Direct Esthetic Resin Restorations of Anterior Coronal Fractures: A Case Report

Replacing tooth structure that is lost due to trauma to the anterior teeth remains a challenge to the restorative dentist. The restorations must not only be able to withstand masticatory forces and stress but also be esthetically pleasing and acceptable. Materials and techniques have been developed and continue to be developed to improve the outcomes of our services.

Although there is still no restorative material available that fulfills all requirements, recent advancements in resin technology provide some improvement in treatment outcomes. In terms of esthetic dentistry, direct composite resins offer many advantages such as treatment in a single visit, not requiring preliminary models or wax-ups, not involving laboratory fees, cause less stress on the opposing dentition, and able to be repaired easily. However these materials have less color stability, less resistance to fracture and less shear and compressive strength. They are contraindicated for the patients with parafunctional forces and habits, Class III end-to-end occlusion, or with large diastemas.

We report on a patient with dental aesthetic problems due to crown fractures on maxillary anterior teeth and treated with direct aesthetic composite resin restorations. Direct composite resin restorations, with proper case selection, using appropriate technique and aesthetic materials, can yield highly aesthetic and long lasting results.