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Case DentalDate

One Dark Tooth Under an Old Crown: Restoring Smile Harmony

Sometimes patients come to us with concerns about their entire smile, but in other cases, the problem is focused on a single tooth. This was the case for our patient, who was concerned about one dark tooth in her smile zone.

Dr. Oleg Mordanov
Dr. Oleg Mordanov

Prosthodontist-gnathologist / General Dentist

Upon examination, we found that the discoloration was caused by an old porcelain-fused-to-metal crown on a central incisor. Over time, a grayish margin had appeared near the gum line, and the tooth no longer matched the adjacent teeth in color or shape.

We proposed a comprehensive aesthetic treatment in the smile zone, which included replacing the old crown and correcting the gum line for better symmetry.

As a result, the patient’s smile became harmonious: the color and shape were balanced, and the gums gained a proper, aesthetic contour.

Even a single dark tooth can greatly affect the perception of a smile. With modern techniques and a personalized approach, it is possible to fully restore aesthetics in such localized cases.