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Journal articles on the topic 'Diastema closure'

Author: Grafiati

Published: 8 September 2021

Last updated: 14 February 2022

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1

Carruitero, Marcos J., Aron Aliaga-Del Castillo, Daniela Garib, and Guilherme Janson. "Stability of maxillary interincisor diastema closure after extraction orthodontic treatment." Angle Orthodontist 90, no. 5 (May 22, 2020): 627–33. http://dx.doi.org/10.2319/080619-516.

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ABSTRACT Objectives To evaluate the stability of maxillary interincisor diastema closure and the relationship between space relapse and interincisor diastema width, overjet, overbite, angulations between adjacent maxillary anterior teeth and presence of intermaxillary osseous cleft after orthodontic treatment with extractions. Materials and Methods Twenty-four individuals with a maxillary interincisor diastema pretreatment, treated with maxillary first premolar extractions were evaluated. Dental casts and panoramic radiographs taken at pretreatment (T1), posttreatment (T2), and posttreatment follow-up (T3) were assessed. Periapical radiographs at T1 and T2 were also evaluated. Diastema relapse was assumed when T3-T2 interincisor space change was greater than zero. Diastema relapse was considered clinically significant when it was at least 0.50 mm. Data were analyzed using repeated-measures analysis of variance followed by post hoc Tukey tests or Friedman followed by Wilcoxon tests. T-test or Mann-Whitney U-test, Pearson correlation coefficient, and multiple linear regression analyses were also performed. Results No statistically significant relapse of maxillary interincisor diastemas was found. The percentage of clinically significant relapse of the maxillary interincisor diastemas was 27.78%. Specifically, for the interincisor midline diastema, it was 8.33%. Conclusions Maxillary interincisor diastema closure showed no statistically significant relapse after orthodontic treatment with premolar extractions. Clinically significant stability for maxillary interincisor diastema closure was 72.22% and, specifically, for interincisor midline diastema closure, it was 91.67%.

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Goyal, Ayush, Vineeta Nikhil, and Ritu Singh. "Diastema Closure in Anterior Teeth Using a Posterior Matrix." Case Reports in Dentistry 2016 (2016): 1–6. http://dx.doi.org/10.1155/2016/2538526.

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Presence of diastema between anterior teeth is often considered an onerous esthetic problem. Various treatment modalities are available for diastema closure. However, not all diastemas can be treated the same in terms of modality or timing. The extent and the etiology of the diastema must be properly evaluated. Proper case selection is of paramount importance for a successful treatment. In this case report, diastema closure was performed with direct composite restorations. One bottle etch-and-rinse adhesive was used and a single shade was used to close the diastemas. Contoured sectional posterior matrix was used to achieve anatomic contouring of the proximal surfaces of the teeth. This was followed by finishing and polishing using polishing discs. Patient was kept on recall every 6 months.Conclusion. Diastema closure with correct anatomic contouring is easy to perform using the contoured sectional matrices. At 14-month recall, no clinical signs of failure like discoloration or fracture were evident. Also, patient did not complain of any sensitivity. Thus, direct composite restorations serve as durable and highly esthetic restorations leading to complete patient satisfaction.

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Sathe, Sucheta. "Laser-assisted diastema closure." Journal of Dental Lasers 6, no. 1 (2012): 30. http://dx.doi.org/10.4103/0976-2868.100987.

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Putter, Harvey, Al Huberman, and Warren Scherer. "Diastema Closure: A Case Report." Journal of Esthetic and Restorative Dentistry 4, s1 (December 1992): 9–11. http://dx.doi.org/10.1111/j.1708-8240.1992.tb00709.x.

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5

Ritter, Andre V. "Talking with Patients Diastema Closure." Journal of Esthetic and Restorative Dentistry 16, no. 6 (November 2004): 389. http://dx.doi.org/10.1111/j.1708-8240.2004.tb00073.x.

