Direct Restorations for Anterior Esthetic Rehabilitation and Smile Symmetry Recovery: Two Case Reports

Inês Amaro, José Saraiva, Ana Catarina Gomes, Ana Araújo, Carlos Miguel Marto, Ana Coelho, Manuel Marques Ferreira, Anabela Paula, Eunice Carrilho
2021 Symmetry  
Esthetics is an increasing concern for patients, particularly in anterior teeth. The current approaches to manage the esthetic demands include options such as prosthodontic rehabilitation, orthodontic treatment, and direct restorations. Direct restorative procedures for anterior teeth have become a reliable alternative, since current composite materials can mimic teeth's esthetics and function perfectly. This article describes two clinical cases of anterior esthetic rehabilitations where the
more » ... ect reshaping of the four maxillary incisors was performed using the buccolingual layering technique with the help of a silicone index. In Case 1, a diastema closure was also performed, whereas in Case 2, the replacement of old restorations was also carried out. It was possible to achieve excellent final esthetic results in both cases, recovering the smile symmetry, and both patients were satisfied. The literature supports the use of direct restorations in the anterior region with very good long-term prognosis. It is a minimally invasive approach that is reversible, repairable, cost-effective, and when combined with layering techniques and adequate restorative materials, it is possible to achieve good esthetic and functional outcomes. However, regular maintenance appointments are mandatory, and all cases should be carefully planned to ensure predictable and long-lasting results.
doi:10.3390/sym13101848 fatcat:nuqtwbl4pjgjnjpap53z237nya