Options for Improving the Appearance of Uneven Front Teeth - Dentistry

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Hello! I would like to ask the doctor, my two front teeth have an unattractive shape, resembling an arch, with the middle being shorter and the sides longer.
I have previously had them filed down, but the middle continues to get shorter.
Should I have them extracted and get dentures? Also, I don't want to grind down the other teeth, as that would look unattractive...
What should I do?

PRINCESS, 20~29 year old female. Ask Date: 2001/12/26

Dr. Wu Jinjun reply Dentistry


It is recommended that you visit a hospital for a physician evaluation to determine the underlying issue, and then decide whether to use orthodontics or dentures to improve the situation.

Reply Date: 2001/12/26

More Info


When it comes to improving the appearance of uneven front teeth, there are several options available that can help you achieve a more aesthetically pleasing smile without necessarily resorting to extraction and dentures. Your concern about the shape of your front teeth resembling an arch, with the middle being shorter than the sides, is a common issue that many individuals face. Here are some potential solutions to consider:
1. Dental Bonding: This is a cosmetic procedure where a tooth-colored resin is applied to the teeth to improve their shape and appearance. Bonding can be used to lengthen the shorter teeth, making them more uniform with the longer ones. This option is relatively quick and can often be completed in a single visit to the dentist.

2. Veneers: Porcelain veneers are thin shells that are custom-made to fit over the front surface of your teeth. They can effectively change the shape, size, and color of your teeth. If your teeth are uneven, veneers can provide a more symmetrical appearance without the need to significantly alter the underlying teeth. This option is more durable than bonding and can last many years with proper care.

3. Crowns: If the structural integrity of your teeth is compromised, crowns may be a suitable option. A crown covers the entire tooth, providing strength and improving its appearance. This is particularly useful if the teeth have been previously treated or are weakened.

4. Orthodontics: If your teeth are misaligned, orthodontic treatment such as braces or clear aligners (like Invisalign) can help reposition them. This might take longer than other options but can lead to a more balanced smile by correcting the alignment of your teeth.

5. Contouring: In some cases, minor reshaping or contouring of the teeth can be performed to improve their appearance. This involves removing small amounts of enamel to create a more aesthetically pleasing shape. However, this option is limited and should be discussed thoroughly with your dentist.

6. Extraction and Replacement: While you mentioned not wanting to extract your teeth, if they are severely compromised or if the aesthetic results from other treatments are unsatisfactory, extraction followed by a dental implant or bridge might be considered. This is generally a last resort and should be discussed in detail with your dentist.

7. Consultation with a Cosmetic Dentist: Given your specific concerns about the appearance of your teeth, it may be beneficial to consult with a cosmetic dentist who specializes in aesthetic procedures. They can provide a comprehensive evaluation and recommend the best course of action tailored to your needs.

It's essential to communicate openly with your dentist about your aesthetic goals and any concerns you have regarding the treatment options. They can help you weigh the pros and cons of each approach and guide you toward a solution that enhances your smile while preserving as much of your natural tooth structure as possible. Remember, the goal is to achieve a balance between aesthetics and the health of your teeth, so exploring multiple options can lead to the best outcome for your smile.

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