Why Would I Need a Crown or Bridge?

Our crowns rule.

Missing teeth can have an impact on your self-esteem, your ability to chew, and even your overall oral health. At New Century Smile, Dr. George Manthas and Dr. Nam Phan have helped many patients with missing teeth using crowns and bridges. These are two of the most common and effective ways to restore the appearance and function of your smile.

Why missing teeth are a problem 

You already know the cosmetic issues with missing teeth: You may find yourself smiling less, feeling self-conscious about how you look, or even not attending events that you’d otherwise enjoy. You probably also understand how missing teeth can affect your ability to chew, bite, or even to speak.

However, you might not know that missing teeth can lead to further decay or bone loss. When a tooth is missing, your remaining teeth can move or shift into the gap where your tooth once was. The shifting is an issue because it can make oral hygiene much more difficult. 

Normally, when you bite down, the roots of your teeth stimulate your jawbones. That stimulation brings blood and nutrients to the bones, keeping them healthy. When you’re missing teeth, there are no roots to stimulate the blood flow, which over time, can lead to bone loss.

Options for replacement

The best way to replace missing teeth depends on several factors, such as whether you’re missing one or multiple teeth, where they are in your mouth, and whether you need an implant. Two of the most common choices are crowns and bridges.


A crown is a prosthetic or cap that looks like your other teeth. Crowns have many uses, including replacing missing teeth and protecting fragile teeth. 

In some cases, the best way to replace a missing tooth is with a dental implant — it has a titanium post, which provides the stimulation your bones need, and is topped with a prosthetic crown that looks like your natural tooth.

You may have a temporary crown for a short time. Once your bone has had time to fuse to the implant post and your mouth is healed, your dentist places a permanent crown designed to fit and look good in your mouth.

In cases when you have a tooth that is discolored, cracked, or otherwise needs protection, we may recommend the use of a crown over your natural tooth. The crown works like a cap, and covers your weakened tooth, providing protection and support. 


A bridge is a more appropriate replacement option when you have more than one missing tooth. It’s a prosthetic device designed to fill the gap left by the missing tooth, and it’s supported and kept in place by crowns on the teeth on either side of the gap. 

First, your dentist places the crowns on the supporting teeth. Next, our team takes impressions of your teeth in order to create the bridge between them that attaches to the crowns and fits perfectly in the gap. Finally, we place the bridge and you have a reliable, attractive, full set of teeth again. 

If you’d like to learn more about crowns and bridges, or other options for replacing missing teeth, book an appointment at New Century Smile. You can easily request an appointment online, or call our Midtown East, Manhattan office at 212-752-2212 and we’re happy to schedule an appointment at a time that’s convenient for you.

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