Aesthetic Rehabilitation of Peg-Shaped Maxillary Permanent Lateral Incisors: Ultraconservative Approach

¹Associate Professor, Department of Dentistry, University Hospital, Sahloul, Tunisia, Faculty of Dental Medicine, University of Monastir, Avicenna Street, 5000 Tunisia, Research Laboratory LR12ES11, University of Monastir, Tunisia

²Associate Professor, Department of Dental Biomaterials, Faculty of Dental Medicine, University of Monastir, Avicenna Street, 5000 Tunisia, Laboratory of Dento-Facial, Clinical and Biological Approach (ABCDF) LR12ES10, University of Monastir, Tunisia

³Department of Dentistry, University Hospital, Sahloul, Tunisia, Faculty of Dental Medicine, University of Monastir, Avicenna Street, 5000 Tunisia, Research Laboratory LR12ES11, University of Monastir, Tunisia

⁴Professor, Department of Dentistry, University Hospital, Sahloul, Tunisia, Faculty of Dental Medicine, University of Monastir, Avicenna Street, 5000 Tunisia, Research Laboratory LR12ES11, University of Monastir, Tunisia

*Corresponding Author: Amira Kikly, Associate professor, Department of Dentistry, university hospital, Sahloul, Tunisia, Faculty of Dental Medicine, University of Monastir, Avicenna Street, 5000 Tunisia; Email: [email protected]

Received Date: September 6, 2023

Publication Date: October 13, 2023

Citation: Kikly A, et al. (2023). Aesthetic Rehabilitation of Peg-Shaped Maxillary Permanent Lateral Incisors: Ultraconservative Approach. Mathews J Dentistry. 7(2):39.

Copyright: Kikly A, et al. © (2023)

ABSTRACT

Objective: The aim of this article is to develop a simplified clinical protocol for the management of a peg-shaped maxillary lateral incisor using a direct restoration technique. Materials and methods: A 14-year-old girl consulted us for aesthetic discomfort in the anterosuperior sector, due to the presence of a peg-shaped right maxillary lateral incisor. A direct composite resin restoration was used for the aesthetic rehabilitation of this case. Result: It is therefore possible to achieve aesthetic and reproducible results using the direct technique, provided a strict and rigorous protocol is followed. Clinical assessment of the case report was made using FDI criteria Discussion: Peg-shaped maxillary lateral incisors can have many aesthetic and functional consequences. Their aesthetic rehabilitation must respect the therapeutic gradient. At present, no exhaustive protocol has been adopted. A set of decision criteria must be established in order to indicate the most appropriate therapeutic solution. Direct restoration with composite resin is the most conservative solution, as it has the advantage of being reversible, unlike indirect restorations. Previewing the results of treatment with a wax-up illustrating the final result is essential and helps communication between practitioner and patient, as well as the patients' decision-making process.

Keywords: anterior esthetics, peg-shaped lateral maxillary teeth, Composites, direct restoration