How Can I Fix my Big Front Teeth?

A minor gum reshaping over the lateral incisors with two porcelain veneers on the two lateral incisors will deminish  the "bunny" look of the centrals a and fill in the smile.a closer exam and X-rays would be needed to see if this conservative treatment would work for you as it has worked for so many of my patients who presented with very similar chief concerns.

The two front teeth do appear to be disproportionately large.  The laterals appear to be under-sized which can be common.  I imagine their is healthy enamel behind the gums tissue of the laterals.  Have your cosmetic dentist check the see if a gingivectomy is necessary to help with symmetry and the golden proportion (ideal smile/ tooth proportions).  
You could benefit from veneers to create a ideal smile, but I would try with reshaping the front two (enameloplasty) and the tissue change with the laterals first before a more invasive solution.  A mock-up (wax-up) of the front four would be a big help in determining what you like and don't like. 
Regardless, work with your doctor and come up with a solid plan that will make you happy and confident in treatment moving forward.   

Thank you for your question. I would recommend to consider porcelain veneers. If you are happy with a color of your teeth, consider 4-6 veneers. This approach will allow your dentist to give you more uniform, beautiful smile you desire.
Good luck.

At this stage, I would definitely recommend that you consider a combined restorative-orthodontic treatment as all other orthodontists have suggested. A wax-up of your proposed final treatment should be produced, either digitally or in plaster/wax, so that you can see how the front teeth will look like at the end. Invisalign treatment (as well as other digital clear removable tray companies) option would give you an idea how the doctor would create the space on your lateral incisors (#7 and 10) so that your restorative dentist can determine how wide the future procelain veneers on those teeth should be. If you still would like to talk to your original orthodontist, please make sure that he/she is aware what your original concerns were ("big front teeth") and show him the photos to point out the teeth that bothers you. Most orthodontists want their patients to have a happy outcome, so it would not hurt to speak to him/her. Best of luck!

Looking at your picture it sure looks like the two front teeth are disproportionately large!  It should be possible to do some "slenderizing" of these teeth by shaving off some of the enamel....Done correctly, this doesn't hurt and doesn't cause more decay.  I do this frequently and it sure makes things look a lot better

I am so sorry, you went through treatment for one reason and that reason wasn't fixed to your expectation. It sounds to me like you and your doctor had a disconnect. This is a patient and doctor's worst nightmare!!! You pay lots of money for treatment and put your faith in the doctor. You trusted they had heard why you were seeking treatment and are ultimately dissatisfied or even deceived. The doctor has a consultation to specifically hear why your concerns and formulate a treatment plan to address you chief complaint. The Doctor works very hard to make things look good and healthy. At the end of all this effort, time and money neither is happy when the patient is unhappy. UGHHH!!

Not knowing what you looked like prior, it is likely your front teeth(centrals) were pinched forward of your 2 side teeth (laterals) and your doctor was focused on the bad position making them appear large. You were focused on size. There is a lot of information given to the patient in the beginning of treatment. If you had pointed out to the orthodontist that you felt it was the actually size, not position that bothered you I am sure he would have reviewed all the treatment options. Orthodontics can do very little for tooth size but can position teeth so thy look less pronounced=less rabbity.

GOOD NEWS: You have lots of options, many described above.

To get things in the IDEAL relationship to each other (perfect proportion) you will need a tooth size adjustment. (Because your centrals are larger in relationship to your laterals.) This can be done a few ways.

1) You can have the size of the central incisors reduced somewhat, and the laterals increased (with veneers on all four teeth).  In order to make it look the absolute best you should consider further orthodontic treatment to help raise the laterals up (so your gumline is esthetically ideal).

2) If you like the size of your centrals, just not how they stand out, then you would need some space created on each side of the laterals so they can be enlarger.

Many people feel larger teeth are more attractive. I suggest you look at celeb teeth and use that as your guide. Even take pictures in to your dentist. This will help ensure you are both on the same page, so you are not disappointed again in the end after another large price tag.

3) Final option is to reduce the size of the centrals, have "crown lengthening" on the laterals and veneer all four=no more ortho.

I would get the opinion of your trusted general dentist or see a prostodontist-who specializes in this. If he agrees to get the best result you should have further ortho, meet with your original ortho explain how you feel and they likely will be accommodating.

It will be worth it to have the smile you always wanted.

From looking at your photo I see that part of the problem is the size difference between your central incisors and the ones next to them, the lateral incisors.  You could have the size of the central incisors reduced somewhat, and the laterals increased (with veneers on all four teeth) which could alter how they appear.  Doing this  might necessitate more orthdontic treatment though, because the laterals might need to be moved vertically, and spaces might need to be established between the front teeth.  Ask a cosmetic dentist in your area about the possiblities. 

Porcelain veneers allow a dentist to change the shape, color and length of teeth.  Your case will likely require treating MORE than just the two front teeth, since if they were made more narrow, then the adjacent teeth would need to be made more wide.  Seek the opinion of an experienced cosmetic dentist for advice on how many would be needed.