I needed dental crowns for front teeth, so my dentist recommended zirconia crowns. My dentist was kind and thorough during the process, but my crowns are solid white. They look fake. I’m so hurt. I got the crowns in early March. My dentist’s explanation wasn’t an explanation, but she said that the crowns are top quality. I am already self-conscious about the crowns and don’t want to go through years hesitating to smile. What happened, and what can I do now that I’ve spent so much money on the crowns? Should I ask her to use another crown material? She knows I am super disappointed and has agreed to try to satisfy my requests. – Meg from Shreveport, LA
Meg,
We understand your frustration.
Zirconia is one of the most durable materials used in dentistry today. Dental laboratories mill it from solid blocks to create crowns that fit precisely.
While this strength is an advantage, zirconia on its own does not mimic the natural variation found in real teeth. Natural enamel reflects light in a complex way, and a solid material cannot fully reproduce that effect.
Layered vs. Monolithic Zirconia
To improve appearance, labs can layer porcelain over zirconia. This allows the technician to add depth and subtle color transitions that resemble natural teeth.
It helps to understand the difference between the two options:
- Layered zirconia: Designed for aesthetics, especially in visible areas
- Monolithic zirconia: Designed for strength, typically used in back teeth
For front teeth, layered zirconia provides a more natural result.
Why a Dentist’s Technique and Planning Are Critical
Material selection for crowns is not the sole factor to guarantee a good outcome. The position and contour of the crowns are just as important.
When multiple front teeth are restored at once, the dentist must carefully design the shape, thickness, and position of each crown. If this is not done well, the teeth can look too prominent or bulky.
Finding a Dentist with Cosmetic Expertise
Correcting this type of issue requires a dentist with advanced cosmetic training to balance appearance with function.
Before choosing a provider, look for these indicators of experience and schedule a consultation:
- A portfolio of completed cosmetic cases
- Consistent, natural-looking smile results
- A willingness to discuss materials and techniques
A Realistic View of the Cost
Quality cosmetic dentistry reflects the time, materials, and expertise involved. Dentists who focus on aesthetics often work with high-end labs and take extra steps to refine the result.
Fees vary, but you should expect to invest in the outcome. Lower-cost options may save you money upfront, but you may be disappointed with the crowns’ appearance and longevity.
Baton Rouge family dentist Dr. Ryan Perry sponsors this post. Please read about how he strives to provide his patients with the best care possible.
After a fall, I got composite on my front teeth at age 16. I asked a dentist to replace the composite at age 30 because it was discolored, and now at 42, I have crowns instead because my dentist said it was best. These new crowns for my front teeth and lateral incisors that I got in January look and felt worse than the bonding ever did. I had no problems with the bonding. Whatever my dentist did with the crowns changed the spacing of my teeth. My top teeth hit the bottom ones weirdly, and my teeth chatter like I am cold or nervous. My dentist has tried to adjust my bite countless times with zero success. My mouth burns and gets drier by the day. My wife says it’s anxiety. Will I need new crowns to chew and speak correctly and stop my teeth from chattering? I was supposed to get teeth whitening next, but I told my dentist I wanted to wait. My mouth is so messed up. Thanks. Dexter from Queens, NY