All-Ceramic Crown Redo Done Together With Veneer Treatment

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

Front-tooth dental contouring, meaning all-ceramic crowns and veneers,

would ideally have a very long lifespan,

but on average it typically lasts around 7 to 10 years.

Since it really varies case by case, the average isn't very meaningful.

Some patients use theirs for as long as 20 years,

while others have a much shorter lifespan — especially those who grind their teeth,

or those who often eat tough, hard foods with their front teeth,

sometimes coming in with a chip within just 1-2 years.

Using it for a certain amount of time doesn't necessarily mean a redo is required.

If it hasn't come off or chipped,

patients keep using it,

but a great many come back for a redo because an aesthetic issue has developed.

These are all-ceramic crowns on the front teeth that have been used for a long time.

Due to a change in gum shape,

the darkly discolored root area of the tooth became visible,

creating an aesthetic problem.

In cases like this, a redo is needed.

As a root-canal-treated tooth ages,

it discolors.

When this discolored part becomes exposed,

even if the crown itself has no problem,

it creates an aesthetic issue, requiring re-treatment.

In this case, not only the all-ceramic crown

but also the shape of other teeth had issues,

so we decided to treat several teeth at once.

In particular, the tooth surface

had become rough and uneven due to acid erosion,

and had been treated with resin, but

the aesthetic result wasn't good.

We measure the current tooth proportions and think through how to improve them.

We plan in advance how much to reduce each tooth,

and what matters here is that

this amount of reduction absolutely must be discussed with the patient.

At Dream Dental Clinic, every veneer process involves confirming with the patient in advance

exactly how much of the tooth will be reduced, well ahead of time.

And for how to modify the current proportions,

we make the teeth in wax

to confirm the result in advance as well.

We proceeded with the re-treatment of the all-ceramic crown,

along with veneer treatment on the other 5 front teeth.

You can see that the tooth color, shape, and even alignment

have all improved dramatically.

What matters here is that

for an all-ceramic crown, especially in cases with severe tooth discoloration,

matching the color with the veneer

is difficult because the ceramic used in a veneer

and the ceramic used in an all-ceramic crown are different types,

so in the fine nuances,

the color, translucency, and even texture all have to be matched so they harmonize with one another.

This is arguably the hardest part of this kind of re-treatment.

While protecting tooth health,

the teeth were reborn as beautiful teeth.

Since 2006, Dream Dental Clinic