A 16-year-old girl has a peg-shaped tooth in position 2.2 and the right lateral incisor is smaller than the normal size. At a young age it is not possible to apply some therapeutic options that are available to adults. However it is necessary to find a solution that allows a social life without concerns. The BAIR Technique can solve these cases with a simple procedure to obtain not only the simple restoration of a tooth, but a more harmonious smile … first of all taking care of the enlargement of the central incisors, the real protagonists of the smile and, once recreated the right proportions, continuing with the transformation of the lateral incisors… transforming the teeth to rebalance the smile.
After having slightly increased the mesio-distal dimensions of the central incisors, we can begin the transformation of the peg-shaped tooth: the matrix is applied inside the sulcus and inclined to obtain a new emergence profile.
After removal of the matrix no gingival suffering is observed. The composite guides and supports the soft tissues in the desired position. The composite excess is removed during the execution of a subtractive modeling, without entering the sulcus. The composite located in the intrasulcular portion of the restoration does not require finishing and polishing: it is already perfectly smooth and with a high degree of conversion as it is polymerized in contact with the metal of the matrix which also prevents inhibition by oxygen.
After 2 years the result is stable. Only a small correction of the distal part of the right lateral (indicated by the arrows) was performed, resulting in a slight and transient localized redness.
Follow up X-rays also show no signs of problem of the supporting tissues. The result produced a better balance in the patient’s smile which is reflected in an increase in self-esteem, which is extremely important in adolescence.