Abstract
The presence of diastema, between anterior teeth, distorts a pleasing smile by concentrating the observer’s attention on the spaces. The patient’s needs and expectations must be considered in the process of treatment planning to ensure satisfaction with the treatment outcomes. There are many forms of therapy that can be used for diastema closure. A carefully developed diagnosis, which includes a determination of the causal elements and advanced treatment planning, allows the most appropriate treatment to be selected for each case. The aim of this paper is present a multidisciplinary approach as a solution to multiple diastemas in the anterior region using gingival tissue recontouring and direct adhesive restorations, with minimum wear of the dental structure, after the orthodontic intervention discussing the minimal intervention to obtain imperceptive and aesthetic final restoration. Thirty-six months after the treatment was carried out, the final aesthetic was maintained with all dental element details and gingival tissue harmony, without recurrence of periodontal pockets and the preservation of the tooth color and shape.
Highlights
Patients are constantly searching for aesthetic excellence and this includes dental 110 aesthetics
A very common situation that negatively affects dental and face harmony is the presence of anterior diastemata
Other factors can be involved in the etiology of acquired or congenital diastema: hereditary characteristics, deleterious habits or unbalanced muscle function, physiologic or pathologic dental migration, pathological conditions such as partial agenesis, supernumerary teeth, odontomas, cysts, palatal clefts, accentuated vertical overlap, defects in intermaxillary suture, and enlarged labial frenum [1]
Summary
Multidisciplinary esthetic approach for multiple anterior diastema: 36-month clinical performance. Abordagem estética multidisciplinar para múltiplos diastemas anteriores: desempenho clínico de 36 meses. Karin Cristina da Silva MODENA1, Bella Luna COLOMBINI-ISHIKIRIAMA1, Sergio Kiyoshi ISHIKIRIAMA2, Cassiana Koch SCOTTI2, Flavia Pardo Salata NAHSAN3 1 – University of Sagrado Coração – School of Dentistry – Bauru – SP – Brazil. – Department of Operative Dentistry, Endodontics and Dental Materials – Bauru School of Dentistry – São Paulo University – Bauru – SP – Brazil. – Federal School of Dentistry of Sergipe – Aracaju – SE – Brazil
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