Abstract
Recent widespread recognition of cosmetic dentistry, including all-ceramic restorations （inlays, crowns, bridges and veneers）and tooth whitening, not only among dental specialists but also among the general public, has led to a surge in the number of patients seeking these treatments. This in turn has given rise to the misconceptionamong some patients that cosmetic dentistry is simply limited to placing a white restoration over an existing tooth.
Even in cases requiring an esthetic restoration in a localized area, performing an accurate full-mouth assessment—and, sometimes, explaining the need for orthodontic or occlusal intervention—is just as important as the restorative treatment.
Cosmetic restoration of a single tooth, for instance, should not end with the placement of the crown, veneer, inlay, or bridge but also may require proper soft tissue management to ensure stability in the patientʼs oral environment.
Ideal cosmetic dentistry therefore involves not only esthetic considerations but also measures to improve the oral environment, including periodontal plastic surgery and orthodontic treatment, with a greater emphasis on ease of brushing and functional aspects.
The present study describes the cosmetic treatment in a patient which included soft tissue management and ridge augmentation (improvement of oral environment) to achieve an esthetic smile line. Despite limited treatment options due to the patientʼs unwillingness to undergo orthodontic therapy, the outcome was favorable and the patient was satisfied.
