Harmonizing an Old Crown Redo with Veneer Treatment

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

It's rare to place a crown on a front tooth.

Only when the decay is too severe,

or the tooth is broken,

or the discoloration is too severe, is it done, and even then only in limited cases —

that's what a front-tooth crown is.

A crown is a treatment where the whole tooth is reduced and then capped, like putting a hat on it.

Compared to a veneer, it requires reducing considerably more of the tooth.

So it's only used as treatment when there's no other option.

Usually, at a young age,

a crown becomes necessary after an injury from a fall.

When a front tooth is injured, it can affect even the root of the tooth,

and the tooth sometimes ends up fused to the bone.

The tooth can fracture,

or even without a fracture, the nerve can die, leading to severe discoloration.

Injuring a front tooth can lead to a range of problems, starting with aesthetic ones.

In a case where the patient had crown treatment for a front tooth injured in childhood,

in order to also improve the shape and color of the other front teeth,

let's look at a case where crown redo and veneer treatment were done together.

One front tooth was protruding forward.

It had broken and been crowned,

and you can see that the tooth's position had changed considerably as the patient went through their growth years.

When a tooth becomes fused to the bone like this, it's common for

its position to shift into an undesirable spot.

There were a number of aesthetic problems present,

and since orthodontics can't move a fused tooth,

we decided to go with veneer treatment.

First, we perform a diagnosis of the current condition.

In all-ceramic crown and veneer treatment,

the hardest part is placing a crown on a discolored tooth

while matching its color and translucency to the veneer.

Taking that into account,

we determine the ceramic thickness for the veneer,

and the amount of tooth reduction is decided based on that.

We remove the old crown

and proceed with tooth reduction for the veneer.

All the reduction

has to be carried out exactly as planned.

Through the minimal amount of reduction needed

to make the teeth even, bright, and beautiful,

we bring the veneer and the all-ceramic crown into harmony.

The all-ceramic crown redo and the veneer treatment have been completed.

The teeth were finished bright, even, and beautiful.

Gum health is a very important factor in veneer treatment.

The ceramic must not irritate the gum.

You can see the gums adapting in a healthy way.

The teeth are bright like this,

while faithfully showing the translucency characteristic of youthful teeth.

Even while minimizing tooth reduction,

it was finished beautifully.

Natural beauty

Since 2006, Dream Dental Clinic