Abstract
Midline diastema can be defined as a space between the maxillary central incisors. In growing patients midline diastema can be seen as a physiological condition that is self-correct after the eruption of all permanent teeth. This phenomenon of self-correct condition was explained by Broadbent. But not all diastemas are self-correcting. For some patients, the diastema does not close at all. There are various reasons for the occurrence of upper arch midline diastema that must be considered, with the help of intraoral evaluation, including soft tissue/ mucosal diseases, tooth size discrepancies, teeth angulation among others. The case presented described presence of midline diastema due to high frenal attachment in a female aged 17 years. A multidisciplinary approach was taken for this case involving orthodontic and periodontal treatments. Periodontology involvement was for frenectomy.
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