TOOTH-SUPPORTED RESTORATIONS

Crowns and veneers:
preserve before replacing.

Ceramic restorations can change the shape, strength or appearance of teeth, but they should be planned around tooth health, enamel, gums and bite.

Crowns and veneers are supported by natural teeth, unlike implant restorations. A veneer covers mainly the front surface of a tooth; a crown covers more of the tooth. Both involve irreversible decisions when tooth structure is prepared.

01 · TREATMENT GUIDE

When is a crown considered?

A crown may be used when a tooth is heavily restored, fractured, structurally weak, significantly worn or needs a full-coverage restoration after other treatment. The health of the tooth root, gums and supporting bone must be assessed.

A crown is not a solution for every cosmetic concern. Removing healthy tooth structure only to create a uniform appearance has long-term consequences that should be discussed.

02 · TREATMENT GUIDE

When is a veneer considered?

A veneer is a thin restoration bonded mainly to the front surface of a tooth. It may be used to alter selected aspects of shape, colour or proportion where the tooth and bite are suitable.

Bonding to enamel is generally more predictable than bonding mainly to underlying dentine. Existing fillings, tooth position, grinding and desired colour change influence whether a veneer is appropriate.

03 · TREATMENT GUIDE

Planning a natural result

Aesthetic dentistry should consider facial proportions, lip movement, tooth display, gum levels, speech and bite. Photographs, scans and a trial smile or mock-up can help you understand the proposed changes before final preparation.

Natural teeth are not identical blocks of bright white. Shape, surface texture, translucency and small colour variations contribute to a believable result.

  • Ask how much tooth preparation is proposed
  • Request alternatives such as whitening, bonding or orthodontics
  • Discuss colour before treatment begins
  • Understand temporary restorations and sensitivity
  • Ask how grinding or bite forces will be managed

04 · TREATMENT GUIDE

Risks and maintenance

Possible issues include sensitivity, gum irritation, chipping, debonding, decay at restoration margins, bite discomfort and future need for root-canal treatment or replacement. Restorations do not make the supporting teeth immune to disease.

Daily brushing, cleaning between teeth, professional checks and protection from excessive bite forces help maintain crowns and veneers.

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