A Case Report on Aesthetic Rehabilitation of Midline Diastema- An Insight into Perio-Restorative Interrelationship
Aesthetic restorative procedures have gained immense popularity in the recent years. Midline diastemas have been commonly reported by a majority of patients due to poor aesthetic appeal. Various treatment modalities are available and cases have to be managed differently depending on the aetiologic...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Private Limited
2020-11-01
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| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://jcdr.net/articles/PDF/14198/45293_CE[Ra1]_F(SL)_PF1(Ss_KM)_PN(SL).pdf |
| Summary: | Aesthetic restorative procedures have gained immense popularity in the recent years. Midline diastemas have been commonly
reported by a majority of patients due to poor aesthetic appeal. Various treatment modalities are available and cases have to be
managed differently depending on the aetiological factors. Also, the selection of an appropriate restorative option is imperative
to providing a pleasing smile. Conservative treatments that provide a solution to aesthetic problems and fulfil the patient’s
expectations should always be the first therapeutic option. Ceramic veneers are capable of providing an accurate replica of the
natural teeth along with good colour stability and periodontal biocompatibility. Soft tissues play a vital role in creating a harmonious
and aesthetic result between the restorations, hard tissues and surrounding gingiva. Therefore, periodontal treatments such as
crown lengthening and frenectomy are essential for creating an ideal soft tissue form corresponding to the tooth proportions.
Management of large anterior interdental spaces requires a comprehensive treatment planning and often, a multidisciplinary
approach is essential from a team of restorative dentists and periodontists to focus on the aetiological factors, patient needs,
aesthetics and achieve stable long-term clinical results. The present case report discussed the satisfactory management of a
wide anterior maxillary midline diastema in a 30-year-old female using a conservative perio-restorative approach with ceramic
veneers after frenectomy and aesthetic crown lengthening procedure without any orthodontic intervention. The success of the
present case was determined by a proper diagnosis of the underlying aetiology, treatment planning, use of ceramic veneers and
total-etch adhesive technique. |
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| ISSN: | 2249-782X 0973-709X |