All-Ceramic Crown Redo Combined With Veneers

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

All-ceramic crowns and veneers

are a kind of dental contouring that transforms teeth to be beautiful.

That's why the term dental contouring is used.

It's supposed to come out beautiful, but instead the result

often ends up looking awkward and artificial.

The difference between a natural-looking tooth and an awkward, artificial-looking one

comes from differences in how the ceramic is fabricated.

For a veneer or all-ceramic crown

to become a natural-looking tooth, a fairly long and demanding process is required.

The fabrication process itself simply takes much longer and is technically more demanding.

When redoing an old all-ceramic crown,

in many cases we also do veneer treatment on the surrounding teeth at the same time,

and matching the color of the crown and the veneer isn't an easy task.

It's especially true if the tooth has discoloration.

Four teeth had all-ceramic crowns,

and both the shape and the color of the teeth looked awkward,

so the patient wanted brighter, more beautiful teeth and decided to have a redo.

Even though it's a crown method with no small amount of tooth reduction,

it's really a shame that it ended up looking this dull and awkward.

We proceed with a diagnosis for the re-treatment.

We check the relationship between the face and tooth position, how much of the teeth show when speaking or smiling,

and we evaluate the current proportion and symmetry of the teeth.

Because the teeth looked short and wide,

bringing the proportion closer to average becomes the first step in correcting the shape.

Since there was almost no three-dimensionality,

we design the teeth to bring out three-dimensionality so they feel like natural teeth,

incorporating several elements that can make the teeth look a bit longer.

For the canine, we proceed with a veneer,

and begin the redo of the four teeth.

This is after the all-ceramic crowns were removed.

You can see they were reduced a bit excessively.

It's a somewhat unfortunate situation.

From here, we fabricate the all-ceramic crowns with ceramic,

while the canine is made as a veneer.

We made a short clip of the ceramic being fabricated.

Most veneers these days

are made by "grinding" the ceramic.

This is called milling — it's designed by computer and then ground down by a milling machine,

whereas the method we use is one of layering the ceramic up in build-up form.

The two methods show a huge difference in their results.

A bright yet translucent feel is fully alive.

As the proportion of the teeth improved,

the wide, flat-looking sensation disappeared.

In fact, it's less that the teeth actually got much smaller and more that the proportion improved,

and by bringing out the three-dimensionality of the teeth,

the teeth ended up looking more natural.

On top of that, giving a translucent feel throughout

can make the teeth look a bit smaller.

You can confirm that the result is vastly more beautiful than the original teeth.

Since 2006, Dream Dental Clinic