How can I fix this uneven tooth? (photo)

Based on your photo, you have 2 options.  Option #1:  Dental Bonding.  This options is less expensive than veneers, looks great, but is very likely to break off within a short time-frame.  That time-frame may be 1 day or it may be 6 months.  This will depend entirely on your eating habits and your oral anatomy and teeth habits (like grinding, etc.).  Also, bonding is very prone to staining.  Option #2:  Veneers.  This option costs about 5 times the cost of bonding, but can last much longer.  Porcelain veneers are usually stain resistant as well.  If you decide to get veneers, I would recommend checking the before and after photos of previous patients and also ask if there is any type of warranty or guarantee on your veneers.  At my office, I guarantee the veneers that I place for a period of 10 years, though we expect them to last 20-30 years.  Considering the price of veneers, you should always seek a guarantee when possible.  Good luck and I hope this helps. Follow me if you have more questions.Sarah Thompson, DMD

Your dentist is correct.  Bonding will only hold for a short time and it will be compromised aesthetically.  Do yourself a favor and have a porcelain veneer bonded on this tooth.  It will be extremely durable and an experienced cosmetic dentist can make it look aesthetically undetectable.  Good luck.

Looking at the photo, there are a couple of
options I can suggest. I know you’ve been told that bonding won’t help but
bonding with a skilled clinician or a skilled dentist can provide quite an
aesthetic solution. The other option is a veneer, and the real challenge in
both these treatments, whether it’s veneer or bonding, is the color match to
the adjacent tooth. With bonding, you do leave a lot more of the tooth to match
so it’s the bonding area that has to be matched adequately. With veneer you
tend to cover the whole tooth so the ceramicist and the dentist have to work
closely on achieving an ideal color match.

As the other doctors have suggested, a porcelain veneer would provide you with the best and longer lasting results. You need to consider how and why the edge of the one front tooth is shorter. If it is from bruxism which is grinding your teeth at nigh during your sleep, then that issue needs to be addressed or you will be very likely to break or chip the new veneer. Also, you need to compare the level of the gum line of that tooth with the adjacent front tooth. I can't tell with your photo. If they are even, then a veneer will do fine. If the gum line is higher on the worn tooth, that needs to be taken into consideration, as the resulting veneered tooth will look longer than the adjacent front tooth. Find a highly trained cosmetic dentist to help you. Good luck.