Articles Retreatment

All-Ceramic Crown and Veneer Retreatment

By Park Jonguk, DDS, MS — board-certified specialist in conservative dentistry Published

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

Dental contouring such as all-ceramic crowns or veneers

would ideally last a lifetime, but that isn't the case.

Just as a natural tooth can decay or develop gum problems and need extraction without proper care,

most dental treatment has a lifespan.

Dental contouring has a lifespan in the same way.

Just as a general prosthesis is usually thought to last around 5 years,

dental contouring can also generally be viewed as having a typical lifespan of around 5 years.

However, since the front teeth aren't used for chewing food the way molars are,

they tend to be used somewhat longer,

and while it varies with factors like sex, dietary habits, or teeth grinding,

it's generally thought of as lasting around 7 to 10 years.

Material quality has improved a lot compared to the past, and bonding has become quite reliable,

so in practice, rather than the ceramic of a veneer or crown chipping,

patients more often come in because the tooth has shifted over time or a gum issue has developed.

Whether or not dental contouring has been done, teeth keep moving throughout a person's life,

and while it varies a lot from person to person, cases fall into either the teeth crowding together and overlapping, or the teeth spreading apart.

In either case, if it happens after dental contouring, it can't look good aesthetically.

All-Ceramic Crown and Veneer Retreatment — photo 1

This case is no exception.

The two front teeth have all-ceramic crowns.

Over time, a gap opened up between them,

even though the crowns themselves have no problem.

In a case like this, orthodontic treatment could be used to move the teeth back into position,

but in this case, the tooth next to the front tooth, the lateral incisor, was undersized,

so we decided to do a veneer and all-ceramic crown redo on the undersized tooth at the same time.

Through the redo, we made it look far prettier and more natural than before.

All-Ceramic Crown and Veneer Retreatment — photo 2
All-Ceramic Crown and Veneer Retreatment — photo 3
All-Ceramic Crown and Veneer Retreatment — photo 4

The biggest feature of the dental contouring I do

is that it stays as close as possible to natural teeth.

Dental contouring that's only white and dull, with a shape far from natural teeth,

is easy to make from the clinic's side and can even be done in a single day, which is why it's become common these days,

but even though it's meant for an aesthetic purpose, it often ends up looking more awkward.

Dream Dental Clinic, which recreates beautiful natural teeth, has for over 16 years

practiced veneers and all-ceramic crowns from this single location in Apgujeong.

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.

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