Why Excel

Crowns & Bridges​

Damaged and missing teeth can have a big impact on your dental health and how you feel about your smile. If a tooth is in bad shape, a dental crown can be a helpful solution. A crown is like a custom cap made to fit over a tooth, covering the part you can see. Your dentist might suggest getting a crown if:

Crowns & Bridges​
  • Strengthen and protect a tooth if extensive decay hasn’t left enough healthy tooth structure for a traditional filling
  • Protect a cracked, broken, or brittle tooth from further damage
  • Restore and reinforce a tooth after a root canal procedure
  • Cover a deeply discolored or irregularly shaped tooth
  • Complete a dental implant procedure
  • Serve as an anchor for a dental bridge

To start the process, we create an impression or a computer model of the tooth we’re working on. Then, we place a temporary crown made of a special type of resin to protect the tooth until the final crown is ready. The new crown is custom-made to ensure it feels just right, matches your other teeth, and doesn’t cause any issues with your bite or jaw movement.

During a follow-up appointment, the dentist carefully checks and adjusts the final crown to ensure it fits perfectly on the tooth. Once it’s just right, the crown is firmly attached using a specific dental adhesive.

To start the process, we create an impression or a computer model of the tooth we’re working on. Then, we place a temporary crown made of a special type of resin to protect the tooth until the final crown is ready. The new crown is custom-made to ensure it feels just right, matches your other teeth, and doesn’t cause any issues with your bite or jaw movement.

During a follow-up appointment, the dentist carefully checks and adjusts the final crown to ensure it fits perfectly on the tooth. Once it’s just right, the crown is firmly attached using a specific dental adhesive.

 

Crowns come in various materials. Your choice of crown can be based on factors such as durability, visibility, natural appearance, and cost:

Metal crowns

These crowns are made from a mix of gold, platinum, or other metals, making them super durable. They’re commonly picked for molars at the back of your mouth, where they aren’t easily seen

All-porcelain/All-ceramic

These crowns, which come in a variety of shades to match your natural teeth, offer a very natural appearance. They are especially recommended for front teeth and can be used by individuals with metal sensitivities.

Porcelain fused to metal

These crowns feature a layer of porcelain covering a metal core. Designed to blend in with the color of your natural teeth, these crowns offer a lifelike appearance, though they may not be as see-through as fully porcelain crowns.

Stainless steel

These crowns, made from stainless steel, are commonly used for children’s baby teeth. They are a strong and budget-friendly choice if a crown is required for a primary tooth.

Composite resin

These crowns are created using resin that blends with your tooth color, providing a cost-effective alternative to porcelain or metal. However, they are generally considered suitable for temporary use due to their relatively lower durability when compared to other crown choices.

Crowns are among the best options for improving both the look and function of a tooth. Consider discussing with your dentist how getting a crown can help your smile become healthier and more attractive.

FAQs

Everything you need to know about dental care

Find quick answers to common questions about our dental services, procedures, and patient care in our FAQ section.

A dental crown is a custom-made cap that fits over the entire visible portion of a damaged or weakened tooth, restoring its shape, strength, size, and appearance.

Think of it as a protective helmet for a tooth that can no longer function properly on its own. At Excel Dental, crowns are precisely crafted to match the color and contour of your surrounding teeth.

There are multiple crown material options available; you can choose based on your requirement.

  • All-porcelain / All-ceramic: Most natural-looking, available in shades to match your teeth exactly, recommended for front teeth, safe for patients with metal allergies
  • Porcelain-fused-to-metal (PFM): Combines strength of metal with the appearance of porcelain—a balanced option for both front and back teeth
  • Stainless steel: Used for children’s primary (baby) teeth — strong, affordable, temporary

We also offer same-day crowns using in-office milling technology—your permanent crown can be designed, milled, and placed in a single visit under 90 minutes.

Traditional crown placement requires two appointments:

  • First visit: Tooth is prepared, impressions taken, and a temporary crown placed
  • Second visit (1–2 weeks later): Permanent custom crown is fitted, adjusted, and bonded permanently

A dental bridge literally “bridges” the gap left by one or more missing teeth. It consists of:

  • Abutment crowns—crowns placed over the two healthy teeth on either side of the gap
  • Pontic (artificial tooth) — the replacement tooth suspended in the middle, anchored by the abutment crowns

The result is a fixed, non-removable restoration that looks, feels, and functions like natural teeth — no implant surgery required.

Both replace missing teeth, but they work very differently:

Dental BridgeDental Implant
How it worksAnchored to adjacent teethTitanium post in jawbone
Surgery requiredNoYes
Bone preservationDoes not prevent bone lossPreserves jawbone
Lifespan7–15 yearsLifetime (post)
Adjacent teeth affectedYes—must be shapedNo
CostLower upfrontHigher upfront, better long-term value

We can help you determine which option is best based on your oral health, bone structure, and budget.

  • Crowns: 10 to 15+ years with proper care (porcelain/ceramic); metal crowns can last even longer
  • Bridges: 7 to 15 years on average before replacement may be needed
  • Longevity depends on oral hygiene, diet, habits like grinding, and regular check-ups at Excel Dental

The procedure is performed under local anesthesia, so you should feel no pain during tooth preparation. After the appointment, mild sensitivity or soreness around the prepared tooth is common for a few days.

Crowns and bridges are cared for much like natural teeth:

  • Brush twice daily with a soft-bristled toothbrush
  • Floss carefully around the crown and use a floss threader under a bridge to clean beneath the pontic
  • Avoid biting hard objects like ice, pens, or fingernails
  • Wear a night guard if you grind your teeth—grinding is a leading cause of crown fracture

At Excel Dental, we’ve standardized our crown materials based on the functional and aesthetic demands of each tooth position:

  • Front teeth (anterior): We use BruxZir Aesthetic — a high-translucency zirconia that delivers the natural, lifelike appearance anterior restorations demand, without sacrificing strength.
  • Back teeth (posterior): We use BruxZir — a full-strength zirconia engineered to withstand the heavy occlusal forces of molar function, offering exceptional durability and a metal-free solution.

Most dental insurance plans cover 50% of the cost of crowns and bridges after meeting your deductible, as they are considered major restorative procedures. Coverage limits and waiting periods vary by plan.

Excel Dental accepts most insurances, including MassHealth.

Here’s what to do:

  • Call your nearest Excel Dental location and provide your insurance details
  • Our team will verify your coverage before your appointment
  • We’ll walk you through what is and isn’t covered under your plan

Don’t have insurance? Excel Dental’s team can also discuss flexible payment options to make your care affordable. Visit ourexceldental.com/patients for more information.

Excel Dental provides crowns and bridges at all 9 Massachusetts locations : Lowell, Lowell (Bridge St.), Billerica, Methuen, Haverhill, Everett, Chelsea, Lynn, and Revere. Same-day crown technology is also available. Open late hours and Saturdays for your convenience.