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6

Bahşi, Emrullah, Michele Callea, Bayram İnce, Marco Montanari, Mehmet Dallı, Filippo Batteli, Mehmet Akdoğan, et al. "A Composite Laminate Veneer Technique for Diastema Closure: A Report of Ten Cases." International Dental Research 2, no. 3 (December 15, 2012): 67. http://dx.doi.org/10.5577/intdentres.2012.vol2.no3.2.

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Aim: Diastemas can be treated using periodontal, surgical, orthodontic, or prosthetic procedures. Composite laminate veneers can be applied to reduce or eliminate diastemas and represent a good aesthetic non-invasive alternative for these patients. This study presents the treatment results of 10 patients with diastemas between the anterior teeth of the maxilla and mandible with composite veneers. Methodology: Ten patients with diastemas between the anterior maxillary and mandibular teeth complaining of esthetic problems were treated at the Department of Operative Dentistry, University of Dicle. The periodontal health of the patients was acceptable and no caries were detected. Patients were informed of the treatment choices and composite resin veneers were selected as the better approach for each case. The presence of a diastema causes esthetic problems, especially in adolescents. Prosthetic and conservative methods are usually used to treat diastemas because these approaches are minimally invasive. The direct laminate technique has the advantages of low cost, treatment reversibility, and easy repair of the restoration intraorally. The direct composite laminate technique has become more effective because of improvements in adhesive dentistry. Conclusion: This study describes a direct composite laminate technique for the restoration of the anterior teeth of 10 patients with diastemas. These restorations were conservative and provide an inexpensive, one-visit aesthetic treatment for anterior teeth. How to cite this article: Bahşi E, Callea M, İnce B, Montanari M, Dallı M, Batteli F, Akdoğan M, Gabriella C, Toptancı İR, Gabriela P, Yavuz İ. A Composite Laminate Veneer Technique for Diastema Closure: A Report of Ten Cases. Int Dent Res 2012;2:67-74. Linguistic Revision: The English in this manuscript has been checked by at least two professional editors, both native speakers of English.

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Dobrescu, Anca Monica, Nicu Dobrescu, Raluca Monica Comăneanu, and Doina Lucia Ghergic. "Diastema closure by veneering – case presentation." Romanian Journal of Stomatology 61, no. 1 (March 31, 2015): 74–76. http://dx.doi.org/10.37897/rjs.2015.1.14.

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Maxillary diastema has many causes and can receive more treatment options. This article presents the case of a patient who had undergone aesthetic diastema closing using ceramic veneers and also edentulous prosthesis for upper lateral incisor with a crown with aggregation represented by a mesio-palatal ceramic veneer.

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Chałas, Renata, Mirosław Orłowski, and Anna Sękowska. "Usefulness of Composite Restoration in Direct Esthetic Closure of Midline Gap." Polish Journal of Public Health 124, no. 2 (August 8, 2014): 89–92. http://dx.doi.org/10.2478/pjph-2014-0020.

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Abstract Introduction. Midline gap (diastema) is a space between two teeth, commonly between two incisors. The treatment can be provided by orthodontic, conservative (restorative) or prosthetic methods. Aim. The aim of the study was an assessment of using direct composite restoration in aesthetic closing of diastema. Material and methods. The space correction between teeth was performed among female and male adult patients with diastema of 3 to 6 mm. The microhybrid resin composite was used for the composite build-ups with a help of celluloid or silicon matrix due to its good handling properties and shade matching, and polishability properties. Results. Depending on the size of diastema, the partial or total closing was done to achieve the cosmetic effect. The obtained clinical results were highly assessed both by dentists and patients. It was possible to obtain optimal aesthetic results with resin composite restorations only. Conclusions. The simple closure of diastema with direct composite reconstructions can result in successful outcome and patient's satisfaction.

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Karale, Rupali, Shirin Jha, Srirekha Aswathanarayana, Lekha Santhosh, and Megha Kapadia. "A Novel Approach for the Closure of Multiple Diastema: A Clinical Technique." Journal of Operative Dentistry & Endodontics 2, no. 2 (2017): 84–87. http://dx.doi.org/10.5005/jp-journals-10047-0043.

