by Michael Sesemann DDS and Bruce Kuhn, MD, DDS
A 27-year-old woman presented to the office with a chief complaint concerning the esthetics of the porcelain-fused-to-metal (PFM) crowns on her maxillary lateral incisors, which had been placed at different times in the early 1990s. The objective was to use contemporary materials and techniques to have them blend better with her natural dentition. In general, the patient’s periodontal health was excellent. A slight amount of inflammation of the gingival tissues was present around the PFM crowns.