An 11 year-old female patient presented with one peg lateral incisor, which are incisors that are not fully developed, appearing undersized and smaller than normal. Composite bonding and a gum lift were completed on the same day, providing symmetry to her smile. Cosmetic dentistry isn’t only about looks; it’s about self confidence too!
First, a gum lift was completed to match the tissue height of
the opposite lateral incisor.
Then a more opaque color composite was added to create the dentin layer,
preventing the dark, shine-through appearance.
Mamelons, which are irregular protuberances in the formation of teeth, were
created to make the restoration look more natural.
A sable hair brush is then used to smooth and blend the composite
material without any seams.
Here we added a more translucent color composite to create the
final enamel layer.
Line angles and height of contour of the tooth were outlined in pencil to guide
in the shaping of the tooth. These pencil lines will ultimately be where light
reflects off of the tooth. Many people don’t realize the careful contouring of a
restoration to provide light reflection in certain places is what makes a restoration
look like a natural tooth.
A rubber point is used to create natural depressions in the facial surface
of the tooth and highlight the line angles.
This shadowy photo demonstrates the horizontal line texture of the
restoration that mimics the natural tooth.
The final result…gum lift and composite artistry correcting her peg lateral
incisor in one appointment and one happy, more confident 11 year-old girl.