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ABSTRACT Correction of multiple diastema without much preparation of the teeth is one of the challenges in clinical esthetic dentistry. Indirect restorative procedures render excellent esthetics; however, these are invasive procedures that lead to the removal of unnecessary tooth structure in order to achieve the desired result. Whenever possible, the most conservative approach is preferred over the invasive procedures. Many innovative techniques have been advocated, varying from restorative procedures, frenectomy, or orthodontic treatment for the closure of spaces in between the anterior teeth. When a relatively smaller diastema is present in between the teeth, extensive preparation of the tooth structure is not necessary and utilization of free hand bonding of composite resin may yield the desired result. So far, innumerable cases have been reported in the literature which has illustrated various techniques for closure of diastema. The following case report discusses a novel technique for closure of multiple diastema. How to cite this article Jha S, Aswathanarayana S, Karale R, Santhosh L, Kapadia M. A Novel Approach for the Closure of Multiple Diastema: A Clinical Technique. J Oper Dent Endod 2017;2(2):84-87.

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Shah, Rupal, Mohammad O. Sharif, and Daljit S. Gill. "Mind the gap: A novel technique for space closure – a case report." Journal of Orthodontics 46, no. 1 (January 23, 2019): 56–62. http://dx.doi.org/10.1177/1465312518820328.

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Patients presenting with severe hypodontia can be challenging to manage. They often present with significant spaces within the dental arches and the lack of permanent teeth can make anchorage control difficult. This case report demonstrates a novel technique for diastema closure in a 14-year-old with severe hypodontia. The technique allows maintenance of root parallelism during space closure in cases with reduced anchorage support. The treatment plan was agreed on a multidisciplinary hypodontia clinic and involved an upper sectional fixed orthodontic appliance to close a 7-mm midline diastema aiding subsequent partial denture provision. Treatment commenced by bonding upper primary canines and central incisors. However, attempting space closure on a 0.019 × 0.025-inch stainless-steel working archwire resulted in tipping of the incisor crowns. Two brackets were therefore placed on the labial surface of each central incisor (one incisal and one gingival). Subsequently two stainless steel working archwires and elastomeric chain were used for diastema closure. This four-bracket system provided superior control allowing space closure by bodily tooth movement. Excellent root parallelism was achieved with this innovative technique.

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Bapat, Shirish M., and Prashant Bandejiya. "Closing a Large Maxillary Median Diastema using Bapat Power Arm." International Journal of Clinical Pediatric Dentistry 10, no. 2 (2017): 201–4. http://dx.doi.org/10.5005/jp-journals-10005-1435.

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ABSTRACT Aim The aim of this study is to present a case of large maxillary median diastema closed by bodily movement of central incisors using Bapat power arm (BPA). Materials and methods After extraction of mesiodens, a power chain with a force of 120 gm was applied to BPA ligated to preadjusted edgewise brackets bonded to maxillary central incisors to move them over round steel wire for closure of resultant diastema. Bonded retainer was placed after the closure of median diastema. Results The median diastema was completely closed in 5 months period with almost bodily movement of incisors, which was confirmed by periapical X-ray. Conclusion Bapat power arm was efficient in closing diastema without any discomfort or injury and was well accepted by the patient. How to cite this article Bapat SM, Singh C, Bandejiya P. Closing a Large Maxillary Median Diastema using Bapat Power Arm. Int J Clin Pediatr Dent 2017;10(2):201-204.

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Muthu, MS, PrabhuV Rathna, and Kiran Koora. "Spontaneous closure of midline diastema following frenectomy." Journal of Indian Society of Pedodontics and Preventive Dentistry 25, no. 1 (2007): 23. http://dx.doi.org/10.4103/0970-4388.31985.

