This patient's left central incisor (right side of image) had a receded gum line. A tooth or restoration will never be attractive if the adjacent soft tissue is unhealthy or uneven. The recession exposed a dark root, the result of a previous root canal. The other central incisor had a composite filling that had yellowed.
A connective tissue gingival graft restored the health and natural contour of the gum tissue. The teeth were then whitened before a porcelain crown restored the darkened tooth. A new composite on the adjacent central incisor completed this remarkable transformation.