Abstract
The ultimate goal in modern era dentistry is to achieve the balance of “white” and “pink” in esthetically important zones. “White esthetics” is the natural dentition or the restoration of dental hard tissues with suitable materials. “Pink esthetics” refers to the surrounding soft-tissues, which includes the interdental papilla and gingiva that can enhance or diminish the esthetic result. This paper aims to describe a careful diagnosis and multidisciplinary treatment approach to achieve a satisfactory final esthetic outcome in a clinical scenario where there is an abnormal shape, position of tooth and displaced papilla in the anterior esthetic zone.
Highlights
Over the past several years, esthetic awareness has increased greatly and dentistry has developed various techniques to fulfill the patient’s esthetic demands
A combination of surgical and restorative techniques was used to modify the position of the papilla and gingival contours, to achieve an esthetic balance
Final restoration was done with minimal preparation lithium disilicate-reinforced glass ceramic veneers (IPS e.max Press, Ivoclar Vivadent, Liechtenstein) to modify the esthetic counters of the teeth
Summary
Over the past several years, esthetic awareness has increased greatly and dentistry has developed various techniques to fulfill the patient’s esthetic demands. A combination of surgical and restorative techniques was used to modify the position of the papilla and gingival contours, to achieve an esthetic balance. Final restoration was done with minimal preparation lithium disilicate-reinforced glass ceramic veneers (IPS e.max Press, Ivoclar Vivadent, Liechtenstein) to modify the esthetic counters of the teeth. Various treatment options were given including orthodontic treatment, extraction of deciduous canines and placement of bridges or implants but she rejected these time consuming and tedious options She decided to only fix the midline diastema with e-max veneers. Final tooth preparation of incisors was done removing all the remaining composite resin (Fig. 5). The temporary veneers were cemented with flowable composite resin (Beautiful Flow, Sofu Inc., Japan) without using a bonding agent (Fig. 7). Company protocols were followed to lute the veneers with resin cement (Multilink N, Ivoclar Vivadent, Liechtenstein) (Fig. 8)
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