Combining Direct and Indirect Restorations in the Esthetic Zone: A Clinical Case

Case Description: male, healthy, aged 23, attended the clinic unhappy with the aesthetics of his smile. The patient had large composite resin restorations on the teeth 11, 12, 21 and 22, with excess and bad aesthetics. The teeth 11, 21 and 22 had endodontic treatment without periapical pathology. A diagnostic wax-up was carried out to preview the final form of the restoration. The restorations of endodontic treated teeth were replaced with new restorations. Bleaching was performed with carbamide peroxide at 10%. The teeth 11, 21 and 22 were prepared to feldspathic veneers. After the final impression the provisionals were carried out with bis-acryl resin. Veneers were bonded with heated composite at 55° with rubber dam, and a direct restoration in composite was carried out on the tooth 12. Keywords: direct restorations, indirect restorations, composite resin, feldspathic ceramics, veneers, aesthetic zone