A severely chipped front tooth The tooth prepared for a porcelain crown The porcelain crown being seated. The tooth restored to a natural appearance.
When the structure of an entire tooth is compromised, a crown, which covers all of the surfaces of the tooth, will need to be placed. The example above illustrates a fractured front tooth.
The first step is to prepare the tooth for a crown, which requires reduction of the tooth so that the lab has enough room to produce a life-like crown. We then take an impression, select the proper color for the crown and make a temporary, at which time the first appointment is completed.
Your case is then sent to the lab to make the crown, which is then tried in and adjusted. Our job is to communicate what your wishes and desires are to the lab technicians so your new crown will be in harmony with the surrounding teeth.
Before your new crown is cemented, we check the fit, the contacts, the bite and the color to make sure it has the same characteristics of your natural teeth.
Crown Before/After Gallery
Before After This patient had four porcelain crowns placed on her front four teeth from a previous dentist following a rollerblading accident. She was not happy with the color and she felt that they did not look very life-like. She had also chipped the tooth on the bottom left. At right, you see The previous crowns were removed and after two appointments the new porcelain crowns were cemented. They now have the appearance of natural teeth and have a definite lifelike quality to them. The patient is very happy with the result.
Before After Most dentists would agree that the single hardest restoration to do is a single crown on a central incisor. The upper central incisors are the two front teeth in the middle of the upper jaw. It is a difficult process because the crown must match the remaining central incisor. This patient had a crown placed by a previous dentist. After a few years the gum tissue receded and exposed the margin. The previous crown was removed, and after two appointments, the new porcelain crown was cemented. The new crown matches the adjacent central incisor and has the appearance of a natural tooth.
Before After This patient had an existing crown on a central incisor and was unhappy with the unrealistic appearance. He was similarly unhappy with the shape, color, and appearance of his other, natural teeth. The previous crown was removed. At his second appointment, the new porcelain crown and five porcelain veneers were cemented. The teeth are now in harmony and they look very natural. The lower teeth were cleaned and whitened before the top teeth were restored so that the the teeth are now in harmony and look very natural.
Before After This is a combination case involving both crowns and veneers. There were old porcelain crowns on the two front teeth. The patient was unhappy with the color, shape, and length. The treatment involved the front six teeth. The old porcelain crowns on the two front teeth were replaced with new porcelain crowns. Four porcelain veneers were placed on the two teeth on either side of the front teeth. The result is natural-looking and aesthetically pleasing. The patient was very pleased and was no longer self-conscious about her smile.
Before After This is an extreme close up of two porcelain crowns that were placed by a previous dentist. The patient was unhappy because the crowns were not equal in size and a black edge was visible near the gumline of the crown on the right of the photograph. Two new porcelain crowns were made and placed with a much better result. They look more natural and life-like than the previous crowns.
Before After This patient had crowns and bridges on several teeth that were decayed. This necessitated replacement of the existing work. Her wish list was to improve the aesthetics and the angulation. The results rejuvenated the patient. In her words, “All I have to do is open my mouth and my teeth are smiling!”
Before After This patient had crowns and large fillings on almost all of her top teeth. She was so unhappy with her current appearance that when asked to smile she said, “I don’t have one.” Treatment involved placing ten porcelain crowns. The results are evident in the expression on her lips. The word “smile” was back in her vocabulary.
Before After This patient had existing crowns on the front four teeth that were too white (yes, crowns can be too white!). They did not fit the teeth properly and caused the gums to swell and become red. The way in which crowns fit the teeth is as important as the way they look. The old crowns were replaced with new porcelain crowns. The new crowns appear more natural and fit the teeth properly; evident by the way the porcelain meets the gums.. In cases like these, the gum tissue takes a few weeks to heal.
Before After This is another close up of the front four teeth. The gum tissue is healthy but the patient wanted more natural-looking crowns to replace the old crowns, which were starting to show darkness at the gumline and appeared dull. The four crowns were replaced with four porcelain crowns that met the patient’s desire for them to look like natural teeth.
Before After As evident in the lower image, the patient was missing the upper back teeth on one side (left side of the photo). She was unhappy with the missing teeth and the appearance of the rest of her teeth. The results were achieved with implants to replace the missing teeth and crowns and veneers to improve the aesthetics of her natural teeth.
Before After This is an image of the last three teeth in the lower jaw. They had very old silver fillings. The fillings and the teeth were wearing out. The treatment consisted of placing porcelain crowns on the teeth. These crowns are more than just for appearance. They returned the teeth to their original height and shape; restoring function.
Before After This patient’s tooth broke off at the gumline. He also had crowns on some teeth that did not fit well and needed to be replaced. The patient was very happy with the results. An implant replaced the broken tooth, the old crowns were replaced, and the bottom teeth were whitened.