Can metal bonded porcelain ever look natural and is this my only option due to the dark tooth stumps I have?

Q.
All my top teeth have had crowns on from an early age, I recently had them replaced with all porcelain crowns but some of the tooth stumps i have are dark and unfortunately this darkness showed up through the crowns. I then had these removed and my dentist suggested metal porcelain bonded crowns instead, I have had these fitted but they don’t look right, the colour of them changes quite dramatically in different lights and they look dull, lifeless and ugly. They also seem bulkier than the previous crowns. There is a translucent area that has been incorporated into the crown which as I understood was supposed to make them more aesthetic but it doesn’t look very well blended with the crown and gives the appearance of a grey outline around the sides and bottom of the crown. I realise that metal bonded porcelain crowns are not as realistic as all porcelain crowns but mine look very false. Can metal bonded porcelain ever look natural and is this my only option due to the dark tooth stumps that I have?

Many thanks for any advice you can give me.

A.
Thanks for your questions. In some cases and in the right hands, porcelain fused to metal crowns can look excellent. The skill of the dental technician and Master Ceramist is crucial. It may be possible that the porcelain crowns could have been made with an opaque core that could have hidden he dark teeth. Sometimes the dark tooth stumps can be bleached before placing the porcelain crowns and this can help with the masking of the discolouration.

If you could come for an assessment we would be able to explore this even further

Kind regards.

Dr Mark Hughes Harley Street Dental Studio 52 Harley Street, London W1G 9PY Web: www.harleystreetdentalstudio.com Tel: 020 7636 5981 View My Profile Dr Hughes

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