As a teenager, Ms. E completed her braces and had straight teeth. However, her upper four center teeth were small: she had a condition in which one or more teeth appear tinier than usual, called peg teeth. Because her skeletal growth had not stopped yet, we provided direct bonding using composite resin/dental bonding on the teeth.
Now she has grown up and is ready for the best smile using the porcelain veneers. Since her original teeth were tiny and needed them to be wider to get a natural proportion, we decided to go with an additive treatment plan. The additive treatment plan means we can do her smile makeover with little or no tooth reduction. She liked her original color of the teeth and wanted them to be a little whiter, but not too much. We decided not to touch the canines or the bicuspids and do only the four center teeth with minimal or no-prep veneer. In this way, she can reduce the treatment cost, and most importantly, we can do the most conservative treatment without removing too much tooth structure.
In general, when we are doing a smile makeover, the more you do, the better the result you get. Usually, it is a good idea to avoid doing only six teeth (Canine to Canine). Canines are the most yellow teeth in your mouth, and if you do "canine-to-canine" veneers and make them whiter, you will see a huge color difference. Almost like a step after the canines and make it very unnatural, or it might look like you have only six teeth in the front because dark bicuspids and molars do not show much. To avoid this, we usually do eight or ten teeth. However, with a case like this, you have options to do only four teeth. We recommend this option when your canines and bicuspids are in a good position, for example: after braces, and when canines and bicuspids have no caries and the shape is good. If you do not like the color of your teeth, we would need to do eight or more teeth. Nevertheless, if you want to whiten your smile slightly, we can do with only four teeth, because it is natural that you have the center four teeth whiter than the canines.
Dr. Shimizu always takes time to achieve the aesthetic and functional results, and the patient was pleased with the results.