Four veneers vs dental bonding? (Photos)

Question

I have a pretty good cant to my smile after being in braces four years as an adult. My left side is way higher and my gums seem disproportionate. I would rather not get ortho again. My question is, would I be a good candidate for veneers, or better yet some dental bonding? My dentist said I could do four on my top, but would this resolve the cant? Just looking for some second opinions before I go through with it! Thanks!

Beau Keller, DDS · Answer

In my professional opinion, yes &mdash; veneers can sometimes be used to make a canted smile appear significantly more level, especially when the teeth and gum display are contributing to the asymmetry.
The key is that this is a more advanced cosmetic case. I would look for a cosmetic dentist who has a lot of experience correcting smile cant and who can show you multiple before-and-after cases with a similar problem.
You could potentially use either composite bonding or porcelain veneers. In my practice, we generally favor porcelain veneers for a case like this because they tend to be the more durable and longer-lasting option compared with composite bonding. Since you mentioned that you do not want to go through orthodontics again, I suspect you may also prefer the option that is less likely to need frequent maintenance or replacement.
One thing I would be cautious about is treating only the four front teeth.
If you look at your photos, the slant does not appear to involve only the central and lateral incisors. Your canines, and even some of the teeth farther back, also contribute to the overall cant of the smile. If only the front four teeth were changed, you could improve the appearance somewhat, but one canine would still appear lower than the canine on the opposite side.
For a more complete correction, you may need to consider a broader smile design &mdash; often something closer to 8 to 10 teeth, depending on how much tooth you show when smiling and what can be accomplished conservatively.
So yes, veneers are a realistic option if you want to avoid more orthodontics, but I would be very careful about limiting treatment to just four teeth if your goal is to make the entire smile look truly level.

Four veneers vs dental bonding? (Photos)

Answers (1)

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