This clinical report describes a treatment approach for restoring the esthetics of peg-shaped incisors. Four patients were referred for the treatment of pegshaped lateral incisors that caused esthetic problems. Intraoral examinations indicated that all four patients had good periodontal health and stable intercuspal positions, as well as normal vertical and horizontal overlaps, and canine-protected occlusion. The pegshaped lateral incisors of three patients were restored directly with resin-based composite using different techniques, whereas one patient was restored with porcelain crowns. The common occurrence of peg-shaped lateral incisors means that practitioners should be trained in the art of careful interdisciplinary treatment planning, to obtain excellent results. This clinical report describes a treatment approach for restoring the esthetics of pegshaped incisors.