ABSTRACT

Background: Nowadays, the aesthetic appearance of teeth has an essential role in daily life. Teeth with anterior diastema often interfere with the patient's confidence. A simple and easy way to restore diastemas is direct composite resin veneer restoration with a minimally invasive technique, but the macro- and micro-facial analysis are essential before the clinical application. The clinician should improve their understanding of smile design to preserve teeth structure and enhance the success of the treatment. Case Report: This paper reported the treatment of anterior multiple diastemas using direct composite resin veneers and initiated with smile design analysis. Case Management: A 22-year-old female patient presented with a chief complaint of her anterior teeth spacings. On examination, multiple diastemas were found on maxillary and mandibular anterior teeth. She has small-shaped teeth and an intrusive profile. On the first visit, we took dental impressions and patient photos. Macro- and microanalysis were performed using a digital smile design, and an 80% RED proportion was also determined. The preparation was performed only to smooth the teeth’ surface, and after the etching and bonding procedure, the nanohybrid composite resin was applied with one shade technique. Recurring Esthetic Dental (RED) proportion can be used besides Golden Proportion. Conclusion: Direct resin composite veneers with a digital smile design can be considered an important initial analysis to support the success of the treatment. Several advantages can be achieved, such as knowing the estimated final result and improving patient satisfaction.