An integrated cosmetic treatment plan: soft tissue management and metal-free restoration.

Development of aesthetic restorations requires a careful, thorough, and concise team approach. The correct design of the gingival margin will significantly affect the overall appearance of the restorations, and the development of scalloped interdental papillae is equally paramount to restorative success. Tooth morphology can only be reestablished in a natural way when the soft tissue is compatible with aesthetic principles. Additional considerations that must be addressed during restorative fabrication include incisal edge position and development of an accurate shade match with the surrounding dentition. Thorough communication is, therefore, critical between the laboratory technician and the clinician in order to ensure development of a concise treatment plan that includes proper material selection, laboratory design, and clinical execution.