Tooth Shape
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Tooth Shape
The Truth About Tooth Contouring
Tooth contouring can improve a person’s smile by very minor adjustments. However, it is not used often because it is not suitable for the majority of people. Dr. Bart Kreiner is the owner of the family dental practice, Dr. Kreiner Family Dentistry, in Bel Air, Maryland. Here he discusses the ins and outs of tooth contouring, and he also points out why he feels that it is not the best way for every patient.Â
Who Is Suitable for Tooth Contouring
Tooth contouring can enhance a person’s smile by very minor adjustments. Its process could include either the removal of a very small amount of the natural tooth, or the addition of a little bit of tooth-colored restorative material to change the tooth shape. But in general, tooth contouring can give patients straighter teeth without having to undergo the process of wearing braces. However, I rarely do it, because most patients are not good candidates for tooth contouring. In most situations, tooth contouring is something that you do only toward the end of a more invasive treatment plan. And it’s rare as contouring is especially for patients who are interested in the very high end of aesthetics. It can only fix very minor flaws, so it is not an appropriate treatment for someone with really crooked teeth looking to have a full smile makeover.Â
Not the Best Way for Every Patient
In some cases, when a tooth is out of alignment, it can be contoured to “fit†the other teeth. However, there are many instances show that tooth contouring could actually harm the patients’ dental health, so general speaking, I suggest you find a new solution. For example, if the dentist cuts off the top of the tooth and goes through the natural enamel, he will expose the underlying dentin. The only way that tooth contouring would be beneficial is if you could successfully shorten the tooth without penetrating the tooth enamel. In short, there are only a very small percentage of oral problems where tooth contouring is going to be the wise choice for the patient. Usually, something more invasive is going to be required.Â
Two Examples of Tooth Contouring
Let me take two examples of tooth contouring procedures done in my office. One is that a patient had a minor chip out of a front tooth which was noticeably shorter than the surrounding teeth. And my option was to either shorten the tooth next to it to make the smile line straight, or add a little colored restorative material to have the tooth return to its original length.
The other is that a patient had a lower incisor which was slightly rotated and stuck out a little further than the rest of the lower front teeth. We provided the patient with tooth contouring, which established perfect alignment.
 If you want to know more, don’t hesitate to contact us. Dr. Kreiner will give you a satisfied answer.
 The information in the article is not intended to substitute for the medical expertise and advice of your healthcare provider. We encourage you to discuss any decisions about treatment or care with an appropriate healthcare provider.
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