Aesthetic management of generalized spacing in maxillary arch. A case report.

Abstract

Interdental spaces and lack of contact points between teeth are characteristic features of teeth spacing. Localized spacing is the term used when two to six teeth are involved. The aim of this study is to describe the visible changes that occurred in the oral cavity and indicate the possible treatment methods for the case. Localized spacing is due to several local factors which include small teeth, large arch length and periodontal disease. This case report discusses the aesthetic management of a young Egyptian male complaining of bad anterior aesthetics and the inability to talk or smile confidentially and therefore leading to a decrease in his confidence and psychological health. Thorough patient assessment were followed by impression taking a diagnostic wax-up and an intra-oral motivational mockup for aesthetic biological and functional verification. Upon the patient's agreement on the treatment fixed restorations using mockup guided preparation technique were carried out. The laminate veneers closed the spaces with the natural appearance the patient desired and he was satisfied with the outcome. The function and occlusion of the restoration were good and provided optimal results in phonetics and gingival health. It also prevented food impaction in contrary to the initial condition. The veneers and the periodontal tissues were in a good condition at the one-year recall The laminate veneers restored the maxillary anterior localized spacing and provided an excellent esthetic outcome as well as being a minimally invasive treatment that requires less time and immediate results.