Apgujeong-dong Dental Clinic — All-Ceramic Crown Retreatment and Veneer Treatment
Hello, I am Park Jonguk, director of Apgujeong-dong Dream Dental Clinic.
One thing I've come to feel after treating front teeth for many years is
just how much teeth actually move.
A tooth may look like it's sitting still in one place,
but it's constantly moving, and the degree and direction differ from person to person and tooth to tooth.
Just as someone who had orthodontic treatment
will see their alignment shift again if they don't wear a retainer,
even without orthodontic treatment, teeth keep moving little by little,
and for patients who've had veneers or front-tooth prosthetics,
when the surrounding teeth move,
the treated tooth ends up looking even more out of alignment.
In particular, if there's a tooth that's ankylosed due to an implant or trauma,
the movement of the other teeth becomes even more noticeable in comparison.
Since an implant or an ankylosed tooth doesn't move,
relative to the movement of the other teeth,
it often looks as though the implant or ankylosed tooth is the one that shifted.
The patient had a front tooth crown done a long time ago,
and the tooth next to it is ankylosed due to trauma.
When the treatment was first done, all the teeth were evenly aligned,
but over time, only one tooth appears to have risen up, the patient said.
It can appear that way relatively speaking,
but generally speaking, a tooth ankylosed to the bone due to trauma
doesn't change position.
It's more accurate to say that as the other teeth moved, the ankylosed tooth simply appears to have risen up in comparison.
To treat this kind of aesthetic issue,
Apgujeong-dong Dream Dental Clinic decided to redo the old crown,
and to do veneers on the other teeth.
We proceed with the diagnosis.
Since shortening the ankylosed tooth is favorable for the bite,
we decided to shorten that tooth
while gradually lengthening the other teeth.
The proportion and size between the teeth need to be matched,
and the color and shape need to look natural as well,
so we carefully carry out a wax-up precision diagnosis.
We proceed with the redo while removing the crown,
and reduce the teeth for the veneers according to the Apgujeong-dong Dental Clinic diagnosis.
An ankylosed tooth generally needs crown treatment,
but if the discoloration can be effectively covered,
there's no problem treating it with a veneer instead.
However, because the color needs to be covered,
a certain amount of tooth reduction is needed.
The redo of the Apgujeong-dong all-ceramic crown and veneer treatment has been completed.
We fit the teeth to match the face shape.
We give three-dimensionality for a natural feel,
and give translucency at the tooth edges to express the look of a younger person's teeth.
By improving the proportion between the teeth,
we made the smile more beautiful.
In cases like this, where a crown and a veneer are treated together,
matching the color between the teeth is extremely important.
The crown-treated tooth has discoloration,
and the ankylosed tooth has discoloration too,
and since ceramic generally has some degree of translucency,
the tooth's own color shows through slightly.
Properly controlling how much shows through
is what allows the treatment to be finished naturally.
Natural beauty —
Since 2006, Apgujeong-dong 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.