Esthetic & conservative management of tooth size jaw size discrepancy

Optimal functional occlusion, overbite and overjet are the primary objectives of comprehensive orthodontic therapy. It may be difficult to achieve these objectives if the teeth of maxillary and mandibular arches are not in proportion. For an optimal result in the final phase of treatment, it's crucial to plan and precisely assess any differences in tooth size. This is because the maxillary and mandibular arches often do not match in size. The Bolton analysis, established in 1958, measures the mesiodistal widths of both upper and lower teeth to detect any discrepancies in tooth size. Addressing these disparities early on is key to managing them in a conservative manner. When it comes to conservatively managing a disparity in the size of the teeth and the jaw, laminate veneers are a great solution. This article demonstrates an interdisciplinary conservative approach in treating a patient with skeletal Class III malocclusion with a tooth and jaw size discrepancy.