Articles Retreatment

Redoing Front Teeth Veneers and All-Ceramic Crowns

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

Hello. I'm Park Jonguk, director of Dream Dental Clinic.

After veneer or all-ceramic crown treatment on the front teeth,

patients often end up needing a redo for various reasons as time passes.

Sometimes it's because the restoration has chipped or come off,

and sometimes patients want a redo for esthetic reasons.

Old veneers or all-ceramic crowns

do sometimes chip or come off,

but they're also redone for various esthetic reasons simply because they're old.

The most important thing when doing a redo is

whether what the patient wants

can actually be achieved through the redo.

That's why, before starting treatment,

it's essential to establish an accurate treatment plan first.

Redoing Front Teeth Veneers and All-Ceramic Crowns — photo 1

This is an old all-ceramic crown.

The main reason for the visit was a small chip at the edge of the tooth,

but the patient also wanted to address the unnatural shade

and the grayish tint caused by excessive translucency.

Redoing Front Teeth Veneers and All-Ceramic Crowns — photo 2

Gum inflammation and a change in gum shape were also observed,

and we discussed the chipped area along with the shape-related issues.

We then carried out a precise diagnosis

to determine what changes were needed.

Through this diagnosis,

we predicted what the result would look like after treatment,

checked how to align the proportions and symmetry of the teeth,

and were able to preview what changes would happen to the tooth shape ahead of time.

Redoing Front Teeth Veneers and All-Ceramic Crowns — photo 3
Redoing Front Teeth Veneers and All-Ceramic Crowns — photo 4
Redoing Front Teeth Veneers and All-Ceramic Crowns — photo 5
Redoing Front Teeth Veneers and All-Ceramic Crowns — photo 6

In this way, we carry out a precise analysis of the current condition

along with a precise wax-up diagnosis.

Whether it's a redo, a first-time treatment, or even a no-prep veneer case,

the diagnostic process is extremely important.

I sometimes see cases where treatment is done without any diagnostic process.

Several times a year, I give lectures to fellow dentists

specifically on this diagnostic process.

A thorough diagnosis is, in a sense, the starting point of the best possible treatment.

Redoing Front Teeth Veneers and All-Ceramic Crowns — photo 7

This is the state after removing the all-ceramic crown.

So much tooth structure had already been removed

that it was quite an unfortunate situation.

Even so, we did our best to carry out the redo as beautifully as possible.

Redoing Front Teeth Veneers and All-Ceramic Crowns — photo 8

Treatment has been completed.

The shape of the teeth

was designed to suit the patient's face shape,

and by preserving a bright yet translucent look,

instead of the grayish tint they had before,

the teeth now have a bright, radiant look.

Redoing Front Teeth Veneers and All-Ceramic Crowns — photo 9

Each individual tooth expresses the many characteristics of natural teeth,

recreating the look of young, healthy teeth.

Redoing Front Teeth Veneers and All-Ceramic Crowns — photo 10
Redoing Front Teeth Veneers and All-Ceramic Crowns — photo 11

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.

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