Remaking Old All-Ceramic Crowns — an Apgujeong Dental Clinic Patients Recommend

Hello.

I'm Park Jonguk, director and board-certified specialist in conservative dentistry at Dream Dental Clinic, a clinic recommended in Apgujeong.

Front-tooth reshaping is carried out using two methods.

The method that minimizes tooth reduction is the veneer,

and the treatment used when various issues leave no choice but to remove a lot of tooth structure is the all-ceramic crown.

Cases where a great deal of tooth reduction is unavoidable include

cases with severe decay that required root canal treatment,

cases where the tooth is badly broken,

cases where discoloration is so severe that extensive reduction is required,

and malformed teeth, among others.

When these fit well within the indications for an all-ceramic crown, there's no issue.

In reality, in quite a lot of cases that actually needed orthodontic treatment,

without going through orthodontics, just to line up the teeth evenly,

a great deal of tooth is removed, even going as far as root canal treatment, in order to place all-ceramic crowns.

Orthodontics is a method that arranges teeth by moving and rotating them into position.

The problem is that it takes a long time.

In order to make the teeth look nice quickly,

when the approach is heavy reduction and capping the whole tooth instead,

a range of side effects tend to follow.

The lifespan of front-tooth reshaping, veneers, and all-ceramic crowns is generally expected to be around 7 to 10 years.

Since these are front teeth, if not much chewing force is applied to them during meals,

the chance of fracture or debonding can be lower.

But due to occlusal issues or eating habits,

many cases end up lasting for a shorter time.

When a problem develops with a veneer or all-ceramic crown like this,

retreatment becomes necessary.

In this process, let's look together at Dream Dental Clinic, a clinic recommended in Apgujeong, at the important points to consider.

The patient had all-ceramic crown treatment on four front teeth several years earlier,

and reportedly went through multiple rounds of retreatment since then as each tooth kept fracturing and debonding.

With old veneers or all-ceramic crowns,

one of the most common problems is gum inflammation.

The most common reason inflammation occurs

is improper brushing technique,

but another cause is improper or excessive tooth reduction, or errors in the ceramic design.

It's also quite common to see cases where the reduction went too deep beneath the gum.

In cases like that, no matter how diligently the patient brushes,

the inflammation doesn't go away easily.

In this case, since the patient was brushing well,

the inflammation had progressed into a mild, chronic form rather than a severe one.

Fracture and debonding are also among the major causes of retreatment.

Sometimes it happens simply from age,

sometimes from heavy force applied while eating,

and it can also fracture easily when the bite isn't aligned properly.

After identifying these various issues,

we establish a plan for which direction the treatment should take.

The positional relationship between the face and teeth,

how much tooth shows when speaking or smiling,

occlusal issues,

the proportions among the teeth and the degree of protrusion,

and the position of the teeth on the occlusal plane are all assessed.

We then carry out a process of building the planned treatment in wax beforehand.

Working out a detailed treatment plan before starting is very important.

We consider both how to address the problems and whether there will be issues in the long term.

This is the state after removing the existing all-ceramic crowns.

The teeth were severely discolored, and far too much tooth had already been removed.

There were various other problems as well.

First, we removed the discoloration without reducing the tooth any further,

and finely smoothed it to prevent inflammation from developing later.

Using a microscope, we started with treating the decayed areas

and finished shaping the tooth near the gumline in more detail.

We then move on to remaking the all-ceramic crowns in ceramic.

You can see that the gum inflammation has completely disappeared.

The shape, color, and translucency of the teeth all showed considerable improvement.

How much tooth shows when smiling, and its relationship with the lips, also improved considerably.

The teeth look bright and beautiful while still retaining the feel of natural teeth.

Retreatment of veneers and all-ceramic crowns

requires considerable experience and know-how.

Dream Dental Clinic, a clinic recommended in Apgujeong, has been providing aesthetic dentistry, tooth reshaping, veneers, and all-ceramic crowns in Apgujeong since 2006.

Since 2006, Dream Dental Clinic