Reanatomization with the use of custom esthetic matrix: case report

Resumo

Dental changes directly interfere with the esthetics of the smile, which can affect socially and psychologically the individual. Composite resins play an important role in treatment options and have become the first choice in restoring anterior teeth, especially when involving healthy teeth requiring minimal intervention. Objective: Demonstrate the cosmetic reanatomization and closure of multiple diastemas in the maxillary teeth, using composite resins to make semi-direct veneers, using the ultraconservative technique known as the Custom Esthetic Matrix. Material and methods: A 20-year-old male sought treatment for diastema and small teeth. The custom esthetic matrix (CEM) technique was chosen for a conservative and aesthetic restoration. After a diagnostic wax-up and shade selection, semi-direct resin veneers were fabricated and cemented. The restorations were polished and finished, achieving natural symmetry and esthetics. Results: The treatment successfully restored the patient’s smile, closing the diastema and improving tooth proportions with the CEM technique. The final restorations exhibited natural esthetics, symmetry, and proper integration with the surrounding teeth, gums, and lips. Conclusion: The CEM technique provides a conservative, cost-effective option for esthetic restorations, offering predictability, immediate results, and control over each step, making it ideal for cases with previous cosmetic reconstructions.