Aesthetic restoration of anterior teeth 20-year-old female patient with multiple scattered gaps in the upper anterior region Desired to close the gaps and improve the smile. On examination, the patient was seen to have not only scattered gaps, but also a poor width to length ratio of the maxillary central incisors (the ideal width to length ratio should be 75% to 80%), and the rest of the upper anterior teeth were out of shape and proportion, with approximately 3 mm of gingival exposure when smiling (Figure 1). With the digital smile design (DSD) predicting the restorative outcome, the patient could also visualize and give her feedback, i.e., the restorative goals were designed by the doctor and patient together. (Figure 3 and Figure 4). Figure 3 Figure 4 According to the DSD design, the patient’s upper anterior teeth needed to be lengthened towards the gingiva to compensate for the lack of length, i.e., the teeth needed to be surgically lengthened (crown lengthening) (Figure 5), which also reduced the amount of gingival exposure during the smile. Figure 5 Two months after surgery, the gingiva was healthy and the gingival margin was in a stable position (Figure 6). A minimally invasive tooth preparation was performed as per the treatment plan (Figure 7) and temporary veneers were fabricated (Figure 8). Figure 6 Figure 7 Figure 8 All-ceramic veneers do not require excessive abrasion of tooth tissue and have good color and permeability, and are commonly used for aesthetic restoration of the anterior region. In this case, lithium disilicate glass-ceramic was used to complete the restoration of the veneer (Fig. 9 and Fig. 10). Figure 9Figure 10