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Alqarni, MohammedA. "Diastema closure with restoratively influenced papilla regeneration." Saudi Journal for Health Sciences 5, no. 2 (2016): 86. http://dx.doi.org/10.4103/2278-0521.193005.

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Vargas, Daniel, Giselle S. Almeida, Eduardo Vargas da Silva, Eduardo Vargas, Felipe Vargas, André Maia, and Dayse Amaral. "Simplifying anterior diastema closure with composite resin." Journal of Clinical Dentistry and Research 16, no. 2 (May 16, 2019): 124–33. http://dx.doi.org/10.14436/2447-911x.16.2.124-133.oar.

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Objetivo: para a correta solução de casos de múltiplos diastemas, o presente caso clínico descreve uma técnica clássica modificada, permitindo que profissionais consigam alcançar apropriadamente proporções de largura e altura baseadas em um enceramento diagnóstico modificado, transpondo com mais assertividade o que foi planejado no modelo diagnóstico para a boca do paciente. Métodos: após a moldagem do paciente e obtenção do modelo de gesso, um índex de silicone baseado em um enceramento modificado foi realizado, substituindo a cera convencional por resina composta. Resultados: a modificação no enceramento permite uma restauração final mais precisa e próxima ao modelo diagnóstico planejado, possibilitando que o dentista tenha um contato mais íntimo com todas as etapas do tratamento – do planejamento à execução – e possa praticar mais a confecção da resina composta antes da execução do tratamento em si. Conclusões: proporções dentárias, reprodução precisa do enceramento diagnóstico e dificuldades técnicas devido à falta de treinamento com o material são as maiores adversidades relatadas no fechamento de diastemas múltiplos com resinas compostas. O acompanhamento de dois anos confirmou a validade da modificação da técnica proposta, já que, ainda que houvesse a presença de inflamação gengival devido à clara falta de higiene, as restaurações de resina composta em si estavam intactas, sem lascas ou fraturas, manchamentos ou alterações de cor.

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Ishikiriama, SK, BLC Ishikiriama, EM Maenosono, GS Zabeu, and MA Pereira. "A Suggested Technique to Restore a Stable and Tight Contact Point in Diastema Closure." Operative Dentistry 46, no. 2 (March 1, 2021): 136–42. http://dx.doi.org/10.2341/19-284-t.

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SUMMARY This article presents a case report on diastema closure in anterior teeth with direct resin composite restoration. This suggested approach has been found to be efficient with regards to esthetics, marginal adaptation, and the quality of proximal contacts in diastema closure. These advantages are presented in this report.

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Diksha Sharma, Abhishek Dhindsa, Sanjay Chachra, Reena Rani, Kumar Shrikant, and Manu Sharma. "Diastema-The Treatment Dilemma." International Healthcare Research Journal 3, no. 7 (October 23, 2019): 227–30. http://dx.doi.org/10.26440/ihrj/0307.10293.

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Spacing between adjacent teeth is known as Diastema, many of the patients seek closure of diastema for aesthetic reasons. Diastema less than 2 mm close spontaneously ,if they do not do so then they should not be straightaway corrected rather a thorough clinical and radiographic examination should done to determine the underlying cause and to rule out anomalies, such as the presence of any supernumerary tooth or odontoma’s which should be ruled out before going on for orthodontic therapy. The purpose of this article is to present and discuss the case of a 9-year old child with the chief complaint of spacing between the maxillary right permanent central incisor and right permanent lateral incisor. Radioopaque calcified masses were seen in the radiograph and was diagnosed with compound odontome followed by the surgical removal of the calcified masses.

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Belvedere, P. C. "Freehand Resin Bonding: Clinical Technique for Diastema Closure." Yearbook of Dentistry 2007 (January 2007): 29–30. http://dx.doi.org/10.1016/s0084-3717(08)70317-9.

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Kim, Yeon-Hwa, and Yong-Bum Cho. "Diastema closure with direct composite: architectural gingival contouring." Journal of Korean Academy of Conservative Dentistry 36, no. 6 (2011): 515. http://dx.doi.org/10.5395/jkacd.2011.36.6.515.

