The prevalence and etiology of maxillary midline diastema among orthodontic patients attending Shorsh Dental Clinic in Sulaimani City

Abdulateef, Darwn Saeed; Ali, Azheen Jamil; Othman, Nasih

doi:10.17656/sdj.10026

Cited by 3 publications

(5 citation statements)

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“…In the present study it was found that, among the given population, prevalence of midline diastema was found to be 22% and the major etiological factor was high frenal attachment with a percentage of 52%. This was similar to a study that showed prevalence of midline diastema to be 23%, but the major causative factor was generalised spacing [39%] (Abdulateef et al, 2014;Carruitero et al, 2020). A study reported that black children exhibit a higher prevalence [19%] of midline diastema than white children (Edwards, 1977;AlSadhan and Al-Jobair, 2017).…”

Section: Association Between Etiology and Gendersupporting

confidence: 87%

“…de ine true midline diastema to be one without periodontal or periapical factors and with the presence of all anterior teeth in the arch (Keene, 1963;Abdulateef et al, 2014) whereas, Attia de ines it as spaces of varying magnitude between the crowns of fully erupted incisors (Carruitero et al, 2020).…”

Section: Introductionmentioning

confidence: 99%

“…Maxillary midline diastema is aesthetic problem appearing in children and affecting adults and adolescents irrespective of gender and ethnicity (Abdulateef et al, 2014;Carruitero et al, 2020).…”

Section: Introductionmentioning

confidence: 99%

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Prevalence of midline diastema and its correlation with high Frenal attachment

Shivanni

Balakrishna

2020

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The aim of this study is to assess the prevalence of midline diastema in the South Indian population and to find its correlation with high frenal attachment. The study includes patients visiting the department of orthodontics. The data was collected from the digital archives of the institution. Intraoral photos were assessed. A total 305 patients who reported to the department of orthodontics from June 2019 to March 2020 were screened. The causes of diastema namely presence of high frenal attachment, generalised spacing and periodontal disease, were evaluated. The results were statistically analysed using chi-square tests and graphs were tabulated. A total of 305 patients were screened, among which midline diastema was present in 22.3% (68) of the cases. High frenal attachment was found in 52%, generalised spacing in 36% and periodontal disease in 12% of the cases. The mean age of the patient was 23±5.25 years. The incidence of midline diastema was found to be 22%. High frenal attachment was found to be the most common etiology.

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Section: Association Between Etiology and Gendersupporting

confidence: 87%

Section: Introductionmentioning

confidence: 99%

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Prevalence of midline diastema and its correlation with high Frenal attachment

Shivanni

Balakrishna

2020

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“…3,4 Persepsi akan penampilan gigi-geligi dapat mempengaruhi penampilan wajah dan berbagai faktor dari lingkungannya, salah satunya muncul perasaan tidak puas atau kurangnya percaya diri,sehingga perlunya dilakukan perawatan lebih lanjut dengan menggunakan alat ortodontik. 5 Alat ortodontik harus dapat digunakan dengan nyaman, dapat diterima oleh pasien, dan dapat dibersihkan oleh pasien sehingga kesehatan rongga mulut tetap terjaga. 6 Alat ortodontik lepasan memiliki beberapa keuntungan yaitu dapat dengan mudah diaplikasikan, dengan desain alat yang sederhana, serta lebih ekonomis, namun keberhasilan alat ini bergantung pada kepatuhan pasien dalam menggunakan alat tersebut.…”

