December 14, 2009
Not all people want perfect even teeth. This patient of mine was concerned about the discolouration and poor longevity of the resin bondings that had been done on her front teeth. While is would be possible to do orthodontics and straighten these teeth, the patients chief concern was to keep her smile looking ‘like me!’ – that is, to maintain the crowded appearance which created character that she had had all her life.
The most conservative option was new resin bonding to replace the discoloured fillings, but the two smaller lateral incisors had more extensive damage. We opted for a veneer on one and a crown on the other. You can see by the following photo that a crown is a more aggressive approach (right) than a veneer (left). The bondings had been redone at this stage.
I think the final results have been fantastic – it is very difficult to match one tooth and often people get 6 or 8 front teeth done together to make an easier colour match. Although this was more difficult, it ended up with must less damage to the mouth overall.
I thought I would share it. Happy New Year!
December 9, 2009
This patient was a pleasure to treat. As you can see there was some crowding issues with the front 2 teeth and all the teeth were quite dark. We bleached the teeth using at home tray whitening for a couple of weeks, and match full porcelain Empress crowns cemented onto the front 2 teeth. The full porcelain allows the light through them just like natural teeth so the result is very aesthetic. Traditional porcelain fused to metal crowns (PFM’s) tend to result in a more opaque ‘non-vital’ appearance.
December 8, 2009
Well, I have been a bit slack in writing new info. It takes time to get interesting photos and new ideas, although I see them every single day at work. I guess this post is to ask people for their dental problems, queries. I am here for free consultation – obviously I can’t look in your mouth, but I can give advice generally about dental questions you have. It will give me more info on what are the dental concerns people have that I can help with via the net. I mostly get wisdom tooth questions but thought this post might stimulate some others.
I’ll have a post coming soon on bleaching and full porcelain crowns for crowded front teeth based on an interesting patient I have just had the opportunity to help. Come and check it out in the next day or so.