Sometimes old dentistry needs to be redone. The patient had chipped a couple of edges, and he wanted his smile to be whiter. Goal accomplished. This case consists of all ceramic crowns (porcelain crowns) as we were replacing porcelain fused to metal crowns. We can be more conservative with today’s dentistry that dentists of generations past. Perhaps if we had done the original treatment we could have used veneers or partial crowns. But either way, hopefully what we accomplished will last a long time, and this will be the last time our patient has to get this done.
Sometimes you are fortunate enough to get to a point where you can electively fix something that has bothered you for a long, long time. That is where we were at with this patient. He had never really liked his smile. He did not like the shape of his teeth, the spacing or the color. So he allowed us to fix it. This case consist of a combination of porcelain crowns and veneers (which if made the same, look the same). We were able to do the upper teeth first, and then come back and do the lower ones later. It does not always work out to where you can do the treatment that way, but in this case it did. Great patient, and a great result.
A dark front tooth, worn incisal edges, and a pretty lady that wanted those issues corrected provided a great opportunity to enhance already pretty smile. Porcelain veneers, and a porcelain crown on the dark tooth gave us a excellent result. It takes a master ceramist to overcome the dark substructure of one tooth and make it match the others. We have been fortunate to work with a couple over the years. The ceramist who did this case with us, went on to gain his Fellowship in the American Academy of Cosmetic Dentistry. He is one of three ceramists that we have helped to achieve that prestigious award. The patient and I are both very thankful. Gaining this type of result makes what we get to do fun!
We always want to be as conservative as we can, while still accomplishing the goals of our patients. Nothing that man can make is as good as what was made by our Creator. This patient just wanted us to make her front teeth prettier, so that they would look nicer when she smiled. She did not want them to be a lot whiter, just match the shade of her other teeth . So we did. Her front four teeth were all that really needed to be treated to accomplish her goal. Now she has a pretty smile! I had to coax her to smile big in the before photos, but not in the afters. Thank you for allowing us to make it easier to smile.
Treatment: Dental Implant and Crown Right Lateral Incisor, Crown Left Lateral Incisor. Zoom Bleaching In this patient’s before photo you see her in a temporary crown on her implant that replaces her right lateral incisor, and with a temporary crown on her left lateral incisor. She had been born without the right lateral, and the left was misshapen, kind of a tapered peg shape. A dental implant has been placed, she bleached and we are able to carry on with her permanent crowns. Making a single crown surrounded by natural teeth invisible is the most difficult that we have to do in cosmetic dentistry. Then if you add in the fact that it is an implant and not a crown on a natural tooth, and that she has a specific unique mottled look to her teeth, it makes it almost impossible. But I did say almost. If you are fortunate enough to work with passionate ceramists, who have the same credentials as I, then things such as this can be incredibly rewarding. We gave her front tooth back! How fun is that! She was also one of my cases for my Fellowship with the American Academy of Cosmetic Dentistry. Thanks for letting us take care of you! — Dr. W.
Treatment: A Single All Porcelain Anterior Crown. Crowning a single anterior tooth is the most difficult, the most demanding of all procedures that we get to do. It is very hard to place a single man made tooth right in the middle of what God gave a person and have it blend in well. Beth had damaged one of her front teeth and the tooth had darkened. We had tried to internally bleach her tooth with little success. So the only option was to crown it. A socially acceptable outcome is our goal here, and we definitely accomplished that. And this is a all ceramic crown, meaning it has not metal substructure, or coping, so it will never present a dark line under the crown, as a lot of crown that are done even today do. In all of my anterior dental cases, I am fortunate to be able to work with world class Accredited Ceramists, and I owe a lot of my success to them. Thanks men! I could not do what I love to do with out you. – Dr. W.