Articles Discolored Teeth

Teeth with Congenital Discoloration: Restoring Aesthetics with Veneers

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

Hello, I am director Park Jonguk.

The causes of front-tooth discoloration are quite varied.

The most common is 1. discoloration caused by tooth decay.

When a tooth develops a cavity, it darkens, but

in most such cases, treating the cavity resolves it.

Another common cause is 2. staining from food.

Since this is a form of surface staining, it improves considerably with whitening or surface polishing.

3. Teeth that have had root canal treatment can also become discolored.

4. Trauma to a tooth can also cause discoloration.

There are many such varied causes of discoloration, and

the treatment method differs depending on the cause.

The problematic type is 5. congenital discoloration, or discoloration that occurs during the growth period.

This kind of case occurs across multiple teeth at once, and

whitening has almost no effect.

Even though congenital discoloration or discoloration from the growth period has various causes,

the treatment converges on a single method: veneers.

Teeth with Congenital Discoloration: Restoring Aesthetics with Veneers — photo 1
Teeth with Congenital Discoloration: Restoring Aesthetics with Veneers — photo 2

It's hard to make out clearly in photos, but

this was a case where the discoloration looked very pronounced depending on the viewing angle.

The tooth shape wasn't good either,

showing what I call a "jar shape" — an aesthetically unappealing tooth form.

To brighten the teeth and improve their shape,

the patient came in for veneer treatment.

For veneer treatment addressing discoloration, securing enough ceramic thickness is very important.

If you try to blindly minimize tooth reduction no matter what,

you won't be able to effectively cover the tooth's color.

For the right amount of tooth reduction,

a wax-up precision diagnosis process is essential.

Teeth with Congenital Discoloration: Restoring Aesthetics with Veneers — photo 3
Teeth with Congenital Discoloration: Restoring Aesthetics with Veneers — photo 4
Teeth with Congenital Discoloration: Restoring Aesthetics with Veneers — photo 5
Teeth with Congenital Discoloration: Restoring Aesthetics with Veneers — photo 6

Measuring the proportions and size of the teeth, and

checking the arrangement of the teeth and the shape of the dental arch, is more important than anything else.

Reduction should be kept as minimal as possible, but

enough ceramic thickness has to be secured to cover the discoloration.

Teeth with Congenital Discoloration: Restoring Aesthetics with Veneers — photo 7

A guide should always be used for tooth reduction.

Reducing the tooth precisely is very important both for the health of the tooth and

for minimizing side effects that could arise from the veneer later on.

The less the tooth is reduced, the fewer the side effects.

Teeth with Congenital Discoloration: Restoring Aesthetics with Veneers — photo 8

Tooth reduction for the veneers has been completed.

The discoloration of the tooth is clearly visible.

Teeth with Congenital Discoloration: Restoring Aesthetics with Veneers — photo 9

Using the veneer's temporary teeth,

we check the change in tooth shape, and

also check whether the discoloration is properly covered.

Teeth with Congenital Discoloration: Restoring Aesthetics with Veneers — photo 10
Teeth with Congenital Discoloration: Restoring Aesthetics with Veneers — photo 11
Teeth with Congenital Discoloration: Restoring Aesthetics with Veneers — photo 12

The veneer treatment has been completed.

You can see that both the shape and color of the teeth have clearly improved.

Teeth with Congenital Discoloration: Restoring Aesthetics with Veneers — photo 13
Teeth with Congenital Discoloration: Restoring Aesthetics with Veneers — photo 14

The appearance one year after treatment also shows the result has held up well.

Natural beauty, Since 2006

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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