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Sajjanhar, Isha, Vineeta Nikhil, and Preeti Mishra. "Diastema closure and aesthetic rehabilitation; An interdisciplinary approach." IP Indian Journal of Conservative and Endodontics 4, no. 2 (July 15, 2019): 66–68. http://dx.doi.org/10.18231/j.ijce.2019.015.

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Levy-Bercowski, Daniel, and Amara Abreu. "Midline diastema closure using a vacuum-formed retainer." Journal of Prosthetic Dentistry 121, no. 1 (January 2019): 183–84. http://dx.doi.org/10.1016/j.prosdent.2018.04.025.

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Rao, Rekha, and BT Vishwanath. "Esthetic enhancement with diastema closure—a case report." Indian Journal of Dentistry 2, no. 4 (October 2011): 184–86. http://dx.doi.org/10.1016/s0975-962x(11)60044-0.

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Bharadwaj, B., Nagarajan Geethapriya, Paramasivam Vivekanandhan, and Arunajetasan Subbiya. "Diastema Closure using Porcelain Veneers: A Case Report." Indian Journal of Public Health Research & Development 10, no. 11 (2019): 2814. http://dx.doi.org/10.5958/0976-5506.2019.04048.8.

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Akan, Ender, and Bora Bagis. "Midline Diastema Closure with Partial Laminate Veneers: A Case Report." Balkan Journal of Dental Medicine 20, no. 1 (March 1, 2016): 59–62. http://dx.doi.org/10.1515/bjdm-2016-0010.

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Lima, GS, LGB Albino, CS dos Santos, MS Cenci, and T. Pereira-Cenci. "Occlusal and Esthetic Enhancement: A Noninvasive Approach to an Old Dilemma." Operative Dentistry 45, no. 5 (September 1, 2020): 467–72. http://dx.doi.org/10.2341/18-330-t.

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SUMMARY This article describes an indirect composite restoration technique for diastema closure and tooth lengthening with a noninvasive approach using regularly available materials such as silicone, composite resin, and an adhesive system. The procedure resulted in occlusal and functional improvement, with diastema closure, protrusive guide adjustment, and an increase in central incisor length. The procedure provided an adequate proportion of the central incisors with an esthetically natural appearance. It also resulted in simple, fast, and accurate manufacturing with a noninvasive esthetic indirect rehabilitation compared with more invasive preparation of ceramic veneers.

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Maluly-Proni, Ana Teresa, Bruna Oliveira-Reis, Wirley Gonçalves Assunção, and Paulo Henrique Dos Santos. "Minimum intervention management of diastema closure using cordless displacement system and laminate veneers: A 2-year follow-up." European Journal of Dentistry 12, no. 03 (July 2018): 446–49. http://dx.doi.org/10.4103/ejd.ejd_208_18.

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ABSTRACTThis case report presents a minimally invasive diastema treatment using cordless gingival displacement system allowing a very conservative intervention. A 32-year-old female patient who presented with diastema in her upper front teeth opted for a treatment using laminate veneers to ensure achieving adequate tooth proportion and gingival levels. Having a displacement material that exerts excessive pressure during the displacement process can lead to disruption of the junctional epithelium and damage to periodontal tissues. This case report focuses on the effectiveness of the use of a minimally invasive method of gingival management. Two-year follow-up no infiltration, sensitivities, or fractures were detected on teeth, and indirect restorations, the purposed treatment allowed a quick, effective, and durable resolution for diastema.

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Modena, Karin Cristina da Silva, Bella Luna Colombini-Ishikiriama, Sergio Kiyoshi Ishikiriama, Cassiana Koch Scotti, and Flavia Pardo Salata Nahsan. "Multidisciplinary esthetic approach for multiple anterior diastema: 36-month clinical performance." Brazilian Dental Science 18, no. 4 (December 7, 2015): 111. http://dx.doi.org/10.14295/bds.2015.v18i4.1124.