Section: Pendahuluanunclassified

Manajemen Diastema Multipel Tipe Dental: Laporan Kasus

Darwis¹,

Fadhilah²

2023

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Diastema is a space or gap between two or more adjacent teeth which can result in oral and esthetic problems. Orthodontic treatment is needed for diastema concerning inter alia itsetiology. We reported a 17-year-old male patient complaining of gaps between the front teeth of the upper jaw. Based on anamnesis, the patient was in good condition. Intra oral examination revealedmultiple diastemas between upper front teeth, high labial frenulum, overjet, dan overbite. There was a positive arch length discrepancy of upper jaw meanwhile the other analyses were in normal limit. The etiology of multiple diastemas in this case were small teeth on a relatively large jaw, and a high labial frenulum. The patient was treated using active and passive removable orthodontic appliance to fix the tooth gaps. After 10 times of activation, the diastemas were corrected then the patient was continued to the retentive phase using removable retainer of Hawley type to prevent relapse. In conclusion, diagnosis, examination, and choosing removable orthodontic appliance are important to correct the multiple diastemas. Maintenance and patient’s cooperation in using the active and retentive appliance are needed to achieve hard and soft tissue healthiness in the long run. Keywords: multiple diastemas; orthodontic treatment; removable orthodontic appliances; retentive phase; patient’s cooperation Abstrak: Diastema adalah ruang atau celah diantara dua atau lebih pada gigi secara berdekatan,yang dapat mengakibatkan berbagai masalah dalam rongga mulut dan estetik. Diperlukan penatalaksanaan khusus terhadap setiap masalah diastema, dengan memperhatikan faktor etiologi dan lainnya. Kami melaporkan seorang pasien laki-laki berusia 17 tahun dengan keluhan gigi terlihat berjarak pada gigi depan bagian atas yang mengganggu penampilan. Hasil anamnesis pasien memiliki keadaan umum baik, pemeriksaan ekstra oral pasien dalam batas normal, sedangkan intra oral ditemukan diastema pada gigi anterior atas, perlekatan frenulum mendekati margin gingiva, overjet, dan overbite. Analisis model kerja mendapatkan arch length discrepancy rahang atas yang positif, sedangkan hasil analisis lainnya dalam batas normal. Etiologi diastema pada kasus ini ialah besarnya lengkung gigi yang tersedia dan ukuran gigi yang cenderung kecil, serta perlekatan frenulum tinggi. Pada pasien ini dilakukan perawatan diastema multipel menggunakan alat ortodonti lepasan dengan alat aktif dan pasif untuk menutup celah yang terdapat di antara gigi. Hasil perawatan ialah diastema terkoreksi pada rahang atas setelah dilakukan aktivasi selama 10 kali, kemudiandilanjutkan ke fase retensi menggunakan retainer lepasan tipe Hawley untuk mencegah terjadinya relaps. Simpulan kasus ini ialah penegakan diagnosis, pemeriksaan dan pemilihan alat ortodonti lepasan aktif dapat mengoreksi masalah diastema multipel. Diperlukan fase pemeliharaan dan kerjasama pasien dalam penggunaan alat aktif dan alat retensi untuk mendapatkan hasil perawatan kesehatan jaringan keras dan jaringan lunak dalam jangka panjang. Kata kunci: diastema multipel; perawatan ortodonti; alat ortodontik lepasan; fase retensi; kerjasama pasien

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“…The continuing presence of a diastema between the maxillary central incisors in adults has been considered as a prevalent aesthetics problems [1]. Maxillary midline diastema (MMD) is defined as a spacing greater than 0.5 mm between proximal surfaces of maxillary central incisor [2]. Presence of high frenum attachment is one of the more common etiological factors for persistence of a midline diastema, therefore focus on the frenum has become essentials [1].…”

Section: Introductionmentioning

confidence: 99%

Management of maxillary midline diastema caused by aberrant frenum attachment: A case report

Lay¹,

Supandi²

2022

World J. Adv. Res. Rev.

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Background: Midline diastema in the maxillary is very common aesthetics problem in mixed and early permanent dentition, one of which etiology is aberrant frenum attachment. High frenum attachment might interfere with aesthetics, plaque control, and create mucogingival deformities, therefore compromising orthodontic result and causing recurrence. Several treatments for maxillary midline diastema are available, one of which is labial frenectomy. Objective: To present a case report of frenectomy as a mean of eliminating maxillary midline diastema. Case: This is a case report of a 25 years old female patient with high frenum attachment causing maxillary midline diastema. Patient was treated with frenectomy afterward. Frenectomy is a complete removal of frenum, including the attachment to the underlying bone. Following the treatment, midline diastema closure was showed in 4 months following frenectomy. Conclusions: Frenectomy is a potential alternative for treatment of maxillary midline diastema.

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The prevalence and etiology of maxillary midline diastema among orthodontic patients attending Shorsh Dental Clinic in Sulaimani City

Cited by 3 publications

References 3 publications

Prevalence of midline diastema and its correlation with high Frenal attachment

Prevalence of midline diastema and its correlation with high Frenal attachment

Manajemen Diastema Multipel Tipe Dental: Laporan Kasus

Management of maxillary midline diastema caused by aberrant frenum attachment: A case report

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