Toggle navigation
1579 W. Big Beaver Rd. Suite B6Troy, MI 48084(248) 649-2868
  • Home
  • Team
  • Patient Information
    • Patient Education
    • Dental Glossary
    • FAQ
  • New Patients
  • Office
    • Office Tour
  • Services
  • Contact Us
    • Notice of Privacy Practices
    • Terms of Use

Crowns & Bridgework

Online Dental Education Library

Our team of dental specialists and staff strive to improve the overall health of our patients by focusing on preventing, diagnosing and treating conditions associated with your teeth and gums. Please use our dental library to learn more about dental problems and treatments available. If you have questions or need to schedule an appointment, contact us.

Dental Crowns and Bridgework.Dentistry is an art as well as a science; dental crowns offer a perfect example of this. A dental crown or “cap” is a covering that fits over a damaged, decayed or unattractive tooth. It can even replace a tooth entirely as part of dental bridgework.

A crown completely covers a tooth above the gum line. This is in contrast to a dental veneer, which only covers a tooth's front surface and needs natural tooth structure to support it. Therefore, if a tooth is missing a significant amount of structure above the gum line, a crown would be the restoration of choice.

Crowns strengthen damaged teeth, allowing them to function normally again. When crafted from today's high-tech porcelains (dental ceramics), crowns are virtually indistinguishable from natural teeth. They can even be designed to improve upon a tooth's original appearance.

There are other materials besides porcelain that we can use to make dental crowns, depending on what qualities are most important. For durability, cast gold can't be beat. However, this is not always the most aesthetic choice — especially towards the front of the mouth. Other possibilities include porcelain-fused-to-metal crowns (PFM), which have a metal interior for strength and a porcelain exterior for a more natural appearance, and all-porcelain crowns with zirconia, representing the strongest ceramic. We would be happy to discuss the pros and cons of these various options with you.

Crowning or Capping a Tooth

Dental Crowns - Step by Step.Crowning or capping a tooth will usually take two to three visits. At the first visit, your tooth is prepared to receive its new crown. First, it is shaped to fit inside the new covering. This will involve some drilling to give the tooth a uniform shape. The tooth and the surrounding area will be numbed beforehand. If there is very little tooth structure left to begin with, the tooth may have to be built up with filling material, rather than filed down, to support the crown.

After the tooth is prepared, impressions of your teeth are taken, either digitally or with reliable, putty-like impression materials, and sent to the dental laboratory. There, the impressions will be used to make models of your teeth for the creation of a crown. The models will serve as guides to the highly skilled lab technicians, who will ensure that your new crown is designed to enhance your smile and function well within your bite.

Before you leave the office, a temporary crown will be attached to your tooth to protect it until the permanent crown is ready. At the second visit, your permanent crown will be attached to your tooth with either a resin that hardens when exposed to a special light source, or a type of permanent cement.

Creating a Bridge

Dental Bridgework - Step by Step.Crowns can also be used to create a lifelike replacement for a missing tooth. This is done with bridgework, which spans the space of the missing tooth and requires at least three crowns. Two of those crowns will be placed over healthy teeth on either side of the missing tooth; these healthy teeth are referred to as abutment teeth. The two crowned abutment teeth become supports for a third crown placed in between them; that third crown is referred to as a pontic. If more than one tooth is missing, more crowns will be needed to bridge the gap in between the abutment teeth.

The number of abutment teeth necessary to replace missing teeth is influenced by the number of missing teeth, the size and length of the abutment tooth roots, the amount of bone support each abutment tooth has, as well as where in the mouth the missing tooth is located. For example, if you have three missing teeth, four abutment teeth may be necessary, thereby creating a seven-tooth bridge. Engineering and designing of the bridge requires an understanding of how to replace teeth, as well as the biology of the supporting gum and bone tissue.

Caring for Your Crowns & Bridgework

Crowns and bridgework require the same conscientious care as your natural teeth. Be sure to brush and floss between all of your teeth — restored and natural — every day to reduce the buildup of dental plaque. When you have crowns, it is even more important to maintain your regular schedule of cleanings at the dental office. Avoid using your teeth as tools (to open packages, for example). If you have a grinding habit, wearing a nightguard would be a good idea to protect your teeth and your investment.