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<p>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. </p>

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Mishra, Ashutosh, M. Kundabala, Neeta Shetty, Kamakshi Alekhya, and Sangeetha U. Nayak. "Midline Diastema Closure by Interdisciplinary Approach-A Case Report." Indian Journal of Public Health Research & Development 9, no. 1 (2018): 115. http://dx.doi.org/10.5958/0976-5506.2018.00022.0.

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Korkut, Bora, Funda Yanikoglu, and Dilek Tagtekin. "Direct Midline Diastema Closure with Composite Layering Technique: A One-Year Follow-Up." Case Reports in Dentistry 2016 (2016): 1–5. http://dx.doi.org/10.1155/2016/6810984.

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Objective. Maxillary anterior spacing is a common aesthetic complaint of patients. Midline diastema has a multifactorial etiology such as labial frenulum, microdontia, mesiodens, peg-shaped lateral incisors, agenesis, cysts, habits such as finger sucking, tongue thrusting, or lip sucking, dental malformations, genetics, proclinations, dental-skeletal discrepancies, and imperfect coalescence of interdental septum. Appropriate technique and material for effective treatment are based on time, physical, psychological, and economical limitations. Direct composite resins in diastema cases allow dentist and patient complete control of these limitations and formation of natural smile.Clinical Considerations. In this case report a maxillary midline diastema was closed with direct composite resin restorations in one appointment without any preparation. One bottle total etch adhesive was used and translucent/opaque composite resin shades were layered on mesial surfaces of the teeth that were isolated with rubber dam and Teflon bands. Finishing and polishing procedures were achieved by using polishing discs. Patient was informed for recalls for every 6 months.Conclusions. At one-year recall no sensitivities, discolorations, or fractures were detected on teeth and restorations. Direct composite resins seemed to be highly aesthetic and durable restorations that can satisfy patients as under the conditions of case presented.

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Monnet-Corti, V., A. Antezack, and V. Moll. "Vestibular frenectomy in periodontal plastic surgery." Journal of Dentofacial Anomalies and Orthodontics 21, no. 2 (April 2018): 205. http://dx.doi.org/10.1051/odfen/2018054.

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Vestibular frena are bands of soft tissue that connect the lip or cheek to the alveolar mucosa or to the gum and that can restrict their movements. These mucosal folds can, in some cases, attach too close to the teeth and are associated to a persistent diastema. Additionally, if this frenum is too tight, it can cause gum recession by pulling the gums away from the teeth. The position of a frenum can become more apical and be corrected during growth with anterior teeth eruption. However, when it causes self-consciousness, pain, or gum recession, a frenectomy is indicated. The frenectomy is a simple procedure which involves total surgical removal of a frenum. The presence of a hypertrophic maxillary vestibular medial frenum associated with a diastema is the most commonly encountered indication in children. Its elimination will contribute to diastema closure that will stay stable over time.

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Inayati, Fidiyah, and I. Gusti Aju Wahju Ardani. "Management Of Mandibular Lateral Incisor Agenesis With Skeletal Class III Malocclusion by Space Closing Technique." Indonesian Journal of Dental Medicine 1, no. 2 (June 30, 2018): 93. http://dx.doi.org/10.20473/ijdm.v1i2.2018.93-97.

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Background: Patients with congenital absence of a mandibular lateral incisor are often found having difficulty in achieving adequate functional occlusion. It may affect esthetics, mastication, speech, and occlusal balance. Purpose: This paper reported an agenesis treatment of one mandibular lateral incisor case using a space closure method. Case: A twenty-three years old female patient with agenesis of tooth 42, mandibular anterior crowding, multiple diastema on mandibular anterior teeth, and skeletal class III malocclusion. Case Management: Space closure method was chosen to correct the agenesis by considering the class III skeletal malocclusion and multiple diastema condition. Conclusion: Space closure method treatment improved the patient’s facial and dental esthetics, and it provided a good functional occlusion, despite the absence of a mandibular lateral incisor, which generally impairs the adequate incisal guidance.

