“…2,6 Numerous etiologies have been proposed for MMD, including tooth size or jaw size discrepancies, aberrant labial frenum attachments, parafunctional habits, tooth loss, periodontal disease, deep bites, and maxillary midline pathologies, such as supernumerary tooth. [4][5][6][7][8] There have been reports of self-inflicted pathological cases of diastema caused by tongue piercing. 4 The treatment include identification and removal of etiologic factor followed by various modalities, such as orthodontic tooth movement, restorative procedures with esthetic composite, prosthetic management of space with porcelain jacket crowns, laminates.…”