Contouring and Reshaping
Many aesthetic and some functional issues can be addressed through a simple process of enamoplasty; essentially just doing some selective removal of the tooth’s enamel. One of the most common aesthetic issues treated this way is the white spot lesion on the facial (front) side of anterior (front) teeth. Some of these noticeable white spots are developmental; just how the enamel formed. Some are decalcified areas due to poor hygiene, particularly around orthodontic brackets; essentially the early signs of a cavity. As the surface of the enamel is removed so too is the lesion and if not too deep it may be removed entirely. Some crowding issues may be resolved, at least reduced, by reshaping one or more teeth giving the illusion that they straighter than they really are. This can be especially useful when done in conjunction with filling (bonding) the adjacent tooth, filling it out more than it was. Often times teeth chip, sometimes just from normal chewing, but more often than not from some type of trauma which can include using your teeth as tools. You should not use you teeth to trim your fingernails, bite thread or fishing line or open bags or bottles. If you do get a chip that is small, you may wish to just reshape and smooth it, blending it all together as if it never happened. Larger chips, especially in the smile zone need to be restored for aesthetic purposes and to prevent further damage.