Narrow smile/Short Teeth. What treatment would you recommend? (Photo)

Question

Hi everyone, I am interested in improving my teeth and help gain a wider more appealing smile. My smile is on the narrow side and I have shorter teeth than average. My peg incisors don't help much either. I recently had a dentist recommend candid aligners, but mentioned it will create large gaps right behind my peg incisors. She recommend veneers after the 10 month aligners, but I'd prefer not creating more gaps, but to fix the gapping. Based on the images what would you recommend?

Meredith Gantos, DDS, MAGD, MaCSD · Answer

Assuming your teeth are cavity free, gums are healthy, and you have appropriate root lengths&hellip;
Ideal treatment would involve:1. Clear aligners to level and align all teeth, expand the arch form to fill in some of the negative space on the sides, and create equal spacing around the peg laterals. 2. Gingival reshaping around the peg laterals to create better proportioned teeth and facilitate a more beautiful, harmonious outcome. 3. Whitening. 4. Four porcelain veneers for the front teeth to create better balance, restore worn edges, and create ideal proportion between incisors. Alternative (but less ideal) would be just to use bonding material on the laterals to make them look more proportionate. 
Just a reminder: Cosmetic treatment should only be completed after a full comprehensive evaluation and all treatment of pathology is a arrested. 
Happy smiling!

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