The Use of Gingivoplasty, Direct Composite Resin Restorations, and Minor Tooth Movement to Close Maxillary Anterior Diastemata

Faria-e-Silva, André Luis; de Mendonça, Adriano Augusto Melo; de Hermínia de Aguiar de Oliveira, Alaí; de Almeida, Margarete Aparecida Menezes
June 2012
American Journal of Esthetic Dentistry;Summer2012, Vol. 2 Issue 2, p136
Academic Journal
The closure of a large anterior diastema is a challenging task for dental clinicians. This case report describes the closure of a large midline diastema with associated shorter diastemata using crown-lengthening surgery, direct composite resin restorations, and minor tooth movement. To significantly lengthen the incisors, 2 mm of gingival tissue was removed. A wax-up was fabricated to determine the adequate height-to-width ratio of the teeth. Diastemata were closed using direct composite resin restorations completed over two appointments. Between these visits, the incisors were slightly moved toward the midline using elastomeric separators. At the 6-month follow-up, complete diastema closure and the absence of black spaces were observed.


Related Articles

  • Cosmetic Creations - Through Diastema Closure. Govila, Vivek; Govila, Smita // Indian Journal of Dental Sciences;Sep2012, Vol. 4 Issue 3, p74 

    Maxillary midline diastema is a common aesthetic problem in mixed and early permanent dentitions. The space can occur either as a transient malocclusion or created by developmental, pathological or iatrogenical factors. Many innovative therapies varying from restorative procedures such as...

  • Time-Saving Techniques for COMMON EMERGENCIES. Brown, Kevin M. // Journal of Cosmetic Dentistry;Fall2015, Vol. 31 Issue 3, p38 

    This article describes a quick and easy technique to create an index that can be used in an emergency situation to allow the dentist to fix a broken anterior tooth in 30 minutes or less. Also illustrated is a simple technique using a silicone index and a Mylar strip to quickly and predictably...

  • The Nonparallel Horizontal Pin Splinting Technique. Leempoel, P. J. B.; Eschen, S. // Quintessence International;Aug1983, Vol. 14 Issue 8, p843 

    The article presents information on the nonparallel horizontal pin splinting technique in periodontal treatment. This technique is used to provide splinting and prosthetic replacement. The advantages of this technique includes permanent stabilization of loose teeth, esthetic improvement of...

  • Preliminary Report of the Use of Acid Etch Composite Build-Ups to Treat Diastemas. Clark, Dwyght; Sarrett, David; Antonson, Donald // Quintessence International;Feb1982, Vol. 13 Issue 2, p147 

    The article presents a case report of treating diastemas or conspicuous space between anterior teeth through acid etch composite technique. Diastema treatment includes teeth reshaping, dental restoration and finishing procedures. Considerations and benefits of using this process in treating...

  • Mantenedor de espacio en pérdida prematura de órganos dentarios en dentición mixta. Reporte de un caso clínico. Alanis, Stefanie Moreno; Contreras, Guadalupe Pedraza; Carrillo, Edith Lara // Revista ADM;Jan/Feb2011, Vol. 68 Issue 1, p30 

    Primary teeth are responsible for preserving the space available for permanent teeth to align. It is important that these be kept in good condition for as long as possible so as to prevent the development of pathologies associated with premature tooth loss. Space maintainers are one of the...

  • Evaluation depth of the curve of Spee in class I, class II, and class III malocclusion: A cross sectional study. Nayar, Sanjna; Dinakarsamy, V.; Santhosh, S. // Journal of Pharmacy & Bioallied Sciences;2015 Dental Supplement 1, Vol. 7, pS92 

    Occlusal plane is an essential consideration when multiple long-span posterior restorations are designed. When restorations are added to an existing tooth arrangement characterized by rotated, tipped, or extruded teeth, excursive interferences may be incorporated, resulting in detrimental...

  • Anterior Tooth Site Analysis (Bolton Index): How to Determine Anterior Diastema Closure. Wise, Roger J.; Nevins, Myron // International Journal of Periodontics & Restorative Dentistry;1988, Vol. 8 Issue 6, p8 

    The article focuses on a study on the application of Bolton Index to determine anterior diastema closure. It reports on the use of Bolton analysis to various dental cases in order to attain esthetic periodontal restorative solutions. Bolton's measurements were taken from 55 cases in which an...

  • Midline Diastema Amongst South-Western Nigerians. Omotoso, Gabriel Olaiya; Kadir, Eniola // Internet Journal of Dental Science;2010, Vol. 8 Issue 2, p2 

    This study was carried out to determine the incidence and heredity of midline diastema amongst the Yoruba-speaking southwest Nigerians. A total of 589 self-administered questionnaires were randomly sent to 271 female and 318 male students of the University of Ilorin, whose biological parents...

  • Erratum to: Ion migration from fluoride-releasing dental restorative materials into dental hard tissues. Gjorgievska, Elizabeta; Nicholson, John W.; Grcev, Aleksandar T. // Journal of Materials Science: Materials in Medicine;Dec2013, Vol. 24 Issue 12, p2897 

    A correction to the article "Ion migration from fluoride-releasing dental restorative materials into dental hard tissues" that was published online in the September 21, 2013 issue is presented.


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics