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Dental Crowns and Bridges
in Henderson

What decides a crown is how much sound tooth stands around the repair, not how large the cavity looked on the X-ray. Dr. Goh reads that at the chair, once the decay is out and he can see what remains.

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How much tooth wall is left decides the repair: a filling, an onlay or a crownThree cross-sections of a back tooth, from left to right, as the tooth wall runs out. With a small cavity and the walls sound, a filling repairs it. When one cusp has been lost, an onlay covers only the part that failed. When most of the walls are gone, a crown covers the whole tooth.MOST WALL LEFTLEASTTOOTHGUMFILLINGsmall cavityfills the holeONLAYone cusp lostcovers one cuspCROWNmost walls gonecovers the tooth
Cost
A crown is $2,062, build-up included. New patient visit $100 without insurance.
Time
A visit to check the tooth comes first. When the tooth suits it, the crown is made and fitted in one visit.
Insurance
Most PPO plans pay part of a crown. We check your plan for you. Insurance and payment
What
A cap that covers a cracked or weak tooth. Sometimes a filling or an onlay is enough.

An exam and the imaging that matters come first.

Restorative dentistry is choosing the smallest repair that will hold. Dr. Goh tells you which path your tooth is on before he starts, not after.

Numb, clear and shape

A written, itemised plan comes first. Dr. Goh numbs the tooth, offers nitrous, clears the decay, then shapes it so the ceramic is even all around.

Scan, design and mill

A digital scan replaces the impression tray. Dr. Goh designs the crown on screen, mills it here and checks your bite. Cases that suit it get a same-day crown: one visit, no temporary.

The cases that take two visits

Not every case suits the mill. A front tooth often looks more natural in layered lab ceramic, and a bridge always takes two visits, because a lab builds the span.

The fastmill.io milling unit at Smiles by Goh, where a ceramic crown is milled during the same appointment

You have probably heard the sentence, maybe twice.

A tooth you already had filled needs work again, and this time the answer is a crown. It sounds like a bigger number for the same problem, but it is about structure.

A filling sits inside the tooth and leans on the walls around it. Each bite pushes sideways against those walls, and a wide filling leaves less wall to take the push. Over years that flexing starts a crack at the filling's inside corner. The crack travels toward the root and does not hurt until it nears the nerve.

A crown reduces the whole tooth, including walls that never gave out.

An onlay does less. It covers only the cusps that failed and bonds onto the sound structure beside them, so your own outer walls stay where they are.

Dr. Goh makes that call after the decay is out, with you looking at the same tooth he is.

  • When an onlay fits

    More damage than a filling can carry, with enough sound tooth left for the onlay to bond to.

  • When a filling is still enough

    Solid walls are still standing for a filling to bond to.

  • When it needs a full crown

    Several walls have gone, so an onlay has nothing to hold and a crown is the honest answer.

A crown does not remove the force that broke the tooth. If clenching or grinding cracked one molar, the same load lands on the new crown and the tooth beside it. Most people have no idea they grind, and a night guard protects the teeth without treating the cause.

Dr. Irwan Goh, who plans Dental Crowns and Bridges care at Smiles by Goh in Henderson
Dr. Irwan Goh, DDS

Dr. Goh plans your care himself.

  • Dental degree, UCSFDoctor of Dental Surgery
  • Certified Digital Smile Design providerSmile plans start from your face
  • 27 years in practiceSolo in Henderson by choice
  • LVI Global graduateAdvanced cosmetic training
  • Academy of Facial EstheticsFace and smile together
  • Top Dentist, Las VegasDesert Companion
In the office: iTero 3D scans, CBCT 3D imaging, 3D-printed smile previews and Invisalign Outcome Simulator.

The honest answers.

9 questions
A crown is $2,062 without insurance, including the build-up underneath it, and every price is on our Dental Costs page. Dr. Goh itemises the plan in writing before anything starts, and the office checks what your plan actually covers. Most plans can run in stages by clinical priority.
One, when the case suits the in-office mill. Dr. Goh scans the tooth, designs the crown, mills it and bonds it in the same appointment, with no temporary. Front teeth often go to a lab for layered ceramic, and those take a temporary crown and a second visit.
Dr. Goh numbs the tooth with local anesthetic first, so most people feel pressure and vibration rather than sharp pain. The tooth can feel tender, or sensitive to hot and cold, for a day or two afterwards. Nitrous oxide and oral sedation are both available if you want extra ease.
Nobody can honestly put a number on your crown. The seal where it meets the tooth matters most, because decay starts at that margin. The gum and bone underneath matter too, and so does grinding at night. That is why the exam checks your bite, not only the broken tooth.
Often, when enough tooth stands above the gum for the crown to grip. A crown covers what remains, so each bite squeezes the walls together instead of spreading them apart. A break that runs below the gum leaves fewer options, and a small chip usually needs only bonding or a filling.
Usually, because a root canal reaches the nerve through the roof of the tooth, the ridge that ties the cusps together. Without it, a back tooth splits easily under a normal bite. Smiles by Goh does not do root canals in-house: Dr. Goh refers that step to a specialist, then rebuilds and crowns the tooth.
More questions (3)
Ask to see the tooth: once the decay is out, Dr. Goh shows you which walls are still standing before he shapes anything. Shaping for a crown takes healthy tooth from every side, and enamel does not grow back. Where a filling would hold, that is what you get. Composite fillings and sealants are done here too.
A crown goes on the tooth each side of the gap, and a middle unit, the pontic, joins them. The two anchor teeth carry the whole load, so decay at their gumline is how a bridge fails. You clean under it daily with a floss threader or a water flosser, because ordinary floss cannot pass between the units.
Sometimes, and it is worth deciding on purpose. Each tooth holds its place against its neighbours and the tooth it meets in the other jaw. After a loss, the neighbours tip into the space and the opposite tooth drifts. Dr. Goh shows you on your own scan how far things have already moved.

Bring the tooth in before it decides for you.

The visit is unhurried, with the imaging that matters. You leave knowing whether the tooth wants a filling, an onlay, a crown or nothing for now. The plan is written and itemised, with no pressure to start that day.

Open four days a week: Monday to Thursday one week, Tuesday to Friday the next. 8 AM to 5 PM, with an early day on Thursday (7 to 3) or Friday (7 to 1). No evenings or weekends. Call to check which week it is.

Financing available: CareCredit · Cherry · VIP Savings Plan (in-house membership)

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