Replacing an Over-Contoured Crown: Lessons Learned

Introduction to the case

Replaced a failing, over-contoured crown. Was overall happy, that the case is holding up and the patient has maintained their perio regime (for the most part).

Lessons learned:

  • 1. Use of resin based temp cement especially with thin bis-acryl temporaries.

  • 2. Better communication with the lab. I had only sent them one pic. Now I send a lot more info to the lab. And most importantly…

  • 3. Minimize the prep to maximize enamel, especially with a non-discolored stump and when using lithium disilicate (and a bonding protocol for cementation).