Dental Crowns & Bridgework

About the Procedure

A dental crown is a strong, custom-made cover placed over a tooth to restore its shape, strength and appearance. Crowns are commonly used when a tooth is cracked, heavily filled, worn down or weakened.

A dental bridge replaces one or more missing teeth. It uses crowns on the teeth beside the gap to support an artificial tooth (“pontic”) in the middle.

Both crowns and bridges are long-term restorative options and require ongoing care to maintain.

Risks and Complications 

Crowns and bridges are commonly performed procedures, but like any dental treatment they carry some risks:

1. Irreversible Tooth Reduction – some natural tooth structure must be removed to allow space for the crown or bridge. This cannot be reversed.

2. Sensitivity or Nerve-Related Symptoms – after preparation, some patients may experience temporary sensitivity. In a small number of cases, a tooth may require root canal treatment if the nerve becomes inflamed.

3. Chipping or Loosening Over Time – crowns and bridges can chip, crack or come loose due to everyday wear, trauma or grinding. These restorations may need repair or replacement over time.

4. Gum Recession – gums can recede naturally or due to brushing habits, which may expose some of the edge of the crown or bridge.

5. Decay Around the Margins – while the crown itself cannot decay, the tooth underneath can. Plaque build-up around the margins can lead to decay or gum inflammation without proper cleaning.

6. Bite Adjustments – because crowns and bridges change the shape of a tooth, your bite may require small adjustments after placement.

7. Material Considerations – different materials (ceramic, metal, porcelain-fused-to-metal) have different strengths and appearance characteristics. Your dentist will recommend the most appropriate material based on your needs.

Treatment Considerations

  • Crowns and bridges usually require 2–3 visits to complete.
  • A temporary crown may be worn between appointments.
  • Underlying issues such as decay or gum disease must be treated first.
  • If you grind your teeth, a night guard may be recommended to protect the restoration.
  • Regular dental check-ups and good oral hygiene are essential for long-term success.

Alternative Options

Depending on the condition of the tooth or the space, alternatives may include:

  • Inlays or onlays (more conservative)
  • Dental implants
  • Removable partial dentures
  • Composite bonding
  • No treatment / monitoring

Your dentist will discuss which option best suits your situation.

Important Information

This information is general in nature. A full dental examination is needed to determine whether a crown or bridge is appropriate for your individual needs. Outcomes vary between individuals.