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Short, worn teeth meeting almost edge to edge, rebuilt with new length and bite

Short, flat upper teeth with a small central gap, rebuilt to a longer, even smile with a new overlap.

Before and after: short, worn upper teeth meeting the lower ones edge to edge, then longer, even teeth in one shade

At a glance

Dentist
Dr. Marina Antoniuk, Dentist · aesthetic & functional rehabilitation
Case type
Worn teeth
Consultation in
Russian, Ukrainian and English
Clinic
Creative Arts Dental & Aesthetics, 614 Jumeira St, Jumeirah 3, Dubai

Published with the patient’s consent. In the photo, the top half shows the teeth before treatment and the bottom half after. Every mouth is different: your own plan follows an examination.

Before: the situation

The upper front teeth look short, with flat, worn biting edges, and there is a small gap between the two central incisors near their edges. The upper and lower front teeth meet almost edge to edge, so the lower incisors look long in comparison. The teeth are a warm ivory-yellow, and several side teeth also show flattened edges.

What was wrong, and why it matters

Worn edges shorten the teeth, and short upper teeth show less when a person talks and smiles, which makes the smile look tired and older. As enamel wears through, the softer inner layer is exposed and wears faster, so the process tends to speed up rather than stop.

When upper and lower front teeth meet edge to edge, they lose the overlap that normally guides the jaw forward and sideways. The edges then grind directly against each other, the back teeth can lose protection during movement, and the jaw joints and chewing muscles may take extra strain. Simply adding length without checking the bite risks chipping the new edges.

The solution

The after photo shows upper front teeth with more length and rounded, even edges, the small gap between the central incisors closed, and the upper teeth now overlapping the lower ones. The visible upper and lower teeth share one lighter shade and smooth contours.

In a worn-teeth case, Dr. Marina treats length as a bite decision first and an aesthetic one second: the jaw joints, chewing muscles and tooth contacts are assessed before the new edge position is chosen, and the proposed length is checked in a mock-up. She attended Prof. Marcelo Calamita’s course “Esthetics & Integrating Occlusal Principles into Smile Design” in Dubai in February 2025, and that link between occlusion and smile design is the logic applied here.

How a case like this is planned and carried out

  1. Examination, photographs and a full digital scan of both arches

  2. Functional diagnostics of the TMJ, chewing muscles and bite, with axiography and condylography where indicated

  3. Digital smile design and a mock-up to test the new tooth length in speech and smiling

  4. Upper and lower treatment carried out in a planned sequence

  5. Restorations made with the ceramist in the dental lab in the same building

  6. Bite contacts and jaw movements reviewed after fitting

After: the result

The upper front teeth are now longer and even, with the central gap closed and a visible overlap over the lower teeth. Upper and lower teeth in the smile share one lighter, uniform shade.

Dr. Marina Antoniuk

In Dr. Marina Antoniuk’s words

We assess the condition and function of the temporomandibular joints, masticatory muscles, and occlusal relationships.

Dr. Marina Antoniuk
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Questions about this kind of case

Why are short, worn teeth often rebuilt on the upper and lower arches together?

Wear usually affects both arches, and the teeth meet each other. Lengthening only the upper teeth can leave the lower edges flat, crowd the bite or change how the jaw moves. Planning both arches together lets the new length, overlap and contacts be set in one design. Dr. Marina Antoniuk at Creative Arts in Dubai decides this after a functional assessment of the bite and jaw joints.

What does axiography show before worn teeth are lengthened?

Axiography records how the jaw joints move when the mouth opens, closes and slides sideways. That movement path helps the dentist set the new tooth length and the guidance of the front teeth so the restorations work with the joints rather than against them. At Creative Arts in Dubai, Dr. Marina Antoniuk uses axiography and condylography where the case calls for it.

614 Jumeira St, Jumeirah 3, Umm Suqeim 1, Dubai · Open daily 10:00–20:00 · +971 4 342 4444