A 43-year-old female presented to our office with a chief complaint that she was unhappy at her last office because of her veneers. She had them redone twice because they didn’t fit right and they were very cold and dark looking. She also said the front veneer was damaged and they tried to fix it but they left a dark mark.
The examination showed that the upper right central incisor did have a dark line in the center of it. The upper left lateral incisor had root exposure near the gumline. This patient is a heavy grinder at night and wears a nightguard to help. There were some areas with cavities and generalized wear that needed to be addressed first.
The treatment began with minor restorative work on the posterior teeth and study models to analyze the bite. We decided to go with full crowns on the 4 front teeth to give added strength as veneers would likely chip under the heavy grinding forces.
We seated the 4 anterior crowns successfully and chose a warmer shade of white to create a more natural looking smile. We made a new nightguard to help protect the existing crowns and prevent further damage and breakdown of her other teeth.