Small Teeth Treatment Options

Disproportionate and uneven teeth impact one’s appearance, subtly but significantly. It can affect self-esteem and confidence, making it difficult to smile openly. Teeth sizes and a gummy smile can make a person look different than their actual age. Flat and square teeth tend to look juvenile while chipped ones give the impression of an older person. Moreover, uneven teeth are more likely to suffer from damage and erosions due to food. Short teeth and juvenile teeth treatment options are available. 

Different teeth sizes and causes

Similar to the fact that the body parts differ in sizes from person to person, teeth also appear in different sizes.

Large-sized teeth are termed macrodontia, while microdontia means small teeth.

Microdontia can affect a single tooth or more than one teeth. Single tooth defect usually affects the lateral incisors (second teeth from the front on either side) of the upper jaw or maxilla. It is also referred to as a peg tooth sometimes.

More than one small tooth may be associated with genetic disorders, such as amelogenesis imperfecta, pituitary dwarfism, or hypodontia.

A disproportionate jaw to teeth ratio can also be a cause of microdontia. If the jaw is big and teeth are normal in size, it may give the false impression of relatively small teeth. The opposite is true for smaller jaw; it may give the effect of sizeable teeth when infect, the teeth are normal-sized.

Quite frequently, the teeth are normal in size but buried in gum overgrowth, giving a gummy smile.

And lastly, trauma and neglect may cause crookedness and chipping of a tooth or teeth.

Treatment options for small teeth:

While every smile is precious and unique, dental cosmetics enhance the confidence and boost the vitality of the bearer. Over the last couple of decades, dental aesthetics and cosmetics have developed and progressed to a great extent. The different procedures available now can reduce gaps in between teeth, and improve the tooth sizes and appearances.

Any treatment starts with the dentist assessing the teeth, determining the cause of small teeth, and surveying the changes needed to improve the teeth size. The dentist then decides which treatment options best fit the individual. The procedures available preserve the original teeth as much as possible. 

The common procedures include:

  1. Porcelain veneers: This is the most common and easy-to-maintain procedure. It utilizes porcelain veneers that are thin sheets or shells that fit on the front of existing teeth. The porcelain sheets are custom-made for the individual tooth to match the size, shape, and colour. The material, porcelain, is strong and long lasting with the least amount of irritation inside the mouth. The procedure is entirely non-invasive yet irreversible. It gives the desired elongation of teeth size and is ideal for healthy teeth. The final result is a natural and glossy, uniform smile.
  1. Dental bonding:

Bonding is the procedure where resin is applied to the teeth and then hardened by curing light. The resin is stained the same as the teeth. This gives the tooth an improved shape, and size, that too in a natural tone. It also closes the gaps between the teeth and repairs the chipped and cracked teeth. Dental bonding is recommended for weak teeth and enamel-eroded teeth. The process is simple and easy, and it is one of the least expensive dental cosmetic procedures.

Bonding and porcelain give similar results but are indicated depending on the condition of teeth.

  1. Porcelain crown:

Porcelain crowns are hollow caps shaped like the tooth they fit on. The cap is fixed onto the tooth with cement or permanent plaster. It fully encases the tooth. The crown is made up of metal, resin, ceramic, or porcelain lined with metal and can last for up to 15 years. The same crown is used to cover the tooth in root canal treatments. The procedure is not generally recommended for improving the size of small teeth. It is limited for cases where teeth are weak, chipped, or severely damaged. The final result is a complete tooth, filled gaps, and with a more-or-less natural look.

Veneers and crowns are comparable dental restorative processes. Veneers are thin, and cover only the front of generally healthy teeth. Crowns are a little thicker, cover individual whole tooth, and are advised only in cases of chipped, decayed, and weak tooth.

  1. Gum contouring:

Gum contouring or reshaping is the procedure where excessive gum covers the teeth, misleadingly making teeth look small or short. This procedure also works for those who have gummy smiles and when the gum line is uneven. A numbing gel ora local anesthetic prepares the gums, which is then acted upon by a diode laser. The laser trims away the gum tissue in the smallest volume to expose the teeth. It may also remove excess bone tissue if needed. It takes up to few weeks for the gums to heal after the procedure. Extra care is needed to prevent infections and trauma to the recovering gums. Gum contouring is done along with porcelain veneers or bonding to amend the teeth size and shape.

  1. Enamel shaping or contouring:

The outer most layer of tooth, visible outside of the gums, is called the enamel. It is the hardest component of the tooth, yet it erodes secondary to damage by acids in food and medicines. Enamel contouring is done to smooth out rough edges, uneven teeth, and slight over-lapping of teeth. It is used along with porcelain veneering, dental bonding, and teeth whitening to improve the size and appearance of teeth.

The treatment plan may constitute a particular procedure or sometimes a combination of two or more procedures is required. Supportive measures, like teeth whitening, braces, and composite fillings, are also done for the finest results.


A beautiful, well-put smile speaks a lot about the person, without uttering a word. Uneven smile due to small teeth presents an aesthetic problem for many, hurtful to their confidence. Microdontia may affect one tooth or be part of a genetic disorder involving teeth and other factors.

Various dental cosmetic procedures, such as veneers and crowns for the teeth, and laser treatment for gums, make it possible to resolve the size and shape troubles and secure a remarkable smile makeover.

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