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Rough and Chipped Front Teeth: Porcelain Crowns Case Study

Jamie came to Appletree complaining of rough, chipped teeth which were ‘brown in colour and different sizes.’

Jamie’s teeth before his porcelain crowns

Dr Murphy advised him that – regardless of whether Jamie achieved his expected treatment outcomes – he would need to wear a removable appliance at night to prevent further enamel/dentine grinding and probable further tooth loss.

It was agreed to test Jamie’s tolerance to this first and he started wearing the appliance in conjunction with the tooth whitening was being carried out.

After three weeks Jamie felt better about the colour of his teeth and stated that he was “sleeping better now that I’m not grinding my teeth at night…and so is my wife!”

Better Looking Front Teeth

He still wanted to have something done permanently to the upper front teeth to improve the shapes and sizes, not to mention the rough/sharp edges.

Dr Murphy advised against porcelain veneers as there was a lot of dentine on view – notoriously difficult to bond onto in heavy wear cases.

Jamie had tried composite bonding with other dentists and it had always failed. After considering the risks involved in crown preparation – nerve damage in 10% of teeth, over a ten year period – Jamie consented to porcelain crowns.

Jamie’s teeth after his porcelain crowns

He was very happy with the outcome.

“My teeth are whiter, straighter, smoother….but I still feel they are natural. This wasn’t going to be Hollywood as I’m in my 50s! I can’t thank Dr Murphy and his staff enough.”

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