Case Study
Gumline Cavity Restoration
Conservative and aesthetic repair with composite resin veneer
Clinical presentation
Mr. D presented with a gumline cavity on tooth 12, accompanied by plaque buildup and mild discoloration where the front teeth meet the gums. Clinical examination confirmed localized enamel and dentine demineralization on tooth 12. Surrounding tissues were healthy, making the tooth suitable for a conservative, tooth-preserving restoration.
Treatment planning
A direct composite resin restoration was selected to repair the gumline cavity. This approach allowed accurate shade matching and contouring while preserving healthy tooth structure. The procedure was planned for same-day, chairside completion, giving the patient immediate results.
Treatment process
The affected area was carefully cleaned and prepared to support optimal adhesion. Carious tissue was removed while conserving sound enamel and dentine. A tooth-colored composite resin was applied directly, layered, and sculpted to restore the natural cervical contour and tooth anatomy. The restoration was light-cured, contoured, and polished to achieve smooth margins, proper occlusion, and a natural, seamless finish.
Outcome
The direct composite restoration successfully repaired the gumline cavity in a single visit. Tooth 12 regained its form and function, blending naturally with the surrounding teeth. The procedure provided a durable, minimally invasive solution without the need for laboratory work or multiple appointments.
A conservative solution at the gumline
This case highlights the effectiveness of direct composite restorations for managing small gumline cavities. The treatment demonstrates a conservative, durable, and aesthetic solution, preserving natural tooth structure while restoring both appearance and function.