The demand for esthetically driven dental treatment has increased substantially with advances in adhesive dentistry. This case series describes three anterior esthetic rehabilitation scenarios: (i) direct composite veneering for correction of anterior malalignment in vital teeth, (ii) combined in-office bleaching and direct composite veneering for fluorosis-associated discoloration in vital teeth, and (iii) conservative rehabilitation of structurally compromised endodontically treated teeth with sodium ascorbate neutralization, and anatomic fiber post fabrication with adhesive core reconstruction. All cases demonstrated satisfactory immediate esthetic and functional outcomes. Follow-up evaluations showed stability of the restorations. Adhesive restorative procedures provide versatile and cost-effective solutions for anterior esthetic rehabilitation across a broad spectrum of clinical presentations. When executed with appropriate case selection, meticulous adhesive protocols, and systematic finishing and polishing, direct composite restorations and adhesive post-endodontic rehabilitation can provide predictable esthetic and functional outcomes.
Gupta et al. (Mon,) studied this question.