Abstract
Dental diastema is a space or absence of contact between two consecutive teeth, which may represent an aesthetic embarrassment for the patient when smiling. For the aesthetic resolution of diastema some factors should be evaluated as, age of the patient, dental structure conservation, reversibility of treatment, cost and longevity. For closing diastema, for a long time, the clinical alternatives were the use of orthodontics and fixed prostheses. Currently, with composite resins, it is possible to reproduce natural characteristics of the teeth with a direct, reversible restorative technique, without the wear of healthy dental structure, with affordable cost, able to provide satisfactory aesthetic results. The aim of this study is to report a case of a patient diagnosed with inter incisor diastema and to present a literature review. Patient, male, 70 years old, was attended at oral clinic of Ingá University Center - Uningá, complaining about the aesthetics of his smile. Clinically, was observed the presence of a diastema between upper incisor, fracture of incisal edge of central incisors and poor dental positioning. A reverse planning of the case was carried out through diagnostic waxing. With aid of a silicone guide, the diastema was closed through reanatomizations in composite resin. After the proposed treatment, was possible to obtain a satisfactory aesthetic in the patient's smile. The closure of diastema, with the use of composite resins was able to provide a better contour to the teeth, closing the spaces present, resulting in an aesthetic and pleasant smile.
Highlights
The current society is composed with a large number of people who value and seek for body and facial aesthetics
The treatment with composite resin has been widely used for presenting several advantages, the one that stands out most is the aesthetic result, because with this material is possible to recreate a natural appearance close to that of dental structures, restoring morphological function and restoring natural aesthetic characteristics of teeth (Schwarz, et al, 2013). This way, the present study aims to report a successful clinical case conducted in an oral undergraduate clinic of a patient who dissatisfied with his smile due to the presence of a diastema, agreed with the performance of reanatomizations with direct composite resin for the aesthetic reestablishment of the upper anterior teeth
After clinical examination, was possible to observe a change in the angulation of central incisors, in addition to the presence of a diastema between upper incisors and fracture of the incisal edges of the central incisors, resulting in a disharmonious and aesthetically unsatisfactory smile (Figure 1 A and B)
Summary
The current society is composed with a large number of people who value and seek for body and facial aesthetics. The treatment with composite resin has been widely used for presenting several advantages, the one that stands out most is the aesthetic result, because with this material is possible to recreate a natural appearance close to that of dental structures, restoring morphological function and restoring natural aesthetic characteristics of teeth (Schwarz, et al, 2013) This way, the present study aims to report a successful clinical case conducted in an oral undergraduate clinic of a patient who dissatisfied with his smile due to the presence of a diastema, agreed with the performance of reanatomizations with direct composite resin for the aesthetic reestablishment of the upper anterior teeth
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