Solving Oversized Front Teeth With Veneers

Hello. I am Park Jonguk, director of Dream Dental Clinic.

Having done veneer treatment for more than 17 years,

there's something I always feel,

which is that veneers to make large teeth smaller seem to be the most difficult.

Because the very concept of veneer treatment

is to minimize tooth reduction

while changing the shape of the teeth,

there's an advantage when the teeth need to become larger than their current size,

but when they need to become smaller,

it's not easy to keep to the basic concept of reducing the teeth as little as possible.

The problem is that when the teeth are too large

and the aesthetic issue is severe,

no other treatment can resolve it.

Even if orthodontic treatment corrects the bite alignment,

it doesn't solve the problem of the teeth being large.

In the past, in cases like this, all the teeth would be given root canal treatment

and then capped with all-ceramic crowns to solve the problem.

Recently, as the bonding strength of ceramic to teeth has improved,

even these kinds of tricky cases have become possible with veneer treatment.

In cases like this, where a large amount of tooth reduction is needed,

it's very important to plan carefully in advance

so that exactly the necessary amount, and no more, is reduced.

Only the upper teeth were very large.

The size of the teeth being large was a problem,

and the shape of the teeth was also a problem. All four front teeth being large was also an issue.

It's a fairly tricky case to resolve.

Comparing them to the lower teeth shows just how large they were.

The width of the teeth was more than 25% larger than average.

Looking at the proportions of the teeth,

having a "good" proportion here actually meant that all the teeth were large.

The front teeth had equal width and height.

Teeth are supposed to be longer vertically, but because these were too wide horizontally,

the width-to-height ratio had become equal.

In terms of the shape of the teeth,

their almost jar-like shape was also a serious problem.

There were also white spots on the teeth,

so there was too much that needed improvement.

Since orthodontic treatment had already been completed,

there was nothing more that could be resolved with orthodontics.

In a case like this, dramatically reducing the actual size of the teeth

has clear, practical limits.

Even if root canal treatment were done on all of them and all-ceramic crowns were used,

there's a limit to how much the teeth and gums can adapt,

so along with the size of the teeth,

it's important to make the teeth look smaller through changes in proportion and shape.

Resolving all of these aspects entirely through veneer treatment

is a very difficult task.

Through an accurate diagnosis, what's possible and where the limits lie need to be made clear,

and that needs to be explained precisely to the patient before starting treatment.

Through a wax-based veneer diagnosis,

the treatment result is predicted in advance.

Please refer to the link below for more details on this process.

Through a precise diagnosis,

after confirming the amount of tooth reduction needed,

through a precise before-and-after comparison of the veneer treatment,

a detailed explanation of the changes to the teeth is essential.

Because tooth reduction is an irreversible process,

the accompanying side effects and drawbacks are also explained in detail.

The veneers were placed onto the teeth

and photographed.

You can see that the change in tooth shape is quite significant.

The jar-like shape became more straight-edged,

and the sense of largeness clearly disappeared,

and by adjusting the proportion with the adjacent teeth,

the front teeth were made to look somewhat smaller.

Naturally, the teeth were also made brighter,

so the change in tooth color is also quite significant.

This is what it looked like six months after the veneer treatment was completed.

Since gum care wasn't managed all that well,

there was some slight gum inflammation,

but it's at a level that would clear up simply with a bit more careful brushing,

and the gum inflammation can be completely resolved.

Just from the photo,

you might even think the teeth look on the smaller side,

which shows how much proportion matters for teeth.

Adjusting the proportion between teeth and each tooth's width-to-height ratio

is very important for making teeth look smaller.

Natural beauty

Since 2006, Dream Dental Clinic