The enhancement of esthetics in restorative dentistry involves skills and techniques used to improve the art and symmetry of teeth and the face to enhance the appearance and function of the teeth. Esthetics can be affected by developmental disturbances such as supernumerary teeth (mesiodens), enamel hypoplasia, microdontia, and secondary factors like trauma, mutilated teeth, and drug-induced discolorations. Various treatment options can be employed to enhance esthetics using both direct and indirect methods. This paper presents the esthetic management of mesiodens.