Creating Even Front Teeth with Aesthetic Prosthetics at Sindang-dong Dental Clinic

Hello.

This is Dr. Kim Tae-young, the head director of Bareunyoung Dental Clinic in Sindang-dong, who personally explains treated cases.

Dental treatments include procedures like cavity treatment and periodontal treatment to alleviate pain or discomfort.

However, there are also aesthetic treatments like whitening, or orthodontic treatments such as braces or veneers, to align teeth.

Orthodontic treatment, such as braces, typically involves a very long treatment period

and a lengthy time to adjust to the changed occlusion.

For cases where braces are not used, veneer treatment, which has the advantage of minimal tooth reduction,

can achieve dramatic results in a short period.

However, veneers are not suitable for all teeth,

and sometimes, using crowns instead of veneers can lead to much better aesthetic results.

Today, I will introduce a case where even tooth shapes were created using crowns when veneers were not feasible.

What treatment is needed for even front teeth?

The chief complaint was a desire to straighten the uneven upper front teeth.

Both canines appeared to require retreatment due to old prosthetics and restorations.

Among the remaining four front teeth, only the central teeth seemed slightly overlapped,

but the view from above was completely different.

Considering the degree of tooth protrusion, rotation to the left and right, and overlapping parts of the teeth,

even before creating a diagnostic model, it seemed that a significant amount of tooth reduction would be necessary to align the teeth.

I believe collaboration with a dental laboratory is crucial for aesthetic treatment of the front teeth.

First, to determine the amount of tooth reduction,

we request the dental laboratory to design the tooth shape.

The reason a diagnostic model was essential in this case is that the degree of tooth protrusion varied,

requiring a standard for tooth reduction.

Although veneer treatment for minimal tooth reduction was considered,

the diagnostic results indicated that crown treatment was more recommended from an aesthetic perspective.

Now, we need to trim the tooth's outer shape for the diagnostic form.

Is root canal treatment always necessary for crown treatment?

As mentioned earlier, veneer treatment, which involves reducing 0.x mm,

was not possible for this patient.

Some of the most prominent areas required more than 1mm of reduction.

Generally, reducing protruded teeth often leads to root canal treatment.

This patient's dentition also seemed like a case that would require simultaneous root canal treatment,

but an X-ray showed that the inside of the nerve canal was calcified and narrowed.

So, I thought it might be possible to proceed without root canal treatment.

Two of the six teeth had already undergone root canal treatment, and I wondered if we could preserve the nerves of the remaining four teeth

without root canal treatment.

Therefore, I explained to the patient that we would try to preserve the nerves and proceed with the treatment,

and if symptoms appeared later, we would perform root canal treatment.

In such cases, careful tooth reduction is required during the trimming stage,

and medication must be applied to prevent sensitivity during internal treatment,

and follow-up visits were needed to check for symptoms.

This extended the treatment time ^^;;

Nevertheless, the patient cooperated very well, and as a result, to date,

the four teeth were completed without root canal treatment and without any sensitivity.

This is the model with the final prosthetics fabricated and applied.

Although there were some difficulties during the temporary tooth fabrication process,

I promised the patient, who trusted and waited for me,

that the final prosthetics would be beautifully crafted.

Precautions during prosthetic attachment

When viewed from above, it forms a very ideal arch,

unlike before.

When viewed from the front, the midline is well aligned,

and the teeth are symmetrical

in shape. The patient wanted a natural color that wasn't too bright,

so it was completed in a bright shade within that range.

The six crowns were attached one by one to the teeth,

and then time was spent readjusting the occlusion.

Because the occlusion with the old teeth

and the occlusion with the new prosthetics are different,

contact must be formed in a way that does not interfere with tooth movement.

Adaptation process after final prosthetic attachment

Initially, adjustments are made in the dental office without occlusal interference,

but at first, the occlusion may feel awkward, and teeth may collide.

For all prosthetic treatments in the oral cavity, the final attachment is not the end;

it is essential to visit once or twice initially to check and adjust any occlusal interference

that arises during the adaptation process.

As shown, when the teeth are uneven,

the results dramatically improve with prosthetics.

Of course, this case was one where tooth reduction was unavoidable,

but if treatment is performed with the most appropriate diagnosis for the patient's oral condition,

the patient's needs can be met, and good treatment results can be achieved.

Today, we looked at a case treated with aesthetic prosthetics for uneven teeth at Sindang-dong Dental Clinic.

If you have similar concerns,

I recommend visiting a dental clinic for a diagnosis,

and further, having a diagnostic model made and seeing it for yourself,

as this can help predict the treatment results to some extent,

and greatly assist you in making a decision.

I hope your questions have been answered,

and I will see you next time with another case.

Thank you^^

▼Cases worth reading together

We believe that proper treatment leads to proper results. My ideal dental clinic is one where everyone who visits with worries can leave feeling reassured and confident. — Bareunyoung Dental Clinic

Directions: JYJ Building, 2nd floor, 179 Dongho-ro, Jung-gu. Right in front of Exit 6 of Yaksu Station, towards Yaksu Market. Use Village Bus 5 (Yaksu Station), Village Bus 12 (Namsan Town, Yaksu Police Station), or bus stops (Yaksu Heights, Sindang Social Welfare Center, Gaon Library, Kumho Tunnel Entrance) from Yuyu Pharmaceutical towards Kumho Station.

This post was written directly by Bareunyoung Dental Clinic for the purpose of providing medical information and hospital advertising (in compliance with Article 56, Paragraph 1 of the Medical Service Act).

Frequently Asked Questions

What is aesthetic prosthetics?

Aesthetic prosthetics refers to treatments that not only address functional dental issues but also aesthetically improve the visible parts of the teeth. Various methods include whitening, orthodontics, veneers, and crowns.

Which treatment is more suitable: veneers or crowns?

Veneers can achieve results in a short time with minimal tooth reduction, but they are not suitable for all teeth. Depending on the degree of tooth protrusion or rotation, crown treatment may yield better aesthetic results.

Is root canal treatment always necessary for crown treatment?

No. Generally, extensive reduction of protruded teeth increases the likelihood of accompanying root canal treatment, but it may be possible to proceed without root canal treatment depending on the patient's nerve canal condition. In this case, it was performed without root canal treatment due to nerve canal calcification.

Is an adaptation period necessary after aesthetic prosthetic treatment?

Yes, it is. After the final prosthetic attachment, the occlusion may initially feel awkward, and teeth may collide. For prosthetic treatments in the oral cavity, the final attachment is not the end; it is crucial to visit once or twice initially to check and adjust any occlusal interference that arises during the adaptation process.

Why is a diagnostic model important for aesthetic front tooth treatment?

For aesthetic front tooth treatment, a diagnostic model is necessary to determine the amount of tooth reduction and to establish reduction criteria when the degree of tooth protrusion varies. This allows for the most aesthetic results with minimal tooth reduction.