Abstract

Anterior multiple diastema is a problem when the objective is harmonic an smile. Composite resin direct adhesive restorations provide satisfactory esthetic and function with minimum wear of the dental structures. The treatment success depends mainly on good patient oral health, correct diagnosis and technique. This article describes the step by step of an multiple anterior diastema restoration by using composite resin to mimic the enamel and dentin, improving the smile’s esthetic. This 13-year follow up shows imperceptible restorations that maintain the natural reproduction of the dental structures over the long term.

Highlights

  • Among the treatment options for anterior diastema, the orthodontics (DE ARAUJO et al, 2009) composite direct resin and ceramic materials are the alternatives most commonly used currently for the esthetic and rehabilitative treatment of anterior teeth affected with diastema due to the evolution of these materials (DE ARAUJO et al, 2009; WOLFF et al, 2010)

  • The use of Orthodontics are required for closing diastema spaces, associated or not to composite resin or ceramic restorations

  • Orthodontics are more longer, expensive and complex treatment which requires the use of fixed appliances

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Summary

INTRODUCTION

Among the treatment options for anterior diastema, the orthodontics (DE ARAUJO et al, 2009) composite direct resin and ceramic materials are the alternatives most commonly used currently for the esthetic and rehabilitative treatment of anterior teeth affected with diastema due to the evolution of these materials (DE ARAUJO et al, 2009; WOLFF et al, 2010). In addition to restorations with extended longevity, preservation of the dental hard tissues and low cost procedures are required by patients. Combined to these factors, the periodic recall to the dentist for restorations evaluation , refinishing and repolishing may be necessary in many cases. The periodic recall to the dentist for restorations evaluation , refinishing and repolishing may be necessary in many cases This case report outlines a simple and effective technique for anterior diastema closure with composite resin and identifies the required clinical strategies needed to obtain esthetics and longevity in restorations. Clinical performance of the resin composite restoration and the color stability of the material, with satisfactory results still observed (Figure 7)

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CONCLUSION
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