This patient wanted a younger youthful smile for his 60th birthday. So I made him 6 beautiful porcelain crowns for his upper front teeth. This cell-phone video shows me placing the crowns. He was very happy :-)))
I took a 3D digital computer scan of his teeth and gums, and we computer designed his smile beautiful new teeth and 3D printed out his 6 teeth crowns.
On this patient I noticed decay under two 20 year old crowns on teeth #30 and 31. Removal of the old crowns revealed tooth #30 with deep decay sub-gingival into the root furcation. This tooth was non-restorable. I recommended extraction and an implant. For tooth #31, I was able to clean out the decay and do a crown build-up and make her a new crown.
The first x-ray above shows my initial try-in with a gap between the implant crown and implant. The crown would not fully seat, so I re-did the implant crown. The second x-ray, after re-doing the implant crown, shows a perfect fit!!! Both the implant crowns #30 and #31 fit and look beautiful.
These two patients today had badly broken down teeth. One option would have been to extract the teeth and place implants. I wanted to try to save the teeth by building them up and placing crowns. Here are the before and after photos.