Help! Spacing, Pegs, Slight TMJ but Good Bite...can I Obtain a Perfect Smile?

asked 10 months ago by nimuldrow in Powder Springs, GA
Latest answer by Gary Lederman, DMD
Question viewed 303 times
Tags: options, spacing

Hi,need advice on closing up spacing but I would like to keep the gap in between my two front teeth. I was told by an ortho a year ago that my bite was good & I don't need braces. The problem is my Cosmetic Dentist stated(I agree)that with the spacing I have now if we were to use veneers only it would create huge teeth & an unnatural looking smile. Please advise, I want a normal smile & would like to obtain it by end of year. I'm 25 & would love to finally be comfortable showing my teeth. Thanx!

5 answers to Help! Spacing, Pegs, Slight TMJ but Good Bite...can I Obtain a Perfect Smile?

Smile design and TMJ

Cosmetic dentistry can help you. Space closure can be accomplished while maintaining good tooth sizes and proportions with either porcelain veneers or direct resin veneers. The trick is to include enough teeth, eight or ten in your case, so the tooth enlargement can be shared..Porcelain will last longer than resin. You present two challenges: First, the right and left sides are not the same. the lack of symmetry must be addressed to have a beautiful outcome... more

Gary Lederman, DMD
Long Island Cosmetic Dentist

A Perfect Smile

In situations such as yours, the best answer is in a wax up of what the final results could look like. This is usually done by a lab and transferred to your mouth in a plastic temporary smile design. This will give both you and the designing dentist an accurate depiction of what can be done cosmetically with porcelain crowns. If this turns out to be acceptable, the temporary crowns can be duplicated in porcelain and there will be no surprises... more

Jerome R. Baruffi, DDS
Seattle Cosmetic Dentist

Undersized Laterals and Spacing

This looks like a FUN CASE for the right cosmetic dentist. It's a perfect case for DIRECT RESIN BONDING. The nice thing here is the dentist could do a quick diagnostic mock-up with the composite directly in your mouth and you could see how everything might fit into place. Without having to re-shape or cut the teeth and sending the case to a dental lab direct resins veneers are the most conservative approach. To make the bonding material emerge from the gum in the right place for the... more

Ted Murray, DDS
Dubuque Cosmetic Dentist

You should be able to achieve your goals.

Looking at your tooth arrangement, I would say that it is possible to close your spaces and keep normal proportions. What I would recommend as a preview is that you have study models made of your teeth and have the dental lab create a pre-treatment wax-up of the final result. This is a wax pattern of what your teeth could look like when the veneers are completed. I think that you could even close the space between the two front teeth if you wanted to, and it would still... more

Martin Frankel, DDS
Toronto Cosmetic Dentist

Works like magic! closing big spaces between front teeth

It is possible to close your anterior spaces and not make the teeth look too large. The process would involve veneering your lateral incisors ( the teeth on either side of your two front teeth that in your case are peg shaped) and also veneering the cuspids ( your "eye" teeth), and veneering the upper first bicuspids on both sides ( these are the teeth immediately behind your "eye" teeth.) The dentist will direct the dental lab to add extra porcelain to the front... more

Raymond A. Sheridan, DDS
Columbus Cosmetic Dentist

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