toothforming

Toothforming is a dental procedure or set of procedures aimed at modifying the size, shape, or contours of a tooth to improve aesthetics, function, or both. The term encompasses non–invasive contouring methods as well as restorative techniques, and is often used in cosmetic dentistry to achieve harmonious tooth proportions within a smile.

Techniques include enamel reshaping (enameloplasty), selective enamel reduction, microabrasion, resin bonding, and the use of veneers or crowns. Noninvasive methods remove a small amount of surface enamel to alter contour, while restorative approaches involve adding material such as composite resin or porcelain to build new contours. In some cases, digital design and CAD/CAM fabrication guide precise preparation or prosthetic components.

Applications include correcting minor asymmetries, smoothing irregularities, adjusting incisal lengths, improving occlusal contacts, and preparing teeth for veneers or orthodontic appliances. Toothforming is typically indicated for healthy teeth with no active decay or excessive wear, and is planned after evaluation of bite, periodontal health, and esthetic goals. The procedure is generally performed by general dentists or specialists such as cosmetic dentists or prosthodontists.

Risks include irreversible enamel reduction, tooth sensitivity, pulp exposure, and potential need for further restoration if esthetic results mismatch function. Thorough assessment, informed consent, and careful long-term maintenance are important. Alternatives include orthodontic treatment, whitening, or full-coverage restorations.

See also: enameloplasty; dental veneers; bonding; orthodontics; contouring.