Crowns

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Crowns are the standard of care for treating teeth that are damaged by decay, the breakdown of filling material or loss of enamel due to chewing forces while the root of the tooth is still healthy or endodontically treated.

In this case, we see all three types of damage to the crown of the tooth. Dr. Beers must remove the unhealthy tooth structure until only the healthy part remains. He then builds up the tooth to prepare it for a permanent crown that has been made in office or in the lab.

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Ken, a prominent businessman and aspiring politician. His chief concerns were short, dark front teeth and a 30 year old porcelain fused to metal crown on his upper right front tooth (#9).

The minimum treatment for ideal smile design on this case was to treat the upper front eight teeth (5-12) and the lower front eight teeth (21-28). This would involve seeing the periodontist for bony elongation of the upper and lower anterior teeth.

In the end, the patient chose to replace all of his old darkened crowns along with failing posterior amalgam fillings. The result gave this patient the winning smile he desired.

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Creating a natural smile is possible using porcelain crowns. This case uses anterior crowns on the two central teeth and tooth colored fillings on the two teeth on either side of those.