The Gum Still Look Dark After Replace All Porcelain Crown? (photo)

Question

Hi Doctors. I had 19 porcelain veneers a month ago, i chose the BL2 shade, the shade cam out not white as i wanted, but it;s too late to redo, but my most concern is one second front tooth is darker than the other, and first front tooth the gum line is still look dark even after porcelain veneers crown, the doctor said it's not his fault because my underneath teeth is dark, I am not sure after reading all the response here. Your opinion is highly appreciated. Dora.

Lance Timmerman, DMD, MAGD · Answer

Nothing works 100%, but this is SO close to perfect that any attempt to fix may not be significantly better and very expensive.  It is likely that this is a dead tooth, maybe even root canal treated.  This darker root will show through the gums.

Sylvan Fain, DDS · Answer

If the tooth had a root canal you could try to bleach it from the inside. There is a limit to what can be done with a dark root or tooth. The other option is to try to remake that one tooth and see if the lab can block out more of the darkness.

David Silber, DMD · Answer

Dear Doradoung,

	The work looks fantastic, I congratulate you for getting the color you WANTED!  That is always the hardest thing for the patient.  I do see the issue with the root.  Was that tooth dark?  In my opinion, I would remove that veneer and have them opaque the veneer.  All that means is that the porcelain doesn't allow the light to shine through.  If you do whitening, the color tends to rebound with time and the problem can return.

	 

	Hope this helps,

	David SIlber, DMD

Kevin Coughlin, DMD · Answer

Placing veneers over very dark and stained teeth is very difficult because many times we can't completely block out the color, veneers are very thin. You may want to simply remove that one veneer and place a jacket crown all porcelain with a material like Emax, Bruxir, or Empress during the try in stage if still not happy attempt to bleach the tooth first and or remove some gum tissue if the tissue is stained good luck

	 

	Kevin Coughlin DMD, MBA, MAGD

Leonard Tau, DMD · Answer

It appears that the root may be dark from a root canal.  That is the dark root showing through the thin tissue.  Nothing can be done about this.  You had a very nice result.

The Gum Still Look Dark After Replace All Porcelain Crown? (photo)

Answers (8)

Answer: Gums are dark?

Answer: Gums are dark?

Answer: Gum dark after replacement of crowns

Answer: Gum dark after replacement of crowns

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The Gum Still Look Dark After Replace All Porcelain Crown? (photo)

Answers (8)

Answer: Gums are dark?

Answer: Gums are dark?

Answer: Gum dark after replacement of crowns

Answer: Gum dark after replacement of crowns

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Recommended reading

Everything you need to know about Porcelain Veneers

Our mission is to create a world where every investment in modern beauty is Worth It.