Crowns & Bridges in Duxbury, MA
Damaged, decayed, or fractured teeth can be uncomfortable and threatening to your oral health. Center for Progressive Dentistry delivers exceptional, natural looking crowns to keep your teeth healthy.
There are several reasons the dentists at Center for Progressive Dentistry may recommend a crown, bridge, or onlay (partial crown). One common reason is due to the deterioration or fracture of an old filling, often a silver one (amalgam filling). When the amount of missing tooth structure becomes too great to restore with a direct filling, a crown or onlay can be used to restore the tooth properly.
Placing Dental Crowns
After removing the entire old filling material and unhealthy or decayed tooth structure, a base filling (or core build-up) may be placed. The tooth is then prepared for the crown by miniaturizing the tooth in all dimensions. This allows room for our crown to slide over the prepared tooth and protect it from further damage. A crown covers the entire tooth, but in some cases, only part of the tooth, usually one or two cusps needs restoring. In this case, an onlay, or partial crown, may be used instead.
The crown procedure takes 2 appointments to complete. On your first appt, we will prepare the tooth, take a mold or impression, and then place a temporary crown. We now have the capability to digitally scan the teeth and virtually send a model to our lab. This eliminates the need for messy impression material. The first visit will be scheduled for about 90 minutes.
The second visit will be approximately 30 minutes, during which the final crown will be cemented to your tooth. It will take approximately two weeks for your crown to return from the lab. With proper home care and regular dental visits, your crown can last many years.
What is a Bridge?
A bridge is when two or more teeth are used as anchors to replace a missing tooth with a prosthetic tooth called a pontic. Most commonly, a three-unit bridge will have one anchor tooth on either side of a space created by a missing tooth. The anchor teeth will be prepared just like they would for a crown.
The final bridge will connect the anchor teeth and although the teeth will appear to be separate, they will all be part of one larger unit. A bridge can also replace more than one missing tooth and is a fixed alternative to dental implants or removable partial dentures.
State-of-the-Art Materials
Center for Progressive Dentistry makes beautiful crowns using the latest and strongest materials. Today’s porcelain and ceramic crown materials are highly esthetic and stronger than ever. Our crowns, bridges, and onlays will blend seamlessly with your natural teeth.
Many of our posterior (back teeth) crowns are made from Zirconia. This new material is over 10 times stronger than previously used crowns, which adhere porcelain to a metal base. See for yourself: https://www.youtube.com/watch?v=2ZRfQK6Ipb0. Due to the immense strength of the material, thinner crowns can be made, preserving more of your natural tooth structure. Despite all these advances in technology, gold crowns and onlays are still the standard by which everything else is judged.
If you are interested in learning more about our crown and bridge services, want to fix your broken tooth, or cosmetically improve your smile, please call our office and set up a consultation with our doctors.
Frequently Asked Questions
Any dental procedure requires special care to ensure it's long term success. One of the main disadvantages to a bridge is that you cannot easily floss between the teeth. Special floss threaders can be used, as well as a water flosser. It is imperative to keep the bridge clean. If food and plaque are not getting cleaned out, the teeth next to the areas could decay and cause the bridge to fail.
Bridge Vs. Implant
This is the main advantage of a dental implant over a bridge. Dental implants do not connect to adjacent teeth and you can floss normally because all the teeth are individual. However a dental bridge is a more affordable procedure that does not require surgery.
Get Your Consultation At Our Duxbury Office Today
If you need a dental bridge, our team will educate you on how to take care of your bridge to ensure the longevity of it's success. Have missing areas in your mouth? Call us today to get a consultation or schedule through our website.
A crown involves only a single tooth. The tooth is prepared (shortened) to make space for the crown, which fits over the prepared tooth. The crown protects the tooth from fracture and can cosmetically improve it as well. A bridge involves multiple teeth and replaces a missing tooth. There are anchor teeth are either side of the missing tooth space which are prepared, just like they would be for a crown. Then the bridge is permanently cemented onto the teeth and connects them by filling the empty space.
A well-placed crown or bridge should not be able to be detected by someone at speaking distance. A dentist or hygienist will be able to identify the crown or bridge during an exam.
There is no discomfort associated with getting a crown. The tooth is fully numbed before any work begins. After the procedure, there may be some slight sensitivity which is temporary.
In most cases, crowns are needed after a root canal. This is because the tooth has been completely cleared our with the exception of the canal or the teeth can become more fragile after a root canal being more prone to fracturing.
When A Crown Is Not Needed
In certain cases, usually front teeth without previous fillings, a crown may not be needed after the root canal. Your Duxbury dentist is able to go in through the back side of the front teeth (anterior's) and fill in the space after clearing out the nerves. 
Get Your Treatment Scheduled
If you are in need of a root canal, our team at the Center for Progressive Dentistry will work hard to make sure your root canal procedure gets the best of care. Schedule with us today or book your appointment through our contact page.
Meet Our Doctor:
David Scardella, DMD, FICOI
Dr. David Scardella grew up in Princeton Junction, New Jersey. He always loved playing sports and his passion for ice hockey first brought him to Massachusetts at the age of 16 when he attended Milton Academy. He then went on to attend Wesleyan University (Middletown, CT) and it was there that he decided to pursue a career in dentistry. Dr. Scardella received his DMD from Rutgers School of Dental Medicine (Newark, NJ). He then completed advanced training in a General Practice Residency at the Washington, D.C. Veterans Affairs Medical Center. ...
Featured Blog Posts - Crowns & Bridges
What is a Cosmetic Dentist?
Technically, there is no such thing as a cosmetic dentist. Cosmetic dentistry is not one of the nine specialties recognized by the American Dental Association. Yet, there are many dentists who claim to be cosmetic dentists ...
Joanne Bray - She's the Best!
Hello out there,
I just have to do a little bragging on my dental assistant of 37 years, Joanne Bray. This past Tuesday we decided to do some dentistry on Joanne that we had been putting off for way too long. It involved the lower front teeth (6 in all) where Joanne had a very old fixed porcelain bridge that had outlived its usefulness. First off after getting Joanne very numb using the PAINLESS WAND, I removed the old bridge. Joanne had lost her two lower front teeth long before I met her so we replaced those two teeth with two mini dental implants. Then we ...
WZB-TV CBS Boston News
By Jonathan Elias, WBZ-TV
May 12, 2011 7:07 PM
DUXBURY (CBS) – There’s a dentist in Duxbury worth knowing. His name is Joseph Santelli. He served our country as a Navy captain during Vietnam. And for the last 30 years, he has been a dentist.
Recently he offered a deal: full dental reconstruction for a veteran, but they would have to write why the deserved it. Two-hundred people applied. The winner is a man who lost more than a few teeth following a snowmobile accident, some 35 years ago.
The reconstruction will cost more than $10,000. Santelli is doing the work, and providing the supplies for free. It ...
Crowns & Bridges Technology
3D Printer
3D Printing is the future of digital dentistry. Using CAD/CAM and AI software, offices can 3D print dental models, nightguards, surgical guides, as well as temporary and permanent crowns. 3D Printing is the fastest growing technology in dentistry and the range of uses and applications is rapidly changing.