Abstract :
Conventional full-coverage crowns have long been used for anterior esthetic restorations such as discoloration, enamel defects, and minor malformations. However, these restorations often require extensive tooth reduction. With the rise of minimally invasive dentistry, direct composite veneers have emerged as a conservative, esthetic, and cost-effective alternative for smile enhancement. This case report describes the clinical management of a patient with enamel hypoplasia and fluorosis using direct composite veneers, emphasizing a minimally invasive approach while achieving high esthetic standards. A 21-year-old female presented with generalized discoloration and enamel surface irregularities, most severe on the maxillary anterior teeth. Clinical findings and history confirmed a diagnosis of moderate dental fluorosis with enamel hypoplasia. The treatment plan involved minimally invasive esthetic rehabilitation using direct composite veneers. After shade selection (A2, Estelite Anterior, Tokuyama) and intra-enamel preparation (0.3–0.5 mm), the teeth were etched using 37% phosphoric acid, bonded with a self-etch adhesive (Palfique Bond, Tokuyama), and restored with nanohybrid composite resin. The restorations were polished to a high gloss. Follow-up at one and six months showed excellent surface integrity, marginal adaptation, and patient satisfaction. This case highlights the value of direct composite veneers as a minimally invasive and esthetically effective approach for anterior smile rehabilitation. By preserving healthy tooth structure and achieving natural esthetics, this technique meets modern demands for conservative and patient-centered restorative dentistry.
Keyword :
Direct composite veneer, Minimally invasive dentistry, Esthetic rehabilitation, Enamel hypoplasia, Case report