RM always had gaps between her teeth and although she admits that she liked it as a child, she was unhappy with them as an adult. We discussed moving the teeth orthodontically (braces or invisalign) but she was also unhappy with the shape of the teeth. The top 8 teeth are porcelain crowns and four of the lower teeth have direct bonding to close the gaps. RM says that she can’t stop smiling.
AF had been wearing a fake front tooth for several years and a previous dentist had placed porcelain crowns that were not to AF’s liking. We placed an implant in the gap and then placed 6 porcelain crowns. AF said it was a relief not to have to hide the unesthetic teeth.
When the original tooth isn’t strong enough to hold a cosmetic filling, it is necessary to place a crown. The outer 1-1.5 millimeters of the tooth are removed and a crown is placed. The newer porcelain crowns have a dazzling depth of color that can match the existing natural teeth so that the new crown disappears. These crowns are the ones used in instant orthodontics – they can change the position of the existing teeth.
The newest technology uses a zirconia shell to cover the tooth and then the natural appearing porcelain to provide the aesthetics. The zirconia is translucent so the natural color can show through, and they are almost as hard as diamonds so they are incredibly strong.