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Dr Vikas PrinjaTheLondonDentistThe London Dentist
Educational view of a full ceramic crown seated over a prepared posterior tooth

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E.max ceramic crowns in London

An e.max crown is a full-coverage restoration made from lithium disilicate glass-ceramic, chosen where a tooth needs complete protection but the restoration must still transmit light like natural enamel.

At a glance

Longevity
Bonded lithium disilicate restorations are commonly reported to perform well beyond ten years where the bite is managed and hygiene is maintained.
Fees
E.max crowns start from £800 per tooth, including laboratory work. Root canal treatment, where the tooth needs it beforehand, starts from £495.

E.max crowns start from £800 per tooth, including laboratory work. Root canal treatment, where the tooth needs it beforehand, starts from £495.

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Assessment and diagnosis before any cosmetic treatment

IllustrationEducational illustration — a full ceramic crown covers the prepared tooth when partial coverage cannot provide protection.
Educational illustration of a full-coverage lithium disilicate style ceramic crown seated over a prepared posterior tooth

Who is suitable for e.max crowns?

  • Teeth that are heavily restored, root-treated or fractured and need full coverage
  • Visible teeth where a metal-based crown would look opaque
  • Patients whose bite has been assessed and, where necessary, managed first

What problems does e.max crowns solve?

  • Extensive tooth loss or fracture
  • Failing large fillings that can no longer be repaired
  • Discoloured or opaque older crowns
  • Teeth needing protection after root canal treatment

What happens at the e.max crowns assessment?

  • Assessment of remaining tooth structure and whether an onlay would suffice
  • Bite and wear analysis, including grinding habits
  • Radiographs and vitality testing where indicated
  • Shade and translucency selection with the laboratory

How does e.max crowns work?

  1. 01

    Planning

    Coverage is decided — filling, onlay or full crown — based on how much sound tooth remains.

  2. 02

    Preparation

    Only the tooth surface required for the material thickness is prepared.

  3. 03

    Records

    A digital scan and shade record are sent to the laboratory.

  4. 04

    Temporary

    A provisional restoration protects the tooth and tests shape and bite.

  5. 05

    Fit

    The crown is bonded, the bite checked and margins finished.

What are the benefits?

  • High strength with genuine translucency — no metal substructure
  • Bonded rather than only cemented, which supports the remaining tooth
  • Predictable shade matching for front teeth

What are the limitations?

  • Requires removal of tooth tissue and is not reversible
  • Not always the first choice for heavy posterior grinding, where zirconia may be advised
  • Existing crowns and fillings will not lighten with whitening, so shade is planned first

What are the risks of e.max crowns?

  • Sensitivity after preparation
  • Nerve inflammation in a heavily restored tooth, occasionally requiring root treatment
  • Fracture or debonding under an unmanaged bite

What are the alternatives to e.max crowns?

How long does e.max crowns last?

Bonded lithium disilicate restorations are commonly reported to perform well beyond ten years where the bite is managed and hygiene is maintained.

How is e.max crowns maintained?

  • Routine hygiene appointments
  • Night guard where grinding is present
  • Avoiding biting hard objects with crowned teeth

How much does e.max crowns cost in London?

From £800Guide fee

E.max crowns start from £800 per tooth, including laboratory work. Root canal treatment, where the tooth needs it beforehand, starts from £495.

A written plan with itemised fees is provided after assessment, before any treatment is agreed. See the full fee guide.

Clinical cases

E.max crowns cases

Published only with explicit patient consent.

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
E.max crowns · Crowns & bridges

E.max crown on a central incisor

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

Common questions

E.max crowns: common questions

All frequently asked questions

Are veneers always necessary for a smile makeover?

No. Many smile makeovers are achieved with alignment, whitening and bonding, which preserve more natural tooth. Ceramic veneers are indicated when shape, strength or colour cannot be changed predictably by less invasive means.

How do I choose between bonding and veneers?

Bonding is usually additive, repairable and reversible, but stains more readily. Veneers are more stain resistant and durable, but require enamel preparation and are irreversible. The right choice depends on tooth position, remaining enamel, bite and how much change is needed.

Evidence & references

Where this information comes from

Author

Written by

Dr Vikas PrinjaThe London Dentist

Cosmetic, restorative and implant dentistry, London.

About Dr Vikas Prinja
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