This requires a visit to your dentist for further evaluation. He or she knows the original condition of your tooth prior to the crown and can offer some recommendations. At worst, the tooth may require a root canal based on your written symptoms. In any event, you should appreciate your dentists efforts to be conservative before a root canal was done. On the other hand, let your dentist work with you in making the final evaluation and recommendations.
The simplest solution would be bonding with some consideration for whitening your teeth prior if desired.Based on the photo, this is what I would do in my own mouth.Veneers can be done and offer better longevity, but they come at a very high expense.Orthodontics would be a considered if restorative options are not desired.Thank you.
New advances in porcelain crowns can allow for thin but strong material on the lingual (zirconia) and esthetic ceramic on the facial (labial). Lithium dislocate crowns may also work well here. Newer cements also have an inherent bond to tooth structure. Make sure you see a dentist who is familiar with these characteristics of the new types of crowns.
Don't be desperate, be patient.It is your front tooth and it will be on display for a long time.It is often referred to as the hardest thing in cosmetic dentistry: matching one single front tooth to the restof the natural teeth. A couple of thoughts:Has the dentist considered a cemented crown vs a screw crown. In other words, use a zirconium abutment (white) screwed into the implant and cement a lithium disilciate (eMax) crown over the top. These can be among the most esthetic restorations for the front.Whether it be zirconium base, composite, or metal-porcelain, a good lab and skilled ceramist with photos, communication, AND PATIENCE can match the adjacent teeth and achieve a high level of esthetic success.. Other than eMax, zirconium base with porcelain overlay should be reconsidered.Thank you,MIchael R. DorociakSarasota, Florida
There appears to be a stain at the filling - tooth interface not a new cavity. Several small factors could contribute including shrinkage of the material or excess material coming off. Not a large matter of concern. Have your dentist evaluate it for definitive diagnosis and recommendations.
