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Dr Vikas PrinjaThe London Dentist
Educational view of a full ceramic crown and prepared posterior tooth

Restore

Dental crowns and bridges in London

A crown is a laboratory-made restoration that covers a damaged tooth to restore its shape and strength; a bridge uses one or more crowns to replace an adjacent missing tooth.

At a glance

Appointment
60–90 minutes
Visits
Preparation and fit, with a temporary in between
Results
1–3 weeks
Longevity
Typically 10–15 years
Reversibility
Irreversible — tooth is prepared
Anaesthetic
Local anaesthetic

Crowns start from £525 per unit, including laboratory work. A bridge is costed by the number of units it spans. Root canal treatment, where a tooth needs it first, starts from £495.

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Assessment and diagnosis before any cosmetic treatment

The short answer: Crowns & bridges

A crown is a laboratory-made restoration that covers a damaged tooth to restore its shape and strength; a bridge uses one or more crowns to replace an adjacent missing tooth.

Crowns & bridges is planned and carried out by Dr Vikas Prinja at Apple Dental Studios, 106 Marsh Road, Pinner, with patients travelling from across North West London. If you are weighing up your options locally, the page on seeing a dentist in Pinner sets out how consultations, written plans and fees work here.

IllustrationEducational illustration — a full crown covers the prepared clinical crown and is checked for fit and bite.
Educational illustration of a full ceramic crown seated over a prepared posterior tooth, with a second crown shown separately

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Why crowns & bridges rather than something else?

All treatments

Who is suitable for crowns & bridges?

  • Heavily filled, cracked or root-treated teeth
  • Teeth that cannot be predictably restored with direct filling material
  • Replacement of a missing tooth where an implant is not chosen

What problems does crowns & bridges solve?

  • Fractured teeth
  • Extensive wear
  • Failing large restorations
  • Single missing teeth

What happens at the crowns & bridges assessment?

  • Assessment of remaining tooth structure and root health
  • Bite and wear analysis
  • Radiographs

How does crowns & bridges work?

  1. 01

    Preparation

    The tooth is shaped to accommodate the restoration.

  2. 02

    Records

    Digital scans or impressions are sent to the laboratory.

  3. 03

    Temporary

    A provisional restoration protects the tooth.

  4. 04

    Fit

    The definitive crown or bridge is fitted and adjusted.

What are the benefits?

  • Protects compromised teeth
  • Restores function and appearance
  • Predictable, well-evidenced treatment

What are the limitations?

  • Requires removal of tooth tissue
  • Bridges load the supporting teeth
  • Will need replacement at some point

What are the risks of crowns & bridges?

  • Sensitivity
  • Nerve inflammation requiring root canal treatment
  • Decay at the margin
  • Fracture of ceramic

What are the alternatives to crowns & bridges?

How long does crowns & bridges last?

Crowns commonly last ten years or more; longevity depends on the underlying tooth, bite and hygiene.

How is crowns & bridges maintained?

  • Interdental cleaning around margins
  • Hygiene appointments
  • Night guard where grinding is present

How much does crowns & bridges cost in London?

From £525Guide fee

Crowns start from £525 per unit, including laboratory work. A bridge is costed by the number of units it spans. Root canal treatment, where a tooth needs it first, starts from £495.

A written plan with itemised fees is provided after assessment, before any treatment is agreed. See the full fee guide.

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Which option is right for you?

Explore the dental glossary for plain-language definitions of the clinical terms used here.

Clinical cases

Crowns & bridges cases

Published only with explicit patient consent.

The same central incisor restored with a bonded e.max ceramic crown, matched in shade, translucency and surface texture to the neighbouring teethClinical photograph of a prepared upper central incisor, darker than the adjacent teeth and reduced ready for a full-coverage crownBeforeAfter
E.max crowns · Crowns & bridges

E.max crown on a central incisor

Appointments
Preparation, temporary, fit
Duration
Two clinical visits with laboratory time between

Common questions

Crowns & bridges: common questions

All frequently asked questions

How much does a dental crown cost in London?

Crowns start from £525 per unit at this practice. The final fee depends on the tooth, the material, any treatment required beforehand and the laboratory work.

Do I need a crown or will a filling do?

A filling or onlay is preferred while enough sound tooth remains to support it. A crown is considered when the remaining tooth is heavily broken down, root treated or at risk of fracture, because full coverage protects what is left.

Does having a crown fitted hurt?

Preparation is done under local anaesthetic, so it is not usually painful. Mild sensitivity or tenderness between the temporary and definitive crown is common and normally settles after fitting.

How long do dental crowns last?

Crowns commonly last many years when the underlying tooth is healthy, the bite is managed and hygiene is good. Failure is usually related to decay at the margin, root fracture or heavy grinding rather than the crown material itself.

How do I look after a crown or bridge?

Brush as normal and clean daily around and, for bridges, underneath the restoration with interdental brushes or superfloss. Keep routine hygiene visits, avoid biting hard objects, and wear a night guard if you grind. The tooth beneath a crown can still decay, so the margin is checked at each review.

What are the alternatives to a crown?

Where enough sound tooth remains, an onlay, an indirect ceramic restoration or a well-designed direct composite can restore the tooth while removing less tissue. A crown is chosen when the remaining tooth needs full coverage for strength, often after root treatment or a large fracture.

How do I choose between bonding and veneers?

Bonding is usually additive, repairable and reversible, but stains more readily. Veneers are more stain resistant and durable, but require enamel preparation and are irreversible. The right choice depends on tooth position, remaining enamel, bite and how much change is needed.

Author

Written by

Dr Vikas PrinjaThe London Dentist

Cosmetic, restorative and implant dentistry, London.

Clinically reviewed · Updated

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