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Dr Vikas PrinjaTheLondonDentistThe London Dentist

Clinical case

E.max crown on a central incisor

E.max crowns · Crowns & bridges
The same central incisor restored with a bonded e.max ceramic crown, matched in shade, translucency and surface texture to the neighbouring teethClinical photograph of a prepared upper central incisor, darker than the adjacent teeth and reduced ready for a full-coverage crownBeforeAfter

Patient concern

A heavily restored front tooth that no longer matched its neighbour and needed full protection.

Clinical assessment

Too little sound tooth remained for a partial-coverage restoration, so full coverage was indicated. The underlying tooth was darker than the adjacent teeth, which made material choice and shade planning the deciding factors for the result.

Treatment rationale

Lithium disilicate was chosen because it transmits light in a way a metal-based crown cannot, which matters on a single front tooth sitting beside natural enamel. Shade, translucency and surface texture were recorded with the laboratory before preparation, and the crown was bonded rather than only cemented so it supports the remaining tooth.

Appointments
Preparation, temporary, fit
Treatment duration
Two clinical visits with laboratory time between

Consultation

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