All-Ceramic Crown Redo and No-Prep Veneers

Hello, I am Park Jonguk, director of Dream Dental Clinic.

When re-treating an old veneer or all-ceramic crown,

the important thing in the process is

that the result must come out prettier.

We need to properly understand the reason for re-treatment,

set a goal accordingly,

and plan the treatment method and process to match that goal in advance.

For this, a detailed consultation with the patient is essential,

and the standard throughout this entire process is a precision diagnosis.

This is something I always consider important,

and for several years now, in lectures given to dentists,

I have been talking about the importance and the process of diagnosis.

By diagnosing this way,

we can even predict the amount of tooth reduction and the result in advance,

so before treatment, we can confirm ahead of time exactly where and how much of the tooth will be reduced,

and what the result will look like, before proceeding with treatment.

Only the two front teeth have all-ceramic crowns.

The problem is that with only those two teeth tilted,

it doesn't look good aesthetically,

and in particular, since only those two teeth are more yellow,

they end up looking like rabbit teeth.

They clearly look distinctly more yellow than the other natural teeth.

Since it was already treated with an all-ceramic crown, a method with significant tooth reduction,

when redoing this,

it's very important to minimize damage to the tooth when removing the ceramic.

The patient also wanted the other teeth treated together,

wanting only no-prep veneers or very minimal reduction.

Summarizing the treatment goals:

1) Redo the two "rabbit tooth"-like all-ceramic crowns to make them more natural

2) In addition to the two front teeth, do veneers on the lateral incisors and canines too, with no-prep or minimal reduction

3) Have all the teeth look natural while also being brighter than now

4) The smile must become natural and beautiful.

Through the diagnostic process using the method shown in the link above, we work out in advance how to treat the teeth.

Here, apart from the two front teeth that were already reduced,

we decided to do no-prep veneers on the other teeth.

Once the all-ceramic crowns were removed,

we could see that the amount of tooth reduction was already considerable.

Removing veneers or all-ceramic crowns

can easily damage the tooth.

It depends on the ceramic material,

but in the case of a veneer, using a laser removal method

can noticeably reduce damage to the tooth.

We made several sets of temporary teeth,

adjusting the tooth shape as we go.

It was planned as a no-prep veneer,

but since treating it this way would make the tooth bigger than it currently is,

we can make the tooth look somewhat smaller through minimal reduction.

This kind of decision is made through thorough consultation with the patient,

and minimal reduction is done to a degree that doesn't put much strain on the tooth.

We proceed with minimal reduction only on the canine,

and reduction of all the teeth has now been completed.

Across the board,

the teeth became brighter and more beautiful,

the angle of the teeth also improved,

and they became more even.

You can see that the smile clearly improved.

The harmony with the lips also improved,

and the feeling of being pushed to the side that existed before is gone,

so from the previous rabbit-tooth-like state,

you can see it has become an even, well-aligned appearance.

Since 2006, Dream Dental Clinic