Aesthetic solution for large maxillary anterior diastema and frenum attachment

Resin-bonded porcelain veneer restorations can be used to correct unaesthetic diastemata caused by tooth position or discrepancies in the tooth size/arch development. The size of the diastema, size and proportion of the clinical crowns, tooth preparation, and dental occlusion require special attention; an excessive frenum attachment requires additional care and coordination of the treatment. This article describes the placement of six resin-bonded porcelain veneer restorations in a patient with a large diastema between the maxillary central incisors and associated frenum and soft tissue involvement. The learning objective of this article is to demonstrate the importance of pretreatment planning and problem solving in achieving predictable final restorations.