Treatments

Dental Crowns

A crown restores a tooth that is severely damaged, decayed and that can have become a source of sensitivity and pain; or a tooth that has cosmetic imperfections.

About This Treatment

A crown allows a tooth to have its original shape and function restored.

A crown will enable you to bite, chew and speak naturally again. 

Some of the reasons you might need a tooth crown include:

  • Large broken down filling
  • Extensive dental decay
  • Cracked or broken tooth
  • Discolored tooth
  • Tooth with poor size or shape
  • Tooth that had root canal therapy and are thereafter considered fragile
  • Discoloration so severe that veneers and whitening are not an option

What are the benefits of dental crowns?

  • Protects a decayed tooth from further damage
  • Protects a tooth after a root canal treatment
  • Holds a cracked tooth together
  • Improves the appearance of the tooth and mouth
  • Durable and long-lasting
  • High success rate of treatment
  • Match the colour of your teeth

Crowns can also be used in restoring implants ( implant crown) or replacing a missing tooth ( Dental Bridge)

Implant crown:  

If a tooth is missing or needs to be extracted, an implant can be placed to replace the root of the missing tooth and an implant crown is thereafter placed over the implant to create a false tooth.

Dental Bridges:

A dental bridge is generally made of two crowns and a false tooth built in between the 2 crowns to cover the gap between the existing natural teeth ( that are covered with the  two crowns).

A dental bridge can be used to :

  • Restore a patient’s ability to chew food
  • As a space holder, to prevent existing teeth from moving around and becoming unstable
  • Restore proper speech

There are different types of Dental Bridges:

  • Traditional bridge:  the most common type of bridge. A crown is placed on each tooth next to a missing tooth space and a false tooth (or pontic) is attached to these crowns forming a one unit piece.
  • Cantilever bridge: a bridge that also allows to fill in the gap of a missing tooth . In this instance , only one crown is made and a false pontic one attached to it. These are generally less stable but can be used in specific situations.
  • Maryland bridge: mostly used as a temporary solution for a missing space that will have an implant placed in or  a future denture. It is held in place with the help of metal wings on either side of the missing tooth space.

At A Glance

Dr Germain is besides being a joyful and very nice person, she is a very good dentist. I came to her to replace 4 crowns, a bonding and did a whitening. She did a fantastic job and I highly recommend her. She is a real professional!

-Google Reviews

Frequently Asked Questions

What to Expect on The Day

Crowns generally take 2 appointments to be made. 

First appointment:

  • X-ray
  • Numbing
  • Preparing the tooth
  • Taking molds
  • Making a temporary
  • Choosing the colour

Second appointment: 

  • Numbing
  • Removing temporary
  • Approval of final crown made by the laboratory in 2 weeks
  • Cementation
  • Adjusting the bite to comfort
What is the best dental crown material? What kind of crowns should I get?

Crowns can be made of  different materials, each of which can used in a different situation depending on what strength and aesthetic are required.

    • All-porcelain crowns: All-porcelain crowns are made of glass-like material. They are often also called “all-ceramic crowns”. It  is one of the most popular options due to its aesthetic. Porcelain contains no metal
    • Porcelain-fused-to-metal crowns: Also known as PFM crowns.These crowns consist of metal thin core covered with an aesthetic porcelain exterior. The color match can be as good and aesthetic as an all ceramic porcelain crown. They are incredibly robust and strong and can be a great option where strength is needed.
    • Ceramic zirconia crowns are a type of porcelain crowns that are metal-free but yet have the strength of metals and are more fracture resistant. They can also match the color of your natural teeth. 
  • Temporary Crowns: are often made of acrylic or composites (more plastic-like materials) and are usually used to fabricate the crown that will be placed in the month while the laboratory is making the permanent crown or while the tissues need to heal after a surgery like a gum lift or a crown lengthening

 

Do you always need a crown after you have a root canal?

It is possible to have a root canal treatment without having a crown. But it is true that a tooth that has had a root canal is often weaker and at a greater risk of fracture. Therefore most of the time a crown is needed after root canal treatment. 

In fact, often a tooth that had a root canal was initially severely decayed infecting the nerve of that tooth. If the decay has affected the majority of the tooth or if the crown was broken, the remaining good tooth structure is weakened and needs to be crowned to have the tooth maintain its function. 

If however the bulk of the tooth remains unaffected then you can have a root canal treatment without having a permanent crown fitted afterwards.

