Maxillary Anterior Esthetic Rehabilitation of Twin Patients Following Orthodontic Treatment - Case Reports

Aim: These case reports detail the treatment of multiple diastemas, peg-shaped lateral incisors and gingival asymmetries in the maxillary anterior areas of twin patients. Case Report: Two 21-year-old female twin patients (D.C.&T.C) visited our clinic to address their concern about gaps between maxillary anterior teeth. The teeth were vital and the surrounding tissues were healthy. In all cases, gingivectomy were performed using a 940 nm diode laser. Following a 14-day recovery time, the patient had diastema closure (D.C) and peg-shaped lateral incisors shaping (T.C) treatments. After choosing the shade, teeth were isolated using a rubber dam, no preparations were performed. G2-Bond Universal adhesive (GC) and a universal resin composite (G-aenial ACHORD, GC) were applied for restorative procedure and polymerized using an LED device for 20s. Subsequently, the macro and micro surface morphologies on the buccal surfaces were created and any occlusal interferences were checked. The restorations underwent polishing using polishing discs, silicone rubber polishers, and polishing strips. The patients were motivated to maintain dental hygiene and were told about the need for follow-up appointments. Results: Following the restorative procedures, the patients expressed contentment with their physical appearances. During the 24-month follow-up, there were no signs of discoloration or chipping on the restorations, and the gingival contours were found to be satisfactory. Conclusion: The utilization of laser aided gingivectomy in conjunction with direct composite resin make-ups resulted in the achievement of a balanced and aesthetically pleasing alignment of the teeth. Moreover, it is a prudent strategy for adolescent patients who have finished orthodontic treatment.