Related Articles

Crowns and Veneers - Dear Doctor Magazine

Porcelain Crowns & Veneers Dear Doctor magazine examines two innovative strategies for improving your smile. In many instances, these two restorative techniques can produce nearly identical aesthetic results, even though they are designed differently for handling different structural problems... Read Article

Crowns - Dear Doctor Magazine

Value Of Quality Care Are all crowns created equal? And why are some crowns more expensive than others? Crown fabrication costs depend upon the materials used and the time needed to create them, among other factors. Dear Doctor magazine examines these variables... Read Article

Bridgework - Dear Doctor Magazine

Fixed vs. Removable Bridgework For those patients who have lost all their teeth, but have not lost significant bone, a fixed bridge (permanent non-removable teeth) may be the treatment of choice. For those who have severe bone loss, an implant-supported overdenture offers significant advantages... Read Article


Learn More

  • General Dentistry
  • Teeth Whitening
  • Dental Implants
  • Fillings

Patient Education

Patient Education
  • Educational Videos
  • Cosmetic & General Dentistry
    • Cosmetic Tooth Bonding
    • Crowns & Bridgework
    • Fillings
    • Gummy Smiles
    • Inlays & Onlays
    • Mouthguards for Adults
    • Mouthguards for Children
    • Nitrous Oxide
    • Porcelain Veneers
    • Removable Dentures
    • Smile Makeover
    • Snoring & Sleep Apnea
    • Teeth Whitening
    • TMD
    • Tooth-Colored Fillings
    • Tooth Contouring & Reshaping
    • Tooth Decay Prevention
    • Tooth Wear
  • Emergency Care
    • Gum Injuries
    • Orthodontic Emergencies
    • Tooth Pain
    • Traumatic Dental Injuries
  • Endodontics
    • Combined Root Canal & Gum Problems
    • Cracked Teeth
    • Root Canal Retreatment
    • Root Canal Surgery (Apicoectomy)
    • Root Canal Treatment
    • Root Canal Treatment FAQs
    • Root Canal Treatment for Children
    • Tooth Sensitivity
    • Whitening Traumatized Teeth
  • Implant Dentistry
    • Bone Grafting
    • Dental Implants FAQs
    • Fixed Dentures
    • Hidden Consequences of Losing Teeth
    • Top Reasons to Choose Dental Implants
  • Oral Health
    • Aging & Dental Health
    • Antibiotic Premedication for Dental Treatments
    • Bad Breath
    • Blood Pressure Medications & Your Gums
    • Diabetes & Oral Health
    • Dry Mouth
    • Eating Disorders & Oral Health
    • Fluoride
    • Geographic Tongue
    • Nutrition & Oral Health
    • Oral Cancer
    • Oral Piercings
    • Osteoporosis & Oral Health
    • Pregnancy, Hormones & Oral Health
    • Preventive Dentistry
    • Professional Teeth Cleanings
    • Stress & Oral Habits
  • Oral Hygiene
    • How To Brush
    • How To Floss
    • Interdental Cleaning Devices
    • Mouthrinses
    • Oral Hygiene for Kids
    • Toothpaste
  • Oral Surgery
    • Blood Thinners & Dental Procedures
    • Bone Grafting
    • Extractions
    • Headaches & Migraines
    • Oral Cancer Screening
    • Oral Diagnosis and Biopsies
    • Sedation Dentistry
    • Wisdom Teeth
  • Orthodontics
    • Adolescent Orthodontic Care
    • Adult Orthodontic Treatment
    • Brushing & Flossing with Braces
    • Early Orthodontic Treatment
    • Invisalign for Adults
    • Invisalign for Teens
    • Post-Orthodontic Care
    • Types of Braces
    • Orthodontic Emergencies
    • Orthodontics & Dental Hygiene
    • Your First Orthodontic Appointment
  • Pediatric Dentistry
    • Age One Dental Visit
    • Fluoride & Your Child
    • Pregnancy & Your Child's Developing Teeth
    • Sealants
    • Space Maintainers
    • Teething
    • Thumb Sucking
  • Periodontal Therapy
    • Cosmetic Gum Surgery
    • Gum Grafting
    • Loose Teeth & Bite Problems
    • Non-Surgical Periodontal Treatment
    • Oral Systemic Connection
    • Periodontal (Gum) Disease
    • Periodontal Flap Surgery
    • Professional Teeth Cleanings
    • Ultrasonic Cleanings
  • Technology
    • Air Abrasion
    • Anesthesia Wand
    • Cone Beam CT Imaging
    • Digital Dental Impressions
    • Digital X-Rays
    • Intra-Oral Camera
    • Laser Decay Diagnosis
    • Laser Dentistry
    • Same-Day Crowns (CAD/CAM)

Our Location

1579 W. Big Beaver Rd.
Suite B6
Troy, MI 48084
(248) 649-2868

Map & directions

About Dr. Philip D. O'Niel III

Dr.O'Niel has been practicing dentistry for over thirty years. He received his Doctor of Dental Surgery degree from the University of Michigan, School of Dentistry. Dr. O'Niel also holds a B.A. in chemistry from Albion College. 
More about Dr. O'Niel

Dentist - Troy, O'Niel Family Dentistry, 1579 W. Big Beaver Rd., Troy, MI 48084 (248) 649-2868

  • Home
  • Staff
  • Office
  • Services
  • New Patients
  • Patient Education
  • Contact Us
  • Dental Web Design Copyright © MH Sub I, LLC dba Officite
  • Disclaimer
  • Patient Privacy
  • Site Map
  • Notice of Nondiscrimination