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Aesthetic and functional recovery of anterior teeth through the direct technique with nanohybrid composite resin
Male patient, 25.
COMPLAINT
The patient sought treatment to correct aesthetic problems with the upper central incisors.
INITIAL APPEARANCE
The negative aesthetic influence of the failed restorations on teeth 11 and 21 was apparent.
CLINICAL/X-RAY EXAM
The presence of class IV restorations was noticed on teeth 11 and 21, which were poorly fitting, discolored, and with severe shape alteration. The negative aesthetic impact was evident, as well as the need for replacement of the restorations. The gingival margin along the teeth was intact and showed no need for prior intervention. The teeth presented no pain symptoms.
TREATMENT
Aiming at the simplest possible solution for the case, the direct restorative approach was chosen. However, there was a technical challenge of pairing the teeth aesthetically, given that tooth 11 needed a more invasive approach (direct veneer), while only a class IV restoration would be done on tooth 21 which, while extensive, it requires less structure wear depth, bringing an appearance different from the restoration.