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Crown vs. Veneer | Gideon Nussbaum DDS

Crown vs. Veneer

This traumatic injury illustrates the significant difference between a crown preparation and porcelain laminated veneer preparations. Figures 1-4 show the broken natural crown and part of the front tooth root as a result of tripping and falling flat on the face.

[one_half first]fig. 1

fig. 3

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[one_half]fig. 2

fig. 4
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The remaining good root is slowly pulled out of the bone in Fig. 5 (forced orthodontic eruption). The broken tooth (right central) is then prepared for a crown after a root canal therapy and placement of a post and core foundation (Fig. 6)

The left central incisor was restored with a porcelain laminated veneer to replace a previously composit bonded incisal edge to match the symmetry of the extruded broken tooth.

[one_half first]fig. 5

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[one_half]fig. 6

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As can be seen from different views of the fabrication casts in Figures 7-10, the removal of tooth structure is much more extensive with a crown, which is why a veneer restoration may often be the more conservative choice.

[one_half first]fig. 7

fig. 9

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[one_half]fig. 8

fig. 10
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In reality, each case has different factors which determine what kind of a restoration should be placed. The final treatment outcome can be seen in Figures 11-12

[one_half first]fig. 11

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[one_half]fig. 12

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A complex situation like this may have an obvious diagnosis, but the treatment planning can be quite veritable. The following questions for example may be considered:

  • Is an implant (artificial root) a viable alternative?
  • What are the pros and cons of placing an implant?
  • Is a root canal therapy needed to save a tooth?
  • What about a fixed bridge?

Last but not least : What influences the treatment plan? An insurance network policy or the dentist and the patient?

 

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« Porcelain Veneers
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Limited Orthodontics »
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