Presenting Clinical Problem
- Anterior teeth appearing reduced in vertical dimension
- Generalised tooth discolouration
- Concerns regarding tooth proportion and aesthetics
- Multiple teeth requiring assessment
- Patient seeking comprehensive aesthetic improvement
- Primary objective: Enhance tooth length and improve colour
Treatment Plan & Clinical Process
Phase 1: Assessment and Treatment Planning
- Comprehensive aesthetic assessment and smile analysis
- Evaluation of tooth structure and existing restorations
- Digital smile design to plan final tooth dimensions
- Determination of appropriate restoration for each tooth
- Shade selection and treatment planning
Phase 2: Tooth Preparation
- Preparation of teeth for combination of crowns and veneers
- Consideration of vertical dimension changes
- Detailed laboratory communication regarding design
- Temporary restoration placement during fabrication
Phase 3: Restoration Placement
- Trial fitting to verify length, proportion and colour
- Permanent cementation with appropriate protocols
- Occlusal adjustment for comfortable function
- Post-placement care instructions
Clinical Outcome
Multiple porcelain veneers and crowns were placed to modify tooth length and improve colour. Treatment involved preparation of multiple anterior teeth with placement over several appointments.
Individual responses to restorative treatments vary. Treatment outcomes cannot be guaranteed. Both veneers and crowns can fracture, debond or develop marginal issues, typically requiring replacement every 10-15 years though longevity varies considerably.
Frequently Asked Questions for Sunbury Patients
Why use both veneers and crowns in one treatment?
Different teeth may require different restoration types based on their condition. Crowns provide more structural support for compromised teeth, while veneers are suitable for intact teeth needing primarily aesthetic changes. Combining both allows tailored approach for each tooth.
Will longer teeth look natural?
Properly designed restorations can appear natural when proportions are planned carefully. Significant length changes require consideration of facial features, lip dynamics and smile line. Realistic expectations are important as extreme changes may not look natural.