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Moffitt, Allen H., and Jasleen Raina. "Long-term bonded retention after closure of maxillary midline diastema." American Journal of Orthodontics and Dentofacial Orthopedics 148, no. 2 (August 2015): 238–44. http://dx.doi.org/10.1016/j.ajodo.2015.03.026.

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Gandi, P., S. R. Rajavasireddi, and S. R. Gurram. "Splinting with diastema closure as an adjunct to periodontal therapy." Case Reports 2013, jun06 1 (June 6, 2013): bcr2013009829. http://dx.doi.org/10.1136/bcr-2013-009829.

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Mattos, Claudia Trindade, Dayanne Lopes da Silva, and Antonio Carlos de Oliveira Ruellas. "Relapse of a maxillary median diastema: Closure and permanent retention." American Journal of Orthodontics and Dentofacial Orthopedics 141, no. 1 (January 2012): e23-e27. http://dx.doi.org/10.1016/j.ajodo.2011.05.022.

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Balassa, Brenda da Silva, Iago Demétrio da Silva, Marília Zeczkowski, and Ludmila Priscilla Manetti. "Reanatomization of anterior teeth with composite resin: case report." Research, Society and Development 9, no. 12 (December 26, 2020): e32891210962. http://dx.doi.org/10.33448/rsd-v9i12.10962.

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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.

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Chauhan, Deepak, Tripti Chauhan, Bimal Kirtaniya, and Avantika Tuli. "Closure of midline diastema through combined surgical and Removable orthodontic approach." SRM Journal of Research in Dental Sciences 4, no. 1 (2013): 46. http://dx.doi.org/10.4103/0976-433x.116836.

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Viswambaran, M., S. M. Londhe, and Vijaya Kumar. "Conservative and esthetic management of diastema closure using porcelain laminate veneers." Medical Journal Armed Forces India 71 (December 2015): S581—S585. http://dx.doi.org/10.1016/j.mjafi.2014.08.014.

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Lee, Koeun, Jae-Ho Lee, and Chung-Min Kang. "DIASTEMA CLOSURE TREATMENT DECISION FOR AN ADOLESCENT PATIENT WITH CEREBRAL PALSY." Journal of Korea Assosiation for Disability and Oral Health 11, no. 1 (June 30, 2015): 1–4. http://dx.doi.org/10.12655/kadh.2015.11.1.1.

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Chander, N. Gopi, and T. V. Padmanabhan. "Finite Element Stress Analysis of Diastema Closure with Ceramic Laminate Veneers." Journal of Prosthodontics 18, no. 7 (October 2009): 577–81. http://dx.doi.org/10.1111/j.1532-849x.2009.00490.x.

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Gandhi, Malvika, Rohan Hattarki, and K. M. Keluskar. "Closure of a maxillary midline diastema using a modified omega loop." Journal of Indian Orthodontic Society 49, no. 3 (September 2015): 161–62. http://dx.doi.org/10.1177/0974909820150308.

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Gandhi, Malvika, Rohan Hattarki, and K. M. Keluskar. "Closure of a maxillary midline diastema using a modified omega loop." Journal of Indian Orthodontic Society 49, no. 3 (September 2015): 161–62. http://dx.doi.org/10.4103/0301-5742.165564.

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Preeti, Bhattacharya. "PROGNOSIS V/S ETIOLOGY: MIDLINE PAPILLA RECONSTRUCTION AFTER CLOSURE OF MEDIAN DIASTEMA." ANNALS AND ESSENCES OF DENTISTRY 3, no. 1 (December 25, 2010): 37–40. http://dx.doi.org/10.5368/aedj.2011.3.1.1.7.

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Sangavi, Tamizharasan, Arunajetasan Subbiya, Nagarajan Geethapriya, and Suresh Mitthra. "Closure of Midline Diastema by Composite Resin Build-up: A Case Report." Indian Journal of Public Health Research & Development 10, no. 11 (2019): 2845. http://dx.doi.org/10.5958/0976-5506.2019.04056.7.

