A Conservative Esthetic Approach Using Enamel Recontouring and Composite Resin Restorations

Abstract

Conservative clinical solutions, predictable esthetic, and immediate outcomes are important concepts of restorative dentistry. The aim of this case study was to recognize the selective enamel removal as an interesting conservative alternative to achieve optimal esthetic results and discuss the clinical protocol. This clinical report described an alternative esthetic and conservative treatment to transform the long and sharp aspect of the maxillary canines with a slightly aggressive aspect into features of slightly curved teeth with delicate lines. An accurate diagnostic and esthetic analysis of the smile was initially performed. The selective enamel removal was performed, and direct composite restoration was strategically placed. Clinical assessment showed good esthetic outcomes, enabling a smile harmony with an immediate, simple, and lower-cost technique. Practitioners should be exposed to conservative approaches to create esthetic smiles based on the selective enamel removal technique combined with composite resin.

Conservative Management of Tooth Size Arch Length Discrepancies-a Report of Two Cases

“…Even though multidisciplinary treatment is the key to establish an ideal and a perfect smile component, 3,4 the need to attend to the patient's aesthetics within a short duration makes alternative options like recontouring and direct restorations feasible. 5,6 The patient's choice of treatment is a vital element for the success of any procedure as it involves the psychological, physical and financial dimension of the individual. 7 Case 1: In the first case, there was localized aggressive periodontitis of the lower anteriors and the patient was in the follow-up phase of treatment.…”

Esthetics with a Minimal Intervention Aided by an Accessible Technology

“…White teeth, well contoured and aligned are patterns of a harmonious smile that have been asserting themselves every day in the population. 2,5,7,10 There are different alternatives for the esthetic and functional solution of teeth with shape changes. The making of single unit crowns or ceramic veneers are options.…”

“…The possibility of etching the dental structure and providing adherence to it in a lasting and efficient manner has guaranteed much indication of this material in different dental procedures. 2,10,15,18 In addition, this restorative material is highlighted by its ability to mimic the natural appearance of teeth, restore the morphological function and restore characteristics such as shade, translucency, hue, chroma and value. This dental reconstruction is considered effective when it obeys the mechanical, biological, esthetic and functional principles.…”

“…5 This procedure seeks the preservation of the dental structure, apart from presenting reversibility through the addition and wear of material, if necessary. 2,10 The direct restorative treatment presents itself as a simple, predictable, effective and minimally invasive method. 2 Given the increasing demand for esthetic treatment in contemporary Dentistry, it has become fundamental to incorporate tools that can refine and optimize the predictability for treatment.…”

Revolutionising conservative dentistry: Exploring the impact and evolution of digital impression techniques in contemporary dental practice

“…While interdisciplinary approaches, including periodontal and orthodontic treatments, promise comprehensive improvements, they often entail lengthy healing periods and bone alterations. 1 Understanding patient preferences is paramount for successful therapy, underscoring the importance of aligning treatment with individual desires. In this pursuit, selective enamel recontouring and direct restorations emerge as promising alternatives, offering expedited aesthetic enhancements.…”