Treatment Options, Timing and Sequencing: Direct-Indirect Restorative Treatment

Abstract

Diastema closure with direct or indirect restorative procedures, esthetic considerations, smile design, and multidisciplinary comprehensive approach should be considered for a successful restorative treatment. Closure of diastema directly with resin-based composites in restorative approach can be simple and relatively low cost compared to indirect restorations particularly porcelain laminate veneers, and also it does not impede future orthodontic treatment owing to its reversible treatment. However, change of color, leakage, and mechanical and/or chemical degradation of the material by the time despite improvements in formulations are the major drawbacks of the resin composite restorations. Indirect restorations such as porcelain laminate veneers (PLVs) are the most common indications for diastema closure and offer clinicians as well as patients the most esthetically pleasant final outcome. PLVs require minimal invasive tooth preparation and allow clinician to optimal esthetics with that of perfect mimicking tooth structures, perfect anatomical contours, correct tooth proportions, and resistance to discoloration and surface degradation compared to resin composite materials.