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Hypoplastic enamel can compromise the smile by altering the morphology and natural translucency of the teeth. To avoid performing iatrogenic procedures, etiologic knowledge of the enamel deficiency is essential to indicate the most appropriate treatment approach. In the case of white stains involving the enamel and dentin, a notable treatment option is a direct restoration with composite resin, which has excellent optical properties to reproduce the natural tooth structure and appropriate mechanical properties to ensure treatment longevity. In this article, a clinical case of a patient who reported dissatisfaction with her smile esthetics, prompted by the presence of hypoplastic enamel staining at the central and lateral incisors, is presented. Treatment consisted of composite resin restorations with the natural stratification technique. The final esthetic result proved the possibility of obtaining natural-looking restorations, while ensuring the esthetic and functional satisfaction of both the patient and clinician. (Am J Esthet Dent 2011;1:10–24.)
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