Using crowns to restore the shape of teeth and idealize their color.

Dentists routinely choose dental crowns as the way to repair teeth that have extensive wear. That's because they offer superior strength and durability characteristics than other types of dental restorations such as porcelain veneers or bonding.

Case issues and concerns:

1) Tooth wear -

  • This case's "before" picture shows that the biting edges of this person's upper center teeth show signs of wear.
  • From a standpoint of cosmetic appearance, this loss of length gives this smile a look that hints at age, as opposed to youthfulness.

2) Tooth color. - You can also see that the color of these teeth is not uniform.

  • The center right tooth on top has some type of light brown staining.
  • This same tooth, as well as its neighboring tooth, has areas of white discoloration.
  • Other than this isolated staining, the overall color of the teeth seems pleasant.

It's quite possible that all of this staining, both white and brown, is due to fluorosis.

  • Worn teeth with isolated spots of staining.
    Worn teeth with isolated spots of staining. Worn teeth with isolated spots of staining.
  • After dental crown placement.
    After dental crown placement. After dental crown placement.
 

Photo submitted by website visitor.

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Treatment solutions:

Rebuilding the four center teeth with crowns. -

Our "after" picture shows the type of cosmetic improvement that could be made by making changes with just the four center upper teeth. We'd expect that the look we've illustrated returns these teeth to a size and shape that's similar to what they were before the wear took place.

Dental crowns would probably be the best way to make these changes. The fact that the biting edges of these teeth have worn short suggests that they are in frequent and extended contact with the lowers (quite possibly this person clenches and grinds their teeth). Dental crowns are known for being strong, lasting restorations.

It might be possible to make the same types of changes we've illustrated by placing porcelain veneers. The dentist performing treatment would need to be the one who makes this determination.

( What is the difference between porcelain veneers and dental crowns? )

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