What is the difference between a bridge and a denture

The simple answer is that a dental bridge is a fixed (permanent) in your mouth, whereas a denture is removable. 

Also in general, dentures often replace multiple missing teeth whereas bridges are often more limited to 1 to 2 missing teeth. Bridges can also replace multiple teeth if designed to do so. In general dentures tend to be more affordable than bridges.

 

Our Treatments

Client Reviews

Highly recommend Dr Germain and her colleagues. Not only she has a great personality, she makes sure that the BEST job is provided and the patient is happy with her job. Best experience I had in a dental practice.
Maryam Javidan
Maryam Javidan
Dr Germain did my orthodontist work. She has done a tremendous job and was really attentive to answering my numerous questions.
She was also available to deal with my queries even out of office hours.
I highly recommend dr German for anyone looking for a truly caring and qualified dentist.
Grégoire Pennec
Grégoire Pennec
My experience with Dr. Germain has been nothing short of a pleasure. The attention to care and comfort is second to none and it’s a genuine joy to go to the dentist when being seen by Dr. Germain. She has taken her time inside and outside of our normal appointments to ensure that I am getting the treatment that I need to be confident about my teeth and oral hygiene. Superb knowledge and facilities, top tier professionalism but also a reassuring and friendly presence - couldn’t recommend her more highly.
Ryan Couch
Ryan Couch
Dr. Alexandra is the best dentist you can find in London! I contacted her for an emergency and I got an appointment within 1 hour! She is not only an amazing doctor but also a lovely person. I would definitely recommend her.
Benedetta Bisetto
Benedetta Bisetto
I was very nervous going to the dentist after too many years avoiding it. Dr. Germain was amazing! Professional but down to earth, she was able to put me at ease. Setting up appointments with her assistant, Chloe has been a breeze and very client-centric. Definitely recommend!
Saul Palomera
Saul Palomera
Dr. Germain is the best dentist I’ve ever had. She is incredibly thorough, uses the latest technology, and is totally present and focused during visits. I actually look forward to cleanings with her! The relaxing music and overall environment help. :) I recommend her enthusiastically!
Sonia Miranda Tekle
Sonia Miranda Tekle
Dr Germain has literally changed my life for the better! Thanks to her amazing meticulous work, she was able to conduct the best smile makeover for me.

I’m over the moon with my new smile!
Sam EA
Sam EA
Yay! Finally found a good dentist in London. Dr. Germain does all the right checks (lymph-nodes, tongue and mouth check, jaw, etc) and her cleaning is the best I've had in London. She doesn't waste time trying to upsell you on things (this can be common in the US) but she'll answer all your questions and provide an opinion on options and cost and leave it with you -- which is great. Definitely my primary dentist now.
E K
E K
Excellent dentist with a wonderful sense of humor, patient-focused, available and sympathetic. I had total confidence visiting the office multiple times during the pandemic. She has a very good associated periodontist. If you are looking for an American-style dentist I highly recommend Dr. Germain. She is also experienced with US dental insurance forms.
Robin Abrams
Robin Abrams
Dr. Germain is an OUTSTANDING dentist! She exceeded my expectations in delivering the highest quality results and a smile that brings me so much confidence. She is professional, thorough, efficient and cares about me as a patient. She's proactive and checks in post-dental work to make sure all is going smoothly; I couldn't recommend her enough! She has made visits to the dentist much more positive than any other dentist!
Georgina Fitzpatrick
Georgina Fitzpatrick
Dr. Germain is incredible about seeing the whole picture, made the biggest difference to my face, teeth and I’m incredulous more dentists are NOT like her but wow! I am LUCKY to have found her. She is incredibly tenacious about getting results you are happy with. Her ethics are second to none. The people she co-ordinates with are incredible. Her team are wonderful. She works for you. I now have my gum lines fixed, a set of straight, all natural looking teeth (I showed her my picture before accident so I look like me again!) and my whole face looks fresh. Taken years of me. I can smile!!!
Akashia LondonTalent
Akashia LondonTalent
Dr Germain is an excellent dentist and a lovely, warm and caring person. She is highly knowledgeable and skilled and takes the time to fully explain everything she does so that you feel comfortable and informed as the patient. As a Canadian, I previously had avoided dentists in the UK, preferring to wait until I returned to Canada several times a year to go to a dentist I trusted. I searched long and hard for a dentist I felt confident in in London, and I am so happy to have found an excellent dentist in Dr Germain. I would highly recommend her!
Hayley Jones
Hayley Jones
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