A metal core under the porcelain
Porcelain-fused-to-metal crowns need an opaque layer to hide the metal. That layer blocks light, so the crown looks flat and the gum beside it can look grey, especially in daylight.
A crown that has turned grey, shows a dark edge or no longer matches your teeth can usually be replaced. The tooth and gum underneath are checked first, so the new crown starts on a healthy base.
If you know when and where the crown was made, or have old X-rays, bring them. They help plan the removal.
Yes, usually. Old crowns often look grey or opaque because of a metal core under the porcelain, gum recession that exposes the edge, or natural teeth that have changed colour around them. At Creative Arts in Dubai, the tooth and gum are checked first, the old crown is removed under local anaesthetic, anything underneath is treated, and a new ceramic crown is shade-matched to your own teeth.
Most crowns that stand out have one of these problems, and some have several. Each one points to a different fix.
Porcelain-fused-to-metal crowns need an opaque layer to hide the metal. That layer blocks light, so the crown looks flat and the gum beside it can look grey, especially in daylight.
As gums recede with age or brushing, the margin of the crown, or a band of darker root, appears at the gum line. See our page on the dark line around a crown.
Natural teeth darken or yellow over the years, and get lighter after whitening. A crown keeps its original colour, so a match that was right ten years ago may no longer be.
When the seal between crown and tooth breaks down, stain and decay can creep underneath. It may show as a brown or black edge, a bad taste or sensitivity.
Glaze wears off, porcelain chips, and shapes made for a younger smile can look bulky or too square next to teeth that have worn naturally.
A crown is not replaced just because it is old. The decision rests on what the examination and X-rays show, and on what bothers you.
Most crown replacements follow this sequence. The tooth under the old crown is the unknown, so the plan allows for what is found.
The dentist checks the crown margin, the gum, the bite and the root, and an X-ray looks for decay, root canal problems or bone loss. You receive a written plan with the options and costs.
Visit 1Inflamed gum is treated so it settles before impressions. If you want whiter teeth, whitening is done first and the shade allowed to settle, because the new crown is matched to the final colour.
If neededUnder local anaesthetic the old crown is cut off carefully; it usually cannot be reused. Decay is removed and the core rebuilt. If the nerve is involved, or an old root filling is failing, root canal treatment or retreatment comes first.
Preparation visitThe tooth is scanned, the shade recorded with photographs, and a temporary crown fitted to protect the tooth while the new one is made.
Same visitThe new crown is tried in to check shade, shape and fit before it is cemented, then the bite is adjusted. A review visit checks the gum around the new margin.
Fitting visit
Matching one crown to natural teeth is harder than making a full set, because the eye compares it directly with the teeth beside it. Creative Art Dental Lab is in the same building as the clinic, so the ceramist can see your teeth in person, under the same light as your dentist, and judge shade, translucency at the edge and surface texture, not just a number on a shade tab. If the try-in shows a small difference, adjustments to shade or shape can often be made the same day before the crown is fitted.
Modern replacements are usually all-ceramic, with no metal to show at the gum or block light. The choice depends on where the tooth is, how dark the tooth underneath is, and your bite.
Lithium disilicate
Zirconia core, hand-layered ceramic
Single block, stained and glazed
Shade is only one part of the match. A crown can be the right colour and still stand out if its edge is too opaque, its surface too glossy, or its shape wider than the tooth on the other side. The ceramist works on all of these, using photographs taken at the preparation visit and, for clinic patients, seeing the teeth in person.
Two things are decided before the shade is taken. First, whitening: ceramic does not respond to bleaching (why crowns cannot be whitened), so if you want lighter teeth, whiten first. Second, what else is changing: if a neighbouring veneer or implant crown is also being redone, they are planned together, as explained in our guide to matching veneers, crowns and implants. The general crown process and options are on our main dental crowns page.
Dr. Khalid Saeed, Dr. Kinan Bonni and Dr. Marina Antoniuk plan and carry out crown work at Creative Arts; Dr. Marina also uses a dental microscope for detailed restorative and root canal work.
Most often because it has a metal core: the opaque layer that hides the metal also stops light passing through, so the crown looks flat and the gum beside it can look grey. Other causes are a margin exposed by gum recession, stain or decay at a leaking edge, or natural teeth that have become lighter or darker since the crown was made.
The crown is usually cut off carefully under local anaesthetic, aiming to remove only the crown and cement. Old crowns rarely come off whole and are not normally reused. What is found underneath, such as decay or an old core, is treated before the new crown is made, and the X-ray beforehand shows what to expect.
No. Whitening gel does not change the colour of a ceramic crown. If the crown is lighter than teeth that have yellowed, whitening the natural teeth may bring them back into line. If the crown is darker or greyer than your teeth, replacing the crown is usually the only way to match it.
Usually two main visits: one to remove the old crown, prepare the tooth, scan it and fit a temporary, and one to try in and fit the new crown. The laboratory typically needs 3–5 working days, depending on complexity. If the tooth needs gum treatment, whitening or root canal work first, the plan is longer.
Not usually. A root canal is needed only if decay under the old crown has reached the nerve, the nerve is already inflamed or dead, or an existing root filling is failing. The X-ray and examination before removal give a good indication, and the final decision is sometimes made once the old crown is off.
It is the hardest crown to match, because it sits right beside its twin, but a close match is usually achievable. Shade, translucency, edge detail and surface texture are all copied, and the ceramist can see your teeth in person because the laboratory is in the same building. The crown is tried in before it is fitted.
Sometimes. A leaking crown can allow decay underneath without any pain until it is advanced, so X-ray findings matter more than symptoms. On the other hand, a sound crown that is only slightly off in colour on a back tooth can often stay. The assessment separates a health reason from a cosmetic one.
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