Achieving optimal pink and white esthetics is essential in the rehabilitation process, but it can be challenging when relying solely on surgical or prosthetic approaches. Successful esthetic restoration requires careful planning and a multidisciplinary approach for the best results. This case report describes the use of a fixed gingival prosthesis to treat a Siebert’s Class III anterior ridge defect following Le Fort osteotomy and rapid maxillary expansion. A 17-year-old female presented with missing teeth and dissatisfaction with her smile. Upon clinical evaluation, a ridge defect and skeletal class III malocclusion were noted, alongside a constricted maxillary arch and crossbite. A comprehensive treatment plan was developed, beginning with rapid maxillary expansion to correct the crossbite. This was followed by Le Fort I osteotomy, fixed orthodontics, and the placement of CAD CAM gingival veneer prostheses to restore the anterior edentulous region and address the dental deformities. Through effective planning and collaborative team efforts, the treatment was completed. A multidisciplinary approach is essential to achieve positive results in such cases.
