Aesthetic Management of Anterior Teeth: A Case Series

Facial aesthetics plays an important role in the psychosocial well being of a person. The value of the appearance of one's teeth has taken up great importance. The advances made in adhesive materials have shifted the trend towards a more conservative approach that is also aesthetically pleasing. The following is a series of five cases that discusses the various treatment modalities based on the demands of a case for the aesthetic management of anterior teeth. The first patient reported with a severe generalised attrition and erosion It was observed that the crown height was compromised and there was a reduction in overjet and overbite. An endodontic treatment was planned for 11 and 21 followed by fibre post and full veneer crowns and veneers were planned for 12 and 22. The second patient reported having fractured 11, 21 and 22. It was observed that 22 was previously endodontically treated and 21 was slightly extruded and required plane correction. An endodontic treatment was planned for 21 followed by indirect veneers for 11 21 and 22. The third case report is about a patient who reported with acrylic crowns and metal pins in 11 and 21 with previously initiated endodontic therapy that wasn't completed. A retreatment was done followed by custom made metal post and PFM crowns. The fourth patient reported with dislodged crowns in 31, 41 and 42. It was observed that 31 41 and 43 were previously treated and had a highly compromised crown structure. A custom made metal post was fabricated for the teeth followed by rehabilitation with PFM crowns. The fifth patient reported with discoloured non vital teeth which was conservatively managed with non vital bleaching