Orange County Cosmetic Dentist
When Jackie (from Laguna Niguel, Orange County, CA) was younger she fell and chipped her two front teeth. Her parents took her to their family dentist and he made two porcelain fused to metal caps for her. Jackie was happy not to have to go around with two broken front teeth any more, but when she looked at herself in the mirror she thought they looked like “caps”, not natural teeth. Thus she was always a bit dissatisfied with her cosmetic dentistry and self conscious when she smiled.
Years passed and Jackie graduated from college, got married and had a family but she never got over the way her front tooth looked. Finally she was so dissatisfied that she came to our cosmetic dental practice in Orange County to ask us if there was any other way of remaking her “caps” so that (this time) they look like real teeth?
Before examining Jackie’s teeth we asked her specifically what she didn’t like about the way her two old porcelain fused to metal crowns looked? She said:
- “my gums are darker around the crowns”
- “the color doesn’t look the same”
- “they feel too thick”
- “when people look at my smile I don’t want it to be apparent that my teeth have been capped”
Upon looking careful at Jackie’s two front caps it was obvious that, considering when her dentist made those crowns for her, he actually did a very nice job! It is just that Jackie had high, but not unrealistic expectations. Fortunately cosmetic dentistry now offers amazingly improved techniques and materials to the porcelain fused to metal crowns that her family dentist had used. Yes, we could redo the two old caps and give her beautiful, natural looking all-ceramic (non-metal) porcelain crowns that would achieve her objectives—look like she had natural teeth that hadn’t been crowned!
Dark Line Around Gums
“But what about the darkness around my gums?” Jackie asked.
We explained that much of the darkness was because with her old porcelain-fused-to-metal crowns the metal stopped light from going into her tooth, down the roots and gums. We would use all-ceramic (non-metal) with her new crowns which would all light to pass through the crown, into the roots and gums like all her other teeth. Thus her new crowns would be surrounded by healthy, pink gums, not darkened gums like she had with her old crowns.
When Jackie was assured that we could give her natural looking all-ceramic non-metal crowns that looked like “real teeth” and that her gums would look normal, without any darkness around the caps, she was ready to proceed with replacing her old porcelain fused to metal caps.
Natural Looking All-ceramic Crowns
Jackie’s treatment went smooth. The first visit we gently removed her old caps, took impressions for her new all-ceramic crowns, and made her temporary crowns. Two weeks later she returned, we removed her temporary crowns and bonded (cemented) her two new all-ceramic crowns in place.
Natural Surface Texture
One of the special characteristics that was specifically added to Jackie’s new all-ceramic crowns to make them appear very “life like” was “slight surface texture” to match her other natural teeth. This is contrasted by having no surface texture in her old crowns. Surface texture can be best seen by how light reflects off of the front surface of teeth and crowns, as clearly demonstrated in the upper photo that shows both the before and after photos together.
Jackie was very pleased with the end results. She got the natural looking teeth and smile that she had always wanted!