Diastema closure with restoratively influenced papilla regeneration

Abstract

Midline diastema is the most common esthetic problem seen as a result of space discrepancy in the anterior region of the mouth. Closure of midline diastema will give the patient a better smile, good esthetics, and social confidence. Appropriate diagnosis and planning hold the key to the successful clinical outcome. The size of the diastema decides the closure with composite resin or indirect ceramic restorations that can yield excellent treatment alternative. This case reports the closure of diastema with ceramic veneer restoration from maxillary right first premolar to maxillary left first premolar except maxillary right central incisor were all ceramic restoration was considered the tooth had undergone root canal treatment. The case also highlights the closure of the black triangle or in other words restoratively driven papilla regeneration, which is a clearly visible at the 8 th month follow-up.