This case study introduces the modified Mylar pull technique as an efficient and minimally invasive approach for diastema closure. The technique emphasizes esthetic and functional outcomes with a simplified workflow, avoiding the complexity of traditional methods. Conventional direct techniques for diastema closure, such as freehand sculpting and the use of silicone indexes, can be demanding in terms of time and preparation; freehand techniques are highly technique-sensitive and operator-dependent, whereas silicone index-guided approaches require diagnostic wax-ups and are therefore time-consuming. The modified Mylar pull technique preserves natural esthetics by adding composite only to the interproximal surfaces, maintaining line angles and the optical proportions of teeth. This method eliminates the need for buccal composite veneering and reduces visual disturbances. The case study outlines a step-by-step protocol, including composite application, Mylar strip positioning, and careful finishing to prevent overhangs while achieving smooth interproximal contours. The modified Mylar pull technique offers a practical, minimally invasive solution for closing small to moderate diastemas. It combines efficiency, adaptability, and accessibility, providing consistent esthetic results while adhering to contemporary principles of cost-effective and minimally invasive dentistry.

A correct emergence profile is fundamental for achieving a natural result to transition from an implant with a circular neck to a cervical area that replicates a natural tooth. The shape of the critical contour must allow the reproduction of the emergence profile from the natural tooth: its design is linked to the desired tooth shape and gingival architecture. However, the absence of horizontal and vertical soft tissue references in the anterior edentulous area may present a clinical challenge in terms of both surgery and prosthetics. Digital workflows are an active trend in dentistry. The generation of 3D models is fundamental to make an accurate diagnosis, create a virtual plan, and predict the outcome. Segmentation is the isolation and individualization of the anatomical structure from one initial CBCT scan. A new artificial intelligence-convolutional neural network system was developed to automatically segment CBCT images. In delayed implant placement, the peri-implant soft tissue is progressively shaped through sequential modification of the critical contour. By copy-pasting the segmented root and through a mirror effect, the dental technician will be able to copy the natural critical contour of the contralateral tooth and replicate it exactly. CAD/CAM fabricated temporization using new artificial intelligence application enables consistent results in the reproduction of the natural critical contour in implant restoration. This innovative technique thus allows for the recreation with mirror effect of soft tissue architecture and a natural tooth contour using artificial intelligence-convolutional neural network. It facilitates the fabrication of the temporary tooth in cases of delayed implant placement in the anterior sector. No adjustment is required since the shape is mimetic to the contralateral natural tooth.

Effective management of worn dentition requires a comprehensive diagnosis, including patient communication, occlusal analysis, and an evaluation of potential temporomandibular disorders (TMDs) or muscle-related issues.1-5.

The introduction of adhesive techniques has shifted dental restoration toward highly conservative strategies, emphasizing preservation of natural tooth structure to maintain oral health and reduce future interventions. In managing dental wear, additive methods offer predictable outcomes while safeguarding the longevity of restored teeth. Direct restorations are suitable for minor to moderate lesions due to their reversibility and cost-effectiveness, whereas deeper or functionally and esthetically significant defects often require indirect solutions. Minimally invasive approaches, particularly ceramic veneers, prioritize enamel preservation and aim to minimize unnecessary tissue removal. For severe anterior wear, three adhesive strategies stand out: the bilaminate approach (palatal and vestibular veneers), V-shaped veneers, and 360-degree peripheral veneers. This two-part article reviews these techniques, clarifying their indications and methodology through scientific evidence and detailed clinical illustrations. The first part presented the bilaminate approach, exploring its benefits and detailed methodology (Int J Esthet Dent 2026;21:12-26). Understanding this foundational technique sets the stage for the more complex configurations of V-shaped and 360-degree veneers, which are discussed in this second part.

Treatment for excessive gingival display, commonly known as gummy smile, remains challenging. This cross-sectional study investigates the clinical use of soft tissue CBCT (ST-CBCT) to measure the hard and soft tissues in the dento-gingival unit to diagnose and plan treatment for excessive gingival display. The dento-gingival complex of maxillary anterior teeth was investigated, including gingival thickness, alveolar bone thickness, and supracrestal tissue attachment. A detailed clinical treatment sequence of the therapeutic journey of a patient with altered passive eruption is presented to illustrate the clinical application of CBCT, from diagnosis to the final outcome, using Digital Smile Design. Thirty patients with altered passive eruption were evaluated. The mean distance from the gingival margin to the bone crest was 4.2 ± 1.1 mm. The mean gingival thickness was 1.1 ± 0.3 mm, and crestal labial bone thickness was 1.0 ± 0.4 mm. The majority presented thick gingiva (≥ 1 mm, 63.4%), and nearly half of all teeth (48%) showed thick crestal bone (≥ 1 mm). Male participants demonstrated a higher prevalence of thin crestal bone than female participants (66.7% vs 49.2%; P = 0.007). Contralateral teeth exhibited statistically significant differences in the distance from the cementoenamel junction to the bone crest, soft tissue thickness, and bone thickness. The dento-gingival unit presented inter- and intra-individual variability. Tomographic diagnosis, classification, and treatment planning of altered passive eruption should be conducted on a tooth-by-tooth basis for higher surgical precision and predictability, ultimately improving patient care. Soft tissue CBCT offers a comprehensive 3D overview of the soft and hard tissues in the dento-gingival unit.