eMax or Porcelain fused to zirconia for the following molar? Which one would you recommend?


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Hi everyone,

I've had a porcelain fused to zirconia crown fitted a few months ago, but I think it looks too big and that the colour is completely off compared to the rest of my teeth.

I've had one premolar removed in that area because I required braces since I had crowded teeth. So, this molar is very visible when I talk and laugh and I would like it to blend in with the rest of my teeth, which is sadly not the case now.

I was wondering which crown to choose considering that I would need something both resistant and translucent. If you have any other recommendations besides of the ones I suggested in the title, please let me know. Thank you in advance. :)
 

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It's down to the skill of the technician. Your crown only looks different because they did not get the colour and shape right. But the choice of material is good for that tooth. It's really disappointing when dentists do not see the importance of the appearance of a molar crown in the smile line. Some think that only six or eight teeth are important.

You may hate the appearance now but there is the risk of bigger problems if you change it. How long since you had it done?
 
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Hi Busybee,

Thank you very much for your reply and for the suggestion. I will choose then another crown of this kind, but with a different colour and shape. I've had it placed 6 months ago and there is plenty of tooth structure behind it, so I hope that replacing it with a new one won't create problems. Thank you again and I wish you a good day.
 
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Alina it's a risk to change it even if there is plenty of tooth structure. Make sure you ask the dentist not to remove more natural tooth. Try to get your original models so that they can match it to the natural tooth. A good technician will match the appearance to the same tooth on the opposite side. I understand that zirconia is not easy to work with aesthetically but a good technician can make anything look great.
 
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I understand better now and I will follow your suggestions. I remember last time she said the only way of getting the crown to look smaller is by removing a bit of the tooth structure. Now that I know more, I will insist on not doing that. And since it's going to be the second time, I hope they will take it very seriously and that it will turn out well. Thank you again.
 
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She may be right Alina. It's a compromise of dental health vs aesthetics. Ask about whether having a purely zirconia crown is possible. It's challenging to make zirconia only crowns look as good and you may need a specialist prosthodontist and a really good technician. If you have it redone you want to get it perfect the second time. So make sure you have a wax up to show you how the tooth will look. Make sure you see the technician for a colour match. Take your time to get it just right before you take this crown off. Don't let the dentist rush you.
 
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