All-Ceramic Crown Retreatment and Front Tooth Veneer Treatment
Hello, I am Park Jonguk, director of Dream Dental Clinic.
When a front tooth breaks,
the treatment method depends on how severe the break is.
If only the tip breaks slightly without exposing the tooth's nerve,
resin or veneer treatment is done.
If the nerve is exposed, root canal treatment followed by an all-ceramic crown is typical.
If the break is more severe than that, there are two treatment options:
one is root canal treatment followed by inserting a post inside the tooth
to reinforce it before placing an all-ceramic crown,
and the other is extraction followed by an implant.
For younger patients,
since an implant isn't possible,
the tooth has to be saved and used somehow, one way or another.
The problem is that a tooth that has taken trauma easily becomes ankylosed to the bone,
and when that happens, a variety of problems can develop.
This is a front tooth that looks like it's sticking out,
one that was broken by trauma a long time ago and treated with an all-ceramic crown.
The tooth is significantly protruded,
and when a tooth is affected by trauma like this, it fuses to the bone,
losing the natural movement that would otherwise happen with growth,
which leads to poor tooth alignment.
The alignment can become skewed in various directions.
Not only was there the all-ceramic crown,
but also issues with the color and shape of other teeth,
so we decided to do veneer treatment on several front teeth
along with a redo of the all-ceramic crown.
First, we proceed with the diagnosis.
We diagnose the current tooth problems and how they can be resolved
in various ways.
For this diagnostic process, along with other features of Dream Dental Clinic's implants,
please refer to the link below.
We removed the all-ceramic crown.
There was a metal post inside.
It was reinforced by inserting a metal post,
but metal posts like this aren't used on front teeth anymore these days.
It's prone to discoloration,
and not only is it aesthetically problematic,
it doesn't even help reinforce the tooth.
A tooth-colored post should have been used — it's a somewhat regrettable part.
Another problem was that the gum position was quite high,
and given the protruding angle,
matching it harmoniously with the veneer was inevitably a very difficult case.
We proceed with reducing the other teeth for the veneers.
There was decay between the teeth,
so we treated the cavities at the same time.
Using temporary teeth,
we check the proportion and volume of the teeth.
Since it was severely asymmetric,
achieving symmetry was quite challenging.
The front tooth veneer treatment and all-ceramic crown redo have been completed.
Since the patient wanted bright teeth,
we made them as bright as possible
while still expressing the three-dimensionality of the teeth and a variety of surface textures,
and fully bringing out the translucency at the tooth edges.
As a result, rather than looking awkward or artificial,
there's a bright, beautiful, yet natural feel that comes through.
We finish the work carefully
so that the veneer and the all-ceramic crown
match each other as closely as possible.
Natural beauty —
Since 2006, Dream Dental Clinic
This article is a clinical note written by Dr. Park Jonguk of Dream Dental Clinic, Gangnam; the original was published on his blog. The photographs shown are real cases he treated. Results vary with each patient’s condition, and every procedure carries the possibility of individual variation and side effects.