At times, for several
reasons, the maxillary lateral incisors do not form properly. Maxillary lateral
incisors are the smaller teeth on either side of the top two front teeth. This
malformation of the tooth is genetically determined. The malformation can take
on several different appearances, and both teeth or only one of the teeth may
be affected. The teeth can be shorter in height or lesser in width or a
combination of the two. This type of deviation from the normal shape of the
tooth is called a peg lateral incisor.
Restorative
Possibilities
If the peg tooth (or teeth)
is just slightly more narrow than normal and there is a space available on
either side or both sides of it, the tooth can be bonded with a directly placed
composite restoration. This is the most common treatment. The results are very
positive and can last a long time. An excellent color match is not difficult to
obtain. The procedure is similar to closing a diastema (a naturally occurring
space between teeth).
If there is not enough space
on either side to place the composite material, orthodontics might be required
to provide room for the bonding. Diagnosed early, this is not a problem to do.
If the patient waits until adulthood for the orthodontics, shifting of the
teeth may have forced the peg tooth out of line, and more extensive
orthodontics may be needed.
If the peg tooth is too
small in both height and width and there is adequate space remaining, the tooth
can still be rebuilt with a composite. However, if the patient is older and
there is a significant amount of tooth to be replaced, a porcelain restoration
may be more appropriate. This restoration is made in a laboratory with
excellent esthetic results. It will last a very long time. It is more expensive
to accomplish and will not be placed until the mouth is fully developed and the
teeth and gum tissue are in their “adult” position¾sometime after age 18.
In brief, restoration of a
peg lateral can be done with composite resin (in all ages) or porcelain (after
age 18). Size and position of the teeth will determine what is done and when.
As soon as it is noted, plans should be made for eventual restoration. It is
important to make sure there is sufficient space for the proper length and
width bonding. This spacing may happen naturally or need orthodontic
assistance.
If you have any questions about peg laterals and their restoration,
please feel free to ask us at (512)250-5012. -Omni Dental Group
Peg lateral teeth, are terms used to describe a condition where the lateral incisors are undersized and appear smaller than normal. As soon as it is noted, plans should be made for eventual restoration. Our Professional Toronto dentist provide quality peg lateral treatment to the patients.
ReplyDeleteThis is the thing very rarely discussed on such blogs and forums. Thank you so much for sharing this topic here. - Denturist
ReplyDeletePeg Lateral are undersized and even appear smaller than normal. Even we offer cosmetic dentist to the patients, who desire to have straight teeth. And more extensive orthodontics dentistry may be needed. Our team of dentists will give you more attractive and comfortable dentistry.
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