Conservative smile retreatment with resin composite in a patient with dental agenesis and tooth migration
Year: 2026
Type: article
Study design: Case Report
Abstract: Background Anterior teeth restorations require high esthetic accuracy, as these teeth play a key role in smile harmony and facial esthetics. Predictable outcomes often depend on the association of restorative, periodontal, and digital planning strategies. Case description The chief complaint of a 26-year-old female patient was deficient esthetics of the anterior resin composite veneers and smile disharmony associated with agenesis of the maxillary lateral incisors and dental migration resulting from previous orthodontic treatment. An esthetic retreatment was planned using photographic images, digital smile design, wax-up, and mock-up. Facial and smile analysis indicated the need for periodontal intervention to compensate for the absence of the canine eminence. Soft tissue reconstruction was performed using a subepithelial connective tissue graft, resulting in increased tissue volume and improved gingival architecture. After the periodontal healing period, restorative procedures initiated with removal of the existing restorations, followed by fabrication of new direct resin composite veneers using a stratification technique. Conclusions The association of digital planning, periodontal surgery, and direct resin composite restorations provided greater predictability, adequate tissue integration, and harmonious interaction between the smile and facial structures. Resin composite offered a predictable and conservative option for esthetic retreatment when associated with careful planning, respecting the biological principles, using a multidisciplinary approach with adequate restorative techniques. Clinical significance The esthetic predictability of rehabilitative treatments extends beyond material selection, relying on accurate planning, appropriate performance of surgical and restorative procedures, and effective biological management of periodontal tissues, reinforcing the importance of a multidisciplinary approach.
Source: Clinical Dental Journal
Institution: Universidade de Passo Fundo
Language: English
Subfield: General Dentistry
Field: Dentistry
Domain: Health Sciences
Open Access status: hybrid
OpenAlex ID: W7151296251