Pink-White Aesthetic Smile Design with Minimally Invasive Methods: Case Report

The aim of this case report is to present a minimally invasive pink–white aesthetic smile rehabilitation performed with diode laser–assisted gingivectomy–gingivoplasty and direct composite veneer restorations in a young adult patient presenting with a gummy smile and multiple anterior diastemas. A 27-year-old female patient applied to our clinic with the complaint of an unaesthetic smile due to excessive gingival display and diastemas between the maxillary anterior teeth. Clinical examination revealed a gummy smile and multiple diastemas without periodontal pathology. A minimally invasive treatment plan was established, including diode laser gingivectomy–gingivoplasty for teeth 14–24, followed by direct composite veneer restorations to enhance white aesthetics. Gingival recontouring was performed using a diode laser under local anesthesia. After a 2-week healing period, complete soft tissue recovery was observed. After choosing the shade, teeth were isolated using a rubber dam, no preparations were performed. Prime&BondUniversal, adhesive (Dentsply Sirona) and a universal resin composite (Ceram.xSphereTECOne, Dentsply Sirona) were applied for restorative procedures and polymerized using an LED device for 20s. Subsequently, the macro and micro surface morphologies on the buccal surfaces were created and any occlusal interferences were checked. Finishing and polishing procedures were completed and the patient was motivated to maintain dental hygiene and was told about the need for follow-up appointments. 18-month follow-up evaluation demonstrated satisfactory esthetic outcomes with healthy gingival contours. Minimally invasive approaches combining diode laser soft tissue management with adhesive composite restorations provide predictable, tissue-friendly, and esthetically pleasing outcomes. Considering pink and white esthetics together is essential for achieving a harmonious and natural smile design.