Cosmetic all-ceramic crowns: Case 74

Cosmetic all-ceramic crowns: Case 74

40 year old Frisco woman came into the office with one of her front teeth in hand. She had an upper lateral incisor fracture below the gum line. The tooth had a root canal and crown placed 15 years ago and finally failed. At the same time she had veneers placed on her other front teeth. While the remaining teeth were not broken, they had become chipped, stained, and decayed in some areas. It was evident that not only did we need to get this woman a tooth in a hurry, but that it was time to freshen up the entire smile. She was given the choice of an implant or bridge to replace the failed tooth. After seeing photos and models of both treatment options she decided that the bridge was the best choice for her. If you look closely at the final restoration photos it will be impossible to tell that one of the crowns has no tooth under it, and is actually bonded to the surrounding teeth. While implants are excellent choices to replace teeth, they are not the only option available. The retained root was removed and a retainer fitted to replace the missing tooth during tissue healing. Once the gums healed from the extraction, molds were made to create a wax-up of the proposed final product. That wax-up allowed us to create provisional restorations on the day of tooth preparation that exactly mimics the size and shape of the final restorations. The patient is allowed to wear the provisional for 1 week prior to crown fabrication to ensure that they are happy with the function and esthetics of the final restorations. This also gives them, a chance to let their family members, or any one important, give them feedback about what looks the most natural. Once everyone is happy with the mock-up the lab is instructed to fabricate the final product.