← All explanationsMicrodontia

Why is one tooth much smaller than its neighbours?

Microdontia means unusually small tooth size. A small or narrow upper lateral incisor may be particularly noticeable. Assessment distinguishes a genuinely small crown from a tooth that only looks small relative to the arch.

For training & practice ↓
SMILE meets DESIGN
Three illustrative incisor models of different sizes; a small peg-shaped variant on the left.AI-generated
A small peg-shaped variant is only one example. Not every small tooth has this shape.
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Size and shape

A small tooth may have ordinary proportions or also be peg-shaped. Not every shape difference is the same developmental variation.

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Assess gaps

Small crowns can contribute to gaps. Missing teeth, tooth position and arch shape are also considered.

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Preference and function

Correction is not automatically needed. If desired, tooth tissue, bite, age and possible treatments are discussed together.

Read the full explanation
  1. Size and shape

    A small tooth may have ordinary proportions or also be peg-shaped. Not every shape difference is the same developmental variation.

  2. Assess gaps

    Small crowns can contribute to gaps. Missing teeth, tooth position and arch shape are also considered.

  3. Preference and function

    Correction is not automatically needed. If desired, tooth tissue, bite, age and possible treatments are discussed together.

Notes on the teaching images
  • A small peg-shaped variant is only one example. Not every small tooth has this shape.

At a glance

What is small?

The crown relative to its usual tooth type.

Must it be changed?

No; function and preference matter.

Planning?

Assess bite, tissue and space together.

Knowledge in motion

Explained in 36 seconds.

Three steps. No audio.
Each scene can also be selected manually.

Microdontia: short film

Silent educational film with German on-screen text and simplified teaching images. Not a patient case or a promised treatment outcome. The full English explanation is available as text.

Often confused

Small is not missing

Microdontia describes tooth size. Hypodontia describes missing developing teeth.

Quick answers
Is a small tooth necessarily unhealthy?

Not automatically. Size alone says little about decay or strength.

Does it always need a veneer?

No. Whether and how to change it depends on findings and preferences.

Can a gap prove the diagnosis?

No. Tooth measurements and the whole dentition need assessment.

At the practice

For a personal discussion

Editorially suggested question to discuss with Dr Niusha Barahmand Pour:

How do size, bite and tooth tissue affect possible correction?

If a small tooth or gap bothers you, the options can be discussed before choosing any treatment.

Discuss tooth shape and a gapAppointment selection at Doctolib
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Crown width
Width of the tooth crown.
Peg-shaped tooth
A tapered crown, often affecting a lateral incisor.
Proportion
Relationship to neighbouring teeth and the arch.

Make the distinction

Microdontia describes tooth size. Hypodontia describes missing developing teeth.

Knowledge questionWhat distinguishes microdontia from hypodontia?

For learning, not for assessing personal symptoms. Your answer is not stored or sent.

  1. Small teeth versus teeth that did not develop.
  2. Both always mean decay.
  3. Both mean tooth loss.
View answer

Small teeth versus teeth that did not develop.

One term concerns size, the other number.

Sources and context

Editorial research: . General information, not an individual diagnosis or treatment recommendation. Teaching illustrations are simplified and do not depict a patient case.