Peg laterals Peg laterals is a condition where the teeth on either side of the front upper teeth does not develop correctly. It is small and sometimes pointed, looking like a cone. There are many reasons why they develop this way, but genetics play a key role. Treatment options for peg laterals There are several options that are available to alter the appearance of the teeth. We need to determine if there is enough space between the front teeth and the canine to accommodate a normal-sized tooth. If there is not sufficient space, then orthodontic options like braces or Invisalign may be considered prior to any treatment. Once enough space has been created, these can then be treated using Composite Resins, Porcelain Veneers or Crowns. Case studies – composite veneers used to mask the gaps in the teeth This patient had porcelain veneers on her side front teeth to mask the size of them: This patient had orthodontics done first to straighten the teeth, and then composite veneers applied to change the shape of the teeth: This patient had porcelain veneers applied to change the tooth shape and size: