Management of white spot lesion using direct veneer: A case report

White spot lesion (WSL) is an early manifestation of enamel demineralization, often appearing as small, white opacities on the tooth surface. It represents the initial stage of dental caries and can result in esthetic concerns, especially in anterior teeth. WSL formation involves four main factors: bacterial plaque, fermentable carbohydrates, a susceptible enamel surface, and prolonged acid exposure. In recent years, the prevalence of WSL has increased, including those associated with orthodontic treatment. Management focuses not only on arresting caries progression but also on restoring esthetics. A 22-year-old female presented with a white spot lesion on the labial surface of tooth 22. The lesion had appeared over the past two months and caused esthetic dissatisfaction. Clinical examination showed no signs of irreversible pulpitis or apical pathology. Salivary assessment was within normal limits, and radiographic imaging was not indicated. A diagnosis of reversible pulpitis with a non-cavitated WSL was made, and a direct veneer using nanohybrid composite was planned. The procedure was completed over three visits, involving shade selection, conservative preparation, acid etching, bonding, and layered composite application. Two weeks post-treatment, evaluation showed excellent esthetic results, with the veneer remaining intact and the patient free of symptoms. Direct composite veneer is an effective, conservative, and esthetically pleasing treatment for anterior WSLs. It offers functional and visual improvement with minimal tooth alteration and can be considered a reliable option in similar clinical cases.