Restoration of a Peg Lateral Incisor Using the Putty Index Technique: A Case Report

The restoration of peg lateral incisors poses considerable aesthetic and functional issues. This case report describes the use of a putty index approach for conservatively restoring peg-shaped maxillary lateral incisors with resin composites. A 21-year-old female patient with good periodontal health and appropriate occlusal interactions had treatment at the Department of Conservative Dentistry and Endodontics. The restoration method included initial impressions, shade selection, etching, bonding, and gradual composite application, followed by curing and polishing. The putty index was used as a reference to accurately recreate the palatal enamel. This approach provides a low-cost, minimally intrusive treatment that maintains natural tooth structure while producing satisfactory aesthetic outcomes. Direct adhesive resin restorations are being highlighted as a feasible option, as technology and bonding techniques progress. This case shows the significance of modifying treatment plans based on patient characteristics and practitioner expertise.