case_images: PMC4736806_01
case_images: Preoperative extraoral view of the patient with aesthetic problems due to the tongue thrust.
case_images: CRID2016-6810984.001.jpg
case_images: PMC4736806_01_CRID2016-6810984.001.jpg
case_images: fig1
case_images: Patient's medical history did not reveal any systemic diseases and intraoral examination revealed presence of midline spacing between maxillary central incisors (~4 mm) due to tongue thrust parafunction (Figure 1).
case_images: Preoperative intraoral view of the patient and the midline diastema.
case_images: CRID2016-6810984.002.jpg
case_images: PMC4736806_01_CRID2016-6810984.002.jpg
case_images: fig2
case_images: No preparations were performed before the restoration procedure (Figure 2).
case_images: Maxillary anterior teeth were isolated with rubber dam and the central incisors were retracted with retraction cord. No preparations were achieved.
case_images: CRID2016-6810984.003.jpg
case_images: PMC4736806_01_CRID2016-6810984.003.jpg
case_images: fig3
case_images: All maxillary incisors were isolated with rubber dam (Kerr, USA) and the central incisors were retracted by using retraction cord (Figure 3).
case_images: The adjacent central incisor was covered with Teflon band while the other was restored. A thin layer of JE shade transparent composite resin was used palatinally as enamel.
case_images: CRID2016-6810984.004.jpg
case_images: PMC4736806_01_CRID2016-6810984.004.jpg
case_images: fig4
case_images: A thin layer of JE shade transparent composite resin was used palatinally as enamel (Figure 4).
case_images: A thin layer of BW shade opaque composite resin was placed roughly as the second layer.
case_images: CRID2016-6810984.005.jpg
case_images: PMC4736806_01_CRID2016-6810984.005.jpg
case_images: fig5
case_images: A thin layer of BW shade opaque composite resin was placed roughly as second layer (Figure 5).
case_images: A1 shade composite resin was used as dentin layer and a thin layer of JE shade was used as the top enamel layer. Labial surfaces of the restorations were flattened by using a red banded knife-edge tip diamond bur.
case_images: CRID2016-6810984.006.jpg
case_images: PMC4736806_01_CRID2016-6810984.006.jpg
case_images: fig6
case_images: Labial surfaces of the restorations were flattened by using a red banded knife-edge tip diamond bur (Acurata, Germany) (Figure 6).
case_images: Polishing discs were used for detailed polishing from rough to fine grit.
case_images: CRID2016-6810984.007.jpg
case_images: PMC4736806_01_CRID2016-6810984.007.jpg
case_images: fig7
case_images: Polishing discs (Ultra Gloss Composite Polishing System, Axis, USA) were used for detailed polishing from rough to fine grains by using a low speed handpiece (DURAtec 2068D, Germany) (Figures 7 and 8).
case_images: Postoperative view of the restorations just after removal of the rubber dam and the retraction cords.
case_images: CRID2016-6810984.008.jpg
case_images: PMC4736806_01_CRID2016-6810984.008.jpg
case_images: fig8
case_images: Polishing discs (Ultra Gloss Composite Polishing System, Axis, USA) were used for detailed polishing from rough to fine grains by using a low speed handpiece (DURAtec 2068D, Germany) (Figures 7 and 8).
case_images: The view of the restorations at one-year recall.
case_images: CRID2016-6810984.009.jpg
case_images: PMC4736806_01_CRID2016-6810984.009.jpg
case_images: fig9
case_images: At one-year recall no sensitivities, discolorations, or fractures were detected on the teeth and the restorations (Figure 9).