patient concerns:
mismatched shades of enamel
recession of gumline showing root
stained enamel
tooth size discrepancies
minor orthodontic issues such as rotated teeth
my approach:
because the patient's bite was relatively normal, and there were no other complications related to his periodontal health, we decided to use lava crowns to restore his six front teeth on the top arch. i have used lava crowns (porcelain fused to a zirconium substrate) for years and have found them to be beautiful and highly durable. this patient was ecstatic about the result, and his wife says she can't get him to quit smiling, not that she would want him to...