Kellie had one lateral incisor (tooth next to the front tooth) that was overly small and a different shape from the corresponding tooth on the other side. A so-called “peg lateral” is a term for a condition where the tooth beside the front tooth does not form properly and is small, pointed and sometimes cone shaped. It is a form of localized “microdontia” in which one or more teeth appear smaller than normal. The most common teeth involved are lateral incisors and wisdom teeth.
Since this tooth is at the front of the mouth, it can have a large effect on your smile. The treatment for a peg lateral involves placing composite bonding (white filling material) over the tooth or placing a porcelain veneer or crown.
In this case a single veneer was placed on this small tooth. The challenge with such a procedure is that it is crucial to exactly match the shade and characteristics of the adjacent teeth. Using extensive photography and calling on the skills of the excellent ceramists I work with, a very nice result was achieved for Kellie. The new tooth is indistinguishable from its neighbors and looks just like the corresponding tooth on the other side.