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Dr Jurgita Smiles

Peg-Shaped Tooth Reshaping

This patient had a narrow, peg-shaped upper lateral incisor that sat visibly smaller and rounder than the tooth on the other side, leaving a gap either side of it. Rather than crowning the tooth, composite was bonded directly to widen and lengthen it — adding shape at the sides to close the spaces, rebuilding the incisal edge, and matching the shade, translucency and surface texture of the neighbouring teeth. No healthy enamel was drilled away. The result is a lateral incisor in proportion with the rest of the smile, achieved in a single visit. Treatment was carried out in Marylebone, London, and results shown are individual to this patient.

Shared with patient consent. Results are individual to this patient.

Retracted before and after comparison of the upper front teeth, showing a narrow peg-shaped lateral incisor above and the widened, proportionate tooth below.

Clinical photos

  • Close-up clinical photograph of the peg-shaped lateral incisor before treatment above and the reshaped, wider tooth after bonding below.
    Close-up before and after — the peg-shaped lateral rebuilt in proportion
  • Angled clinical photograph showing the small lateral incisor with spaces either side above, and the restored tooth with closed contacts below.
    Side view of before and after — proportions and shapes improved
  • Clinical photograph under blue rubber dam showing the isolated lateral incisor during composite layering and shaping.
    Under rubber dam — composite layered directly onto the isolated tooth
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