Esthetic wax-ups are indicated when anterior restorations are planned to restore caries lesions, fractures, wear (attrition/erosion/abrasion), a diastema, intrinsic discoloration, or microdontia that most commonly affect the lateral incisors (peg-shaped lateral) or to generally enhance a poor smile. Several factors should be considered before initiating the treatment, such as caries risk, periodontal health, existing restorations, alternative treatment options, and patient expectations.