Advances in Diastema Closure and Tooth Shape Change

Abstract

Diastema is a prevalent condition that causes poor aesthetics and increased self-consciousness among individuals. Diastema is defined as a gap or distance of two or more neighbouring teeth. Many patients desire the closure of diastemas for cosmetic reasons. In the event of normal physiological development, diastemas with widths of less than 2 mm in nine-year-old children frequently close on their own. Although if they fail to close split Essix plates or finger springs on a detachable device, they can be used for closure. However, to control the angulations of the crown and roots in adults with broader diastemas, fixed appliances are required for correction. By using a range of alternative treatment procedures, including all-ceramic crowns, metal-ceramic crowns, porcelain laminate veneers, direct composite veneers, and indirect composite veneers, the diastema closure can be conservatively completed without the need for braces. It has become difficult for endodontists to meet the needs of young people who are used to expecting speedier aesthetic outcomes in a set amount of time. A composite resin buildup provides a solution for all of the patients' vivid needs during this crisis. Various prosthodontic rehabilitation, restorative, and orthodontic procedures and their derivative techniques are employed in dental practice for the closure of diastemas. The availability of diverse procedures and techniques in recent times has allowed the patient to achieve an aesthetically pleasing smile. In this paper, we aim to review the existing evidence from the literature for advances in diastema closure and tooth shape change.