Sometimes one tooth can disrupt the entire smile line...with this patient, a middle aged woman...she had what is called a peg lateral where the lateral incisor is in the shape of a peg. This is not an umcommon finding and there are a number of ways to treat it. In this case I decided to place an all porcelain jacket on the tooth to get the most esthetic result possible...take a look at these two images of the tooth before any treatment.
The first step is to file or prepare the tooth so that a jacket can be placed over it...in this picture you can see the finished preparation...
And one week later the patient returned and we tried in and cemented a beautiful porcelain jacket that matched the adjacent teeth and immediately changed her smile...she still has an unesthetic tooth on the other side but that tooth does not bother her and we are leaving it alone for now.
Now...if she would only let me do the tooth on the other side of the smile!!
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