cosmetic dentistry_ beauty & science

I 19 special topic _ composite restorations I cosmeticdentistry 1_2013 Figs. 1–4_Pre-op view following orthodontic bracket removal. Conoid maxillary lateral incisors make the smile unpleasant and disproportional. Fig. 5_Prepared right conoid lateral incisor with fixed celluloid strip and retraction cord inserted. Fig. 6_Etching with 37% phosphoric acid for 30 seconds prior to application of a fifth-generation bond. _Minimally invasive treatments restore form, function and aesthetics with minimal removal of sound tooth structure. Understandably, the restorations age with the patient. Eventually, teeth that have been restored will break down and patients will need to have those restorations replaced. Fortunately, restorative materials and proce- dures evolve constantly. If an initial restoration was created using minimally invasive procedures, there should be more tooth structure to work with when a second restoration is needed. The following case report demonstrates such a con- servative approach. _Case report After orthodontic treatment, a 19-year-old female patient was dissatisfied with the un- pleasant, disproportional appearance of her co- noid maxillary lateral incisors. A direct composite technique was selected for smile enhancement at the initial appointment (Figs. 1–4). Fig. 2 Fig. 3Fig. 1 Fig. 5 Fig. 6Fig. 4 Conservative smile enhancement: Direct composite resin restoration of conoid lateral incisors Author_Dr Monika Marciniak, Poland