Articles vs Crowns

A Clinic Recommended in Sinsa-dong: Veneers and All-Ceramic Crowns That Balance Space and Proportion

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

Hello.

I am Park Jonguk, director and board-certified specialist in conservative dentistry at Dream Dental Clinic, a clinic recommended in Sinsa-dong.

Veneers and all-ceramic crowns are both methods for reshaping teeth.

The process of transforming teeth to look beautiful is exactly what tooth reshaping is.

As with most areas of medicine, but

especially in the case of tooth reshaping,

there is truly not a single case that's identical to another,

and the treatment has to differ from person to person.

Rather than a one-size-fits-all treatment,

treatment needs to be carried out creatively, tailored to each case.

Especially when there's a spacing problem,

even more creativity is needed.

If we consider improving the arrangement and shape of the six front teeth

to be the goal of tooth reshaping,

then when the space that should hold six teeth is either too little or too much,

causing problems with the arrangement,

this part has to be solved creatively.

A Clinic Recommended in Sinsa-dong: Veneers and All-Ceramic Crowns That Balance Space and Proportion — photo 1

One of the upper left front teeth was missing.

As a result, the space was large, and crowns had been placed to fill it,

with only 2 teeth, rather than 3, used to fill that space.

The space was too narrow to fit 3 teeth,

yet too large to fit just 2.

In a case like this, if treatment is done with only 2 teeth,

both teeth end up quite oversized.

For 3 teeth to fit, they all have to be made smaller.

A Clinic Recommended in Sinsa-dong: Veneers and All-Ceramic Crowns That Balance Space and Proportion — photo 2

Viewed from the side, the canine was positioned quite high.

The front tooth was positioned too low.

Both a spacing problem and a positional problem with the teeth existed together.

For the best possible result at our clinic recommended in Sinsa-dong,

we had to figure out how to treat it in the best way,

trying out a creative approach.

A Clinic Recommended in Sinsa-dong: Veneers and All-Ceramic Crowns That Balance Space and Proportion — photo 3

First, the two front teeth were asymmetrical.

The starting point of dental aesthetics is the symmetry of the front teeth.

To achieve symmetry, a veneer was needed for the right front tooth.

Of course, the lateral incisor next to the front tooth doesn't exist on the opposite side, so naturally the symmetry doesn't line up.

In this situation, we had to decide whether to solve it by shaping the 2 left teeth as a central incisor and a lateral incisor,

or whether to solve it by adding one more tooth.

At our clinic recommended in Sinsa-dong, there was one more complicating factor on top of this dilemma:

severe gum asymmetry.

The gumline was too uneven, and that also had to be addressed at the same time.

A Clinic Recommended in Sinsa-dong: Veneers and All-Ceramic Crowns That Balance Space and Proportion — photo 4

In a case like this, it's better to prioritize symmetry when the teeth are viewed from the front.

We planned to treat it by expanding the 2 teeth into 3.

Having 7 teeth this way would have been ideal, but

since the patient wanted to keep the number of veneers to a minimum,

we redesigned the existing 2 crowned teeth into 3, and

decided to treat the asymmetrical right central and lateral incisors with veneers.

Since only part of the canine is visible when viewed from the front,

not matching its size symmetrically doesn't look very awkward.

A Clinic Recommended in Sinsa-dong: Veneers and All-Ceramic Crowns That Balance Space and Proportion — photo 5

This shows the state after the crowns were removed and the teeth were reduced for the veneers.

For the right lateral incisor, we proceeded with no-prep, while

the central incisor needed a substantial size change, so it required somewhat more reduction than a standard veneer.

The interproximal area, in particular, had a bit more reduction than the other parts.

Rather than gum contouring, we proceeded by designing the ceramic so that the gums would appear to change naturally.

A Clinic Recommended in Sinsa-dong: Veneers and All-Ceramic Crowns That Balance Space and Proportion — photo 6

The veneers and the all-ceramic crown (in a bridge configuration) were fabricated in ceramic.

Because the two parts use different materials, matching the color and translucency between them is quite tricky.

By making the tooth color slightly darker near the gumline,

we created an optical illusion that makes the tooth look visually shorter.

Details like this matter a great deal to the final result.

A Clinic Recommended in Sinsa-dong: Veneers and All-Ceramic Crowns That Balance Space and Proportion — photo 7
A Clinic Recommended in Sinsa-dong: Veneers and All-Ceramic Crowns That Balance Space and Proportion — photo 8
A Clinic Recommended in Sinsa-dong: Veneers and All-Ceramic Crowns That Balance Space and Proportion — photo 9

Through reshaping 5 teeth,

a clear, definite change can be achieved.

The sense of stability that comes from symmetry

accounts for a very large share of the aesthetic result.

The symmetry of the 4 front teeth makes an enormous aesthetic difference.

A Clinic Recommended in Sinsa-dong: Veneers and All-Ceramic Crowns That Balance Space and Proportion — photo 10

Needing creativity

also means that a correspondingly rich amount of experience is needed.

This has been Park Jonguk, board-certified specialist in conservative dentistry at a clinic recommended in Sinsa-dong.

Since 20067, 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.

Original post

More on this topic

Book a Consult