Wichita, KS dentist shares tips for prolonging the life of dental crowns and bridges
By Dr. David KoepselRestorations built to last
Statistically, a dental crown or bridge should last at least five years. In fact, many insurance providers base their coverage for replacement on that premise. However, 10 to 15 years is common, with some patients getting twice that much use. What determines how long a crown or bridge lasts? It is a combination of factors unique to the patient, but it begins before the restoration is even placed.
Because a crown or bridge is made of rigid material cemented into place, fit is unforgiving. Optimal fit hinges on preparation and design.
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The design process involves much more than creating a cap or bridge that looks attractive. It must foster a balanced bite, distributing chewing forces across the arch. Otherwise, the restoration is likely to fracture or wear prematurely . . . and you may develop TMJ problems.
Dr. Koepsel uses CEREC technology to create crown restorations in a single visit. This computer-guided technique is exceptionally precise, for an excellent fit. Plus, the metal-free zirconia material is extremely strong, appropriate even for molars, and looks very natural.
Without this level of attention to detail, dental work is not likely to provide years of carefree use, regardless of how you look after it.
Extending the longevity of dental crowns and bridges
Based on Dr. Koepsel’s extensive academic background and clinical experience:
- Conscientious home care – Most dental restorations that fail prematurely do so because decay develops underneath, or periodontal disease compromises connective ligaments and bone that stabilize teeth. Avoid this by brushing at least twice a day (after every meal and snack is better). Take a little extra time at the margin. This area, where the crown meets gum tissue, can trap harmful bacteria. Use a soft toothbrush and non-abrasive paste so your crown or bridge does not develop stain-trapping scratches.
- Floss like a boss – Use dental floss at bedtime, and more frequently through the day is fine. If floss “hangs up” on tight contacts or at the top of a crown, please do not yank it out. Slide floss gently toward the gum and pull it through. A bridge is a single unit consisting of one artificial tooth or several, between two crowns. Since it sits on top of gum tissue, you need to learn a special flossing technique to keep the underside of the unit clean and gums healthy. Don’t worry, the hygiene team at East Wichita Dentist will show you how.
- Teeth are for food – Keep pens, fingernails, and other hard objects out of your mouth. Chewing ice and biting directly into very hard foods can also chip, break, or dislodge restorations. If you indulge in caramel or other sticky sweets, suck on them, as chewing may pull a restoration lose.
- Guard your investment – If you tend to clench or grind your teeth, Dr. Koepsel will recommend a night guard. Slip this comfortable appliance into place before you go to sleep, to protect restorations (and your own teeth). Wear a custom-fitted mouth guard for contact sports, mountain biking, or any physical activity that could cause facial trauma or make your jaws snap together.
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Dr. David Koepsel
Reviewed by Marie K.
Such an amazing dental office! The staff is so nice and welcoming. I felt right at home. They used sedation dentistry on me and it took all the fear from me and it didn't even hurt. I have never met a dental office that is so easy to talk to! Love them