Treatment options for conoid teeth: A literature review

Abstract

There are several reasons that can cause aesthetic damage to patients' smiles. Among them are those caused by dental anomalies, where dental anomalies of size stand out, in particular microdontia, which provides the affected teeth with short clinical crowns and often without contact points (conoid teeth). The present study aims to review the available literature regarding the aesthetic and rehabilitative treatment of teeth with reduced size that can be carried out through restorative procedures (direct or indirect) associated or not with other auxiliary treatments, such as orthodontic treatment, for example. The aesthetic characteristics of adaptation to the natural tooth color, ability to adhere to dental tissue, less need for complete tooth removal and the low cost compared to indirect materials are some of the reasons for the great popularity of composite resins. Regarding veneers, as there is no need for much dental preparation before placing the veneers, the conoid tooth does not need to be further compacted or shrunk, however, the cost must be analyzed. The price of resin or porcelain veneers is, for many patients, the decisive factor when choosing the best technique with laminated veneer. The price of resin veneer is, in most dental services, lower than porcelain veneer. The reasons for the lower costs range from the reduced number of consultations and the dismissal of dental prosthesis laboratories responsible for making ceramic laminates. Thus, it is concluded that conoid teeth are changes in size and shape of natural teeth. These changes have an aesthetic effect on the patient's smile, as the affected teeth are smaller than normal and have a sharpened incisal surface; The restorative technique using composite resins presents itself as an excellent alternative to re-anatomize conoid teeth when the treatment is planned and carried out in a detailed manner, and because it is less costly to the patient.