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Case Reports in Dentistry
Volume 2016, Article ID 1254610, 5 pages
Case Report

A Conservative Esthetic Approach Using Enamel Recontouring and Composite Resin Restorations

1Department of Clinical Dentistry, School of Dentistry, Federal University of Bahia, Salvador, BA, Brazil
2Department of Dental Materials and Prosthodontics, Aracatuba Dental School, Universidade Estadual Paulista, UNESP, Aracatuba, SP, Brazil
3Department of Restorative Dentistry, Araraquara Dental School, Universidade Estadual Paulista, UNESP, Araraquara, SP, Brazil
4Department of Clinical Dentistry, School of Dentistry, Bahiana School of Medicine and Public Health, Salvador, BA, Brazil

Received 11 August 2016; Accepted 26 September 2016

Academic Editor: Zühre Akarslan

Copyright © 2016 Paula Mathias et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Conservative clinical solutions, predictable esthetic, and immediate outcomes are important concepts of restorative dentistry. The aim of this case study was to recognize the selective enamel removal as an interesting conservative alternative to achieve optimal esthetic results and discuss the clinical protocol. This clinical report described an alternative esthetic and conservative treatment to transform the long and sharp aspect of the maxillary canines with a slightly aggressive aspect into features of slightly curved teeth with delicate lines. An accurate diagnostic and esthetic analysis of the smile was initially performed. The selective enamel removal was performed, and direct composite restoration was strategically placed. Clinical assessment showed good esthetic outcomes, enabling a smile harmony with an immediate, simple, and lower-cost technique. Practitioners should be exposed to conservative approaches to create esthetic smiles based on the selective enamel removal technique combined with composite resin.