Peg Laterals

"Peg Lateral" is the dental term use to describe small or underformed lateral incisors. It is a surprisingly common defect in teeth and may present in one or both of the lateral incisors. Occasionally, the lateral incisor may not even form at all. The presence of these smaller teeth usually detracts from the overall smile. 

Options to correct underformed lateral incisors include small composite additions, composite or porcelain veneers. As these teeth are very small to begin with, it is important that any treatment provided is as conservative as possible, and that the treatment itself will not further damage these teeth. We understand these limitations on treatment and thus work closely with our patients' treating Dentist, or Orthodontist, to restore the full size of these teeth and create a beautiful result.

Case #1
This patient had composite veneers placed on her lateral incisors when she was a young child. As time passed, these veneers became worn and stained and she asked us to replace them. The old composite veneers were carefully removed to expose the original shape of the peg lateral underneath. Note the typical "peg-like" appearance of the tooth in the image below.
 
The addition of fine surface texture helps the composite veneer to reflect light like a natural tooth would. A multi-layered approach was used to buildup the peg laterals with several shades of composite resin, in order to simulate the natural tooth shapes and colours. The new composite veneers show a nicer overall size and shape, and a lovely shine. This young lady's smile was enhanced with this simple and conservative re-treatment. 

Case #2 
This young lady had completed a round of orthodontics, which brought her teeth to their optimal position. Unfortunately, despite them being adjusted to where they were most even, an obvious gap still existed between the patient's right hand side lateral and central teeth. The two laterals were also still small and peg-like, taking away from the appearance of her smile. Her peg laterals were restored with composite veneers which blend in seamlessly, giving her a perfect result. 

Existing, Old Composite Veneers

Case #1

Existing, Old Composite Veneers

Removal of Old Veneers

Removal of Old Veneers

Shell Stage

Shell Stage

New Composite Veneers

New Composite Veneers

The Smile After New Composite Veneers

The Smile After New Composite Veneers

Before Treatment

Case #2

Before Treatment

After Treatment

After Treatment