{ The Online Blog }


May 2021

Case of the Month April 2021- Ceramic Crowns

Our case of the month for April was one involving E Max crowns by Ivoclar, which is our opinion, give the best aesthetic results. In the past, tooth coloured dental crowns had a layer of metal underneath for strength with the ceramic bonded on the outside. Now these could look perfectly acceptable but there were issues. Having two layers means that more of the underlying tooth has to be cut down to accommodate the material. For any of you that has read any of our posts knows that we believe in minimally invasive dentistry, cutting away more tooth than necessary just does not sit right with us. Another issue with metal ceramic crowns is that the metal layer may become visible over time as the gums recede which gives that classic grey line around the tooth. Not very desirable. One of the main advantages of ceramic crowns is that there is no metal underneath and this grey line will never be an issue.

The aesthetic qualities of E max crowns are second to none. Our case shows that the crowns can be fully customised with translucency at the edges, varying shades, light reflection and opaque areas to name a few. The skill of the dental technician plays a huge role here and we work with some excellent laboratories know for excellence.

For our case, Ceramic Studios in Kensington made the wonderful E max crowns fully which were fully customised.

The photos here show the workflow of the treatment. Unfortunately, our patient lost a front tooth biting on something hard during. After some wonderful root canal work by Dr Molina , Dr Patel was able to re build the teeth and place dental crowns to restore the not only the aesthetics but also the function. The key with such a demanding cosmetic treatment is going through the stages carefully. This involved a try in stage of the crowns to check for fitting, shape, size and bite. Once verified, we then send our patient straight to Ceramic Studios for full characterisation at the laboratory. This is where the magic happens with those final touches making all the difference. Once we are all 100% happy, the crowns can be fitted. Although there are a few visits and some travelling around, it is well worth it for your front teeth!

If you are in need of crowns and would like the very best treatment possible, please contact us or book a free video consultation and we will discuss how we can help you.


Sep 2021

Case of the month July 2021- Ceramic Crowns

Our case of the month for July 2021 is quite a complex one involving multiple ceramic crowns after an accident during the first lockdown. Our patient, Xavier, had a cycling accident where he fractured 3 of his front teeth. Now with any trauma case, there is a certain way to handle the situation and it is important not to rush into a specific treatment. The reason being is that once the teeth and gums have been damaged, the consequences may not be apparent for several weeks or months. Hence the use of provis… READ MORE
Sep 2020

Dental Crowns: What Are They, Procedure & Cost

Dental crowns are one of the most common dental procedures but many people are not aware what a crown is exactly. To be very simple, a crown is a new tooth surface that sits over your existing tooth to protect it.When is a dental crown needed? This is a really good question. A dental crown is needed when the underlying tooth is heavily broken down and a routine filling will not be sufficient. There is a choice to be made between having a filling and a crown and we will provide the best advice as to which wi… READ MORE
Oct 2018

Case of the month October 2018

Our case of the month for October is one which involves a fully customised crown. What is this, you may ask. Well, we mainly advise a fully customised crown for single front teeth where the aesthetics are incredibly important. Essentially, this technique is the very best we can offer in terms of aesthetic dentistry. The process involves: Full planning and diagnostic wax up if required. Initial shade testing at the laboratory to ensure the base shades are all correct Preparation of the front tooth and r… READ MORE
Jun 2014

Metal free crowns- no black lines

If you have a dental crown, this article is for you. In the old days of dentistry, there were only a few types of crown. Namely: 1. Metal crowns 2. Gold crowns 3. Porcelain bonded to metal crowns Now metal and gold crowns have their place, but they do not look like teeth! Porcelain bonded to metal crowns were devised to overcome this problem and still provide adequate strength. Over the years, these have proven to be a great success on the whole. However, they still contain metal and all too often a bla… READ MORE


Background 04

Contact Us

Get in touch

You can use our online form, call or email our practice or book online.

Progressive Dentistry Telephone Logo  020 7731 1162
Progressive Dentistry Email Logo  info@progressivedentistry.co.uk
Book Online      Book A video consultation