Dental Education Lecture: Tooth Cosmetics

Ms. Mo has no adult upper lateral incisors.  The adult canine teeth have shifted to the position of the lateral incisors.  For cosmetic reason, the canine tooth has been changed like the lateral incisor (3->2 in Fig.1).  The baby canine tooth (C) has not fallen out and become pretty short due to wear and tear.  She requests tooth make-over.  1 stands for the central incisor: a front tooth.

Using white filling material, we make the baby canine longer and more pointed (Fig.2 arrow, as compared to Fig.1).  In other word, it looks more natural (Fig.2 magnification).

Let us look at the other side of make-over.  Fig.3 is an X-ray taken before a baby canine tooth (C) make-over:  It is shorter than the modified lateral incisor (3->2).  By adding filling material (F), the adult canine tooth has been modified like a lateral incisor.  

Using the same trick, we make the baby canine tooth look more natural (Fig.4 arrow).  High magnification once again demonstrates the beauty of tooth cosmetics.  She is going to attend a wedding as maid in honor.  We wish her finding an ideal future husband.

Xin Wei, DDS, PhD, MS 1st edition 01/17/2010, last revision 01/17/2010