An upcoming wedding highlighted a mismatch with an old porcelain crown.
“Jocelyn came to see me about an implant supported crown at the front of her smile. It just didn’t fit with the rest of her teeth. It was too bright, the wrong shape and stuck out in relation to her other front tooth. She had a very special day coming up – her wedding day – when all women want to look their best. We discussed removing the old crown and supporting abutment and custom designing a new tooth that would be undetectable in relation to her other front tooth. The result was outstanding – perfect form, colour and position, thanks to great teamwork with my ceramist Brad Grobler. ” Dr Andrea Shepperson
- Digital Smile Design (DSD) to determine ideal tooth position.
- Removal of the existing crown and re-design of the supporting titanium abutment.
- Construction of a temporary crown to test the new shape and gum contours.
- Construction of a new crown and try in for colour and shape refinement.
- Cementation of the finished result
These images of Jocelyns existing implant crown show the malposition of her tooth in relation to the other front tooth. We didn’t know whether we could get the old supporting abutment unscrewed from the implant. Unfortunately it wouldn’t come free so we had to re-prepare the underlying titanium abutment into a new position to allow construction of the ideal shape.
Matching a single front tooth in the midline is the hardest thing to do in dentistry. It takes several additional appointments to check contour and modify shade. We work closely with our local ceramist Brad Grobler until we have the perfect result.