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Dental caries is a biolm-mediated, diet modulated, multifactorial, non-communicable, dynamic disease resulting in net mineral loss of dental hard tissues Fejerskov 1997; Pitts et al., 2017. It is determined by biological, behavioural, psychosocial, and environmental factors. As a consequence of this process, a caries lesion develops. 1 The aesthetic impact of caries-induced damage on the anterior teeth can signicantly affect an individual's performance and self-condence. The patient's treatment in this instance was tailored to her preferences, as she was aware of the black discoloration on her anterior maxillary teeth. She expressed that her family, relatives, and friends frequently inquired about the discoloured appearance of her front upper teeth. The patient indicated that the condition of her anterior maxillary teeth had a negative impact on her self-esteem and social interactions. This case study provides a comprehensive account of the successful management of a cystic lesion and caries in the maxillary anterior region of a female adult patient. The treatment approach included performing an apicoectomy on tooth 12, conducting root canal treatment on teeth 11, 12, 13, 21, 22, and 23, and applying composite restoration using a putty index technique. The patient's condition necessitated a meticulous diagnosis, treatment planning, and restoration process. Through the utilization of a putty index, the tooth's natural morphology was accurately replicated during the composite restoration procedure, resulting in favorable functional and aesthetic outcomes.
Raktade et al. (Sat,) studied this question.