Author/Authors :
Mathias, Paula Department of Clinical Dentistry - School of Dentistry - Federal University of Bahia, Salvador, BA, Brazil , Freitas da Silva, Emily Vivianne Department of Dental Materials and Prosthodontics - Aracatuba Dental School - Universidade Estadual Paulista, UNESP, Aracatuba, SP, Brazil , Rodrigues Aguiar, Thaiane Department of Clinical Dentistry - School of Dentistry - Federal University of Bahia, Salvador, BA, Brazil , Silva Andrade, Aline Department of Restorative Dentistry - Araraquara Dental School - Universidade Estadual Paulista, UNESP, Araraquara, SP, Brazil , Azevedo, Juliana Department of Clinical Dentistry - School of Dentistry - Bahiana School of Medicine and Public Health, Salvador, BA, Brazil
Abstract :
Conservative clinical solutions, predictable esthetic, and immediate outcomes are important concepts of restorative dentistry. The
aim of this case study was to recognize the selective enamel removal as an interesting conservative alternative to achieve optimal
esthetic results and discuss the clinical protocol. This clinical report described an alternative esthetic and conservative treatment to
transform the long and sharp aspect of the maxillary canines with a slightly aggressive aspect into features of slightly curved teeth
with delicate lines. An accurate diagnostic and esthetic analysis of the smile was initially performed. The selective enamel removal
was performed, and direct composite restoration was strategically placed. Clinical assessment showed good esthetic outcomes,
enabling a smile harmony with an immediate, simple, and lower-cost technique. Practitioners should be exposed to conservative
approaches to create esthetic smiles based on the selective enamel removal technique combined with composite resin.
