Articles Retreatment

Retreating Unnatural, Awkward-Looking Veneers

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

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

The number of dental restorations

made by computer has been growing recently.

They're restorations designed by computer

and fabricated using a machine called a milling machine.

Zirconia and most other ceramics

can be processed this way.

This kind of fabrication has considerable advantages.

It saves on both cost and time.

Many restorations are shifting toward this method,

but in terms of aesthetics, it still lags far behind.

Beyond saving cost and time,

it has no aesthetic advantage whatsoever.

Front teeth naturally carry a range of colors and translucency,

but veneers or all-ceramic crowns

made this way, using the one-day method,

end up with the same color and the same translucency throughout,

so they're mostly produced white and opaque.

Let's look at the retreatment of an awkward, unnatural-looking veneer.

Retreating Unnatural, Awkward-Looking Veneers — photo 1

This is the kind of feel it ends up with.

It's often described as looking like a row of xylitol gum stuck on.

The whole tooth is treated completely opaque and excessively white.

A natural tooth, by contrast, has a wide range of colors and translucency.

The color and translucency differ from area to area.

To achieve that kind of expression,

it's only possible by hand,

and it requires considerable skill and experience.

It also takes far more time and costs far more.

Now let's start the retreatment to make it natural.

Retreating Unnatural, Awkward-Looking Veneers — photo 2

First, we remove the veneer — this could be called the most important part of retreatment.

Doing this with a laser is, in my experience, the safest way

and the method that reduces damage to the tooth the most.

Retreating Unnatural, Awkward-Looking Veneers — photo 3

Even the remaining cement has been cleanly removed at this stage.

Now, using ceramic,

we begin fabricating a veneer that carries the feel of a natural tooth.

Retreating Unnatural, Awkward-Looking Veneers — photo 4

The veneer retreatment has been completed.

The shape and dimensionality of the teeth were expressed naturally,

and even the color and translucency

were reproduced in fine detail.

Retreating Unnatural, Awkward-Looking Veneers — photo 5
Retreating Unnatural, Awkward-Looking Veneers — photo 6

Checking from a variety of angles,

you can confirm that it was finished into a shape that's both natural and beautiful.

The color also matches well with the other natural teeth,

and it captures the full range of expression found in young, natural teeth.

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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