient’s mouth. A bridge is an extension of a crown because the procedure is a lot the same. A tooth on each side of the missing tooth space is smoothed down on the tops and side. An impression is taken from which a model is fabricated. The model is then used by the dental lab to fabricate the bridge. In the meantime, the patient is sent home with a temporary bridge. It is possible to replace numerous missing teeth, but the dentist needs to do a thorough exam to determine what the best option is.

Implants

Implants are an amazing treatment option to replace missing teeth. A titanium post is placed into the bone and fuses into place. A crown is then placed on top of the post. It looks exactly like a real tooth and nobody will notice the difference. It also functions like a real tooth and you will never notice the difference. The great thing about implants is there success rate. They are truly the best treatment option when it comes to replacing a missing tooth. They don’t involve cutting on the adjacent teeth like a bridge. They also have a longer life span than a fixed bridge.

Another use for implants is to anchor a denture into place. Sometimes dentures have poor retention due to a lack of bone present to retain them. In these cases, implants are placed into the bone. Special attachments are screwed into the implant. These attachments match attachment units on the denture to help anchor the denture. They help give stability to the denture so that they function better.

Dentures

A removable denture is used to replace missing teeth in a patient’s mouth. The difference between a denture and a bridge is that a denture can be removed while a bridge is cemented in. Removable dentures are made of pink acrylic as a base and plastic teeth. The denture acrylic is very natural looking and the teeth used come in many different shades and shapes. Your dentist is trained to pick teeth that will be very unnoticeable. A denture can replace a couple teeth or all your teeth. Sometimes a fixed bridge is not an option because there is not a tooth available on each side of the area where teeth are missing. This is where a removable denture is a treatment option. There are two kinds of removable dentures, a partial or full denture.

A partial removable denture uses the existing teeth to help hold the denture into place. Metal arms are fabricated that hold onto the existing teeth to make it stable. The metal arms are hidden so that other people do not notice. If they can’t be hidden, there are techniques that can be employed to hide them so that no one knows you are wearing a denture.

A full removable denture is used when there are no existing teeth available. It stays in by using suction. The same acrylic and teeth used in a partial denture are used in a full denture. Typically, upper full dentures fit well because they suction to the palate. Lower dentures don’t fit as well because the tongue always pushes the denture around. Another contributing factor to the fit is the remaining bone. The more bone that remains creates more surface area for the acrylic of the denture to suction into place. If the denture doesn’t fit real well, sometimes adhesives can be used. If these don’t work, implants can be used to help hold the denture into place. It is very important to sit down with your dentist and discuss what the best treatment plan is for you.

Removable Appliances

Click here for more details on removable appliances.