The use of direct composite resin to close maxillary midline diastema complementary to orthodontic treatment

Abstract

The maxillary midline diastema is a common esthetic problem in patients. Assess and diagnose may be challenging due to the many factors that influences the alteration of tooth eruption process and tooth shape. Due to the various advantages and the reversibility of treatments, composite resins are today a suitable aesthetic and functional option, even so, its management and technique require a trained and experienced clinician in order to obtain an optimal outcome. The following report, is a clinical case of a 21-year old female with a main complaint of a maxillary midline diastema produced by the alteration in tooth shape and size of both upper central incisors, which was closed and corrected with direct composite resins.

Width-to-length ratio of maxillary anterior teeth in the diastematic dentition

“…However, in some particular clinical cases with malshaped or discolored teeth, orthodontics by itself may not solve the esthetic problem; composite or prosthetic restorations may give an expected result. 9 First, the diastema is measured, then that measurement is divided by two. The quotient is added to the existing width of each tooth, which gives an increased tooth width.…”

The aesthetic management of a midline diastema with direct composite using digital smile design, putty index and button shade technique: A case report

“…25 A diastema of the anterior teeth can interfere with aesthetics and reduce the patient's self-confidence. 26 Closure of the diastema using a composite resin is the main treatment plan offered, but in the case of large spaces between the teeth, simple closure may not provide a natural and pleasant solution for the patient. Direct composite restoration is the simplest of all procedures for diastema closure.…”

Transformação estética do sorriso com acréscimos estratégicos em resina composta: Caso clínico

“…Diastemas são espaços interdentais maiores que 0,5mm (Romero et al, 2018;Durán et al, 2019). A presença destes pode conferir ao sorriso uma aparência infantilizada, o que foge dos padrões de beleza.…”

“…Sua etiologia é multifatorial, podendo ser hereditária ou de desordens do desenvolvimento. Algumas causas podem ser citadas, como: agenesia dental; freio labial de inserção baixa; doença periodontal; hábitos deletérios; perdas dentárias e presença de dentes supranumerários (Durán et al, 2019).…”

“…Várias formas terapêuticas têm sido relatadas na literatura para tratar os diastemas, como a correção ortodôntica, cirurgia, uso de laminados cerâmicos ou resinas compostas (Brianezzi et al, 2017;Durán et al, 2019;. Acréscimos em resina tornam o procedimento minimamente invasivo, de fácil e rápida execução, além de ter custo acessível (Kabbach, Sampaio & Hirata, 2018).…”