07/23/2022
All art is but imitation of nature.β - Seneca the Younger.
This patient had a childhood accident where half of one of her front tooth was broken and was repaired years ago with a filling. The discoloration and roughness is easy to see in the second photo and the esthetics were limited with the technologies of the time it was repaired.
Of course there are many treatment options.
A common treatment option is to place a crown using porcelain on tooth with the childhood accident.
This would involve shaving the tooth down and placing a porcelain crown or porcelain veneer in it.
Even though this is what most dentists would do, I donβt think that this is something that we should do in this situation.
With only the one tooth crowned or veneered with porcelain, it will be nearly impossible to match the neighboring natural teeth due to the light scattering properties of porcelain, the translucency of porcelain versus real tooth structure, and the inability for most dentists to communicate in that detail with their lab artist on how to create the three-dimensional coloration that is uniquely present in every natural tooth.
This is the reason why a many dentists commonly recommend 6, 8, or even 10 veneers on the teeth surrounding the single porcelain crown to camouflage the effect of porcelain in the smile.
We were able to repair it another way.
Without shaving any of her natural tooth. AND WITHOUT shots. In first photo, composite was layered with 4-5 different shades of composite and the single tooth was stained with 2-3 other special color modifiers to achieve this identical result. The patient was so happy with the result and that to a cosmetic dentist, is everything!
The smile truly is the prettiest thing you can wear.
π