Your discussion should revolve around the ultimate goal for these teeth. If the size discrepancy is small, then everyone may agree to simply close the spaces during the orthodontic treatment. However, many times the size difference is too great to do this:

So were able to conservatively repair this tooth in a few short minutes and get a great result just in time for this patient to head overseas for an extended trip. And no one will be able to tell she’s had anything done!

Broken tooth

Repaired tooth
Although this had been fractured for many years, this nice lady agreed to have the tooth repaired after additional small pieces fractured off. And she was heading overseas for an extended trip, too. So we wanted to be sure she had no problems on her trip.

fractured tooth
A few minutes later and we got this retired dentist back together. He was pleased with the final result….and so were we!

Repaired fracture tooth
Here’s a retired dentist who had an old filling that fractured out of this tooth. It was originally placed when he was in dental school and had served him well for many, many years.

Fractured front tooth
Here’s the result after replacing the old dental work. Our pretty patient got some new teeth, and a beautiful rejuvenated smile. The shade is clean and bright without being TOO white (like SO many crowns tend to be!!).

And the final product. To look at these teeth you’d never know they originally had such large cavities. And one or both of these will end up having crowns ‘down the road’ due to the extensive damage and amount of tooth that was destroyed from the decay.

Yes, I know it’s gross, but look how much tooth was destroyed by the existing cavity inside. This is a photo with almost all the decay cleaned out. And remember, there was no hot, cold, or bite sensitivity with these teeth even though they were full of bacteria-laden decay!

One last example. It’s obvious these teeth are in need of a little work. You can see the dark grooves with the shadows underneath, and the silver filling that is in the back tooth is going to be replaced too.

Yes, I’ve been referred to as a backup ‘freak’ when it comes to the data on my computer. But with a recent virus on my laptop now cleaned up it was an easy matter to restore the ‘good’ files that were found in the backup. Plus, as I’ve stated before all the photos I take would be impossible to reproduce, so backing up is a must. I recently saw this and am trying it out. It can make a mirror image of your existing drive, copying it exactly. Oh, and the basic edition is free. Take a look and see what you think: Macrium Reflect