The restoration of the smile requires a comprehensive management by a multidisciplinary approach involving different specialties like orthodontics, prosthodontics and periodontics. To achieve an aesthetic outcome and an optimal gingival architecture after a prosthetic treatment, it is crucial to take gingival health into account during treatment planning. It is among the first fundamental aesthetic objectives for any dental treatment. With the advances in materials and concepts in fixed prosthodontics, several types of prosthesis have been proposed for the management of decayed anterior teeth such as zirconia crowns which were considered as a suitable solution, they offer the best outcome in terms of aesthetic result, durability and biocompatibility. The clinical case report showed a patient with Sjögren's syndrome, high caries risk with multiple Miller class II gingival recessions, consulted to restore her decayed anterior teeth. We indicated a multidisciplinary approach involving periodontal and prosthetic treatment for anterior teeth to achieve successful aesthetic restoration of the smile.