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Al‐Saqabi, Farah Y., Michael R. Fenlon, and Kalpesh A. Bavisha. "Maxillary Midline diastema closure after replacement of primary teeth with implant prosthesis." Clinical Case Reports 3, no. 5 (February 19, 2015): 294–97. http://dx.doi.org/10.1002/ccr3.213.

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Biswas, Indrajit. "MIDLINE DIASTEMA CLOSURE USING DIRECT LIGHT CURED COMPOSITE RESIN - A CASE SERIES." International Journal of Advanced Research 7, no. 4 (April 30, 2019): 1559–66. http://dx.doi.org/10.21474/ijar01/8983.

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Goiato, Marcelo Coelho, Daniela Micheline dos Santos, Valentim Adelino Ricardo Baräo, Ricardo Coelho Okida, and Aljomar José Vechiato Filho. "The Use of Fragments of Thin Veneers as a Restorative Therapy for Anterior Teeth Disharmony: A Case Report with 3 Years of Follow-up." Journal of Contemporary Dental Practice 13, no. 3 (2012): 416–20. http://dx.doi.org/10.5005/jp-journals-10024-1160.

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ABSTRACT Aim The present case report described the use of contact lens of thin porcelain veneers as a restorative therapy to solve anterior teeth disharmony. Background Fragments of thin veneers are minimally invasive restorations with little or no dental preparation and present thickness ranging from 0.2 to 0.5 mm. They are used in case of diastema closure, small changes of teeth, color and restoration of teeth with small fractures. Case report A 25-year-old man was admitted at a dental clinic complaining about the diastema presence on the upper anterior teeth. Patient was referred to an orthodontic treatment in order to provide better distribution of the diastemas and harmonious proportion of the teeth. Afterwards, contact lens of thin porcelain veneers were fabricated on the six upper anterior teeth. Conclusion Based on the outcomes of this clinical report, we considered the use of fragments of thin veneers as a successful treatment option after 3 years of follow-up. Clinical significance The fragments of thin veneers have been established to be an interesting alternative to esthetically restore the anterior teeth with minimal invasiveness. However, since it is a new treatment modality, longitudinal studies are necessary to understand the material's behavior. How to cite this article Okida RC, Filho AJV, Barão VAR, dos Santos DM, Goiato MC. The Use of Fragments of Thin Veneers as a Restorative Therapy for Anterior Teeth Disharmony: A Case Report with 3 Years of Follow-up. J Contemp Dent Pract 2012;13(3):416-420.

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Silva, Mateus Alves de Lima, Guilherme Alves Aguiar, Rodrigo Santos Nascimento Boaventura, Karolinna Zaysk Santiago da Silva Santos, Estefany Dantas Bastos, Grazielle Brito Adriano, Luma Karolaine Monteiro dos Santos, and Ananda Lila Borges Ribeiro Rebouças. "Fechamento de diastema aliado à um tratamento multidisciplinar: revisão De literatura / Closure of diastema allied to multidisciplinary treatment: review Of literature." Brazilian Journal of Health Review 3, no. 6 (2020): 17281–89. http://dx.doi.org/10.34119/bjhrv3n6-149.

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Kamble, Amol, Preetam Shah, PriyamRajesh Velani, and Ganesh Jadhav. "Laser-assisted multidisciplinary approach for closure and prevention of relapse of midline diastema." Indian Journal of Dental Research 28, no. 4 (2017): 461. http://dx.doi.org/10.4103/ijdr.ijdr_2_17.

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Hwang, Soon-Kong, Jung-Hong Ha, Myoung-Uk Jin, Sung-Kyo Kim, and Young-Kyung Kim. "Diastema closure using direct bonding restorations combined with orthodontic treatment: a case report." Restorative Dentistry & Endodontics 37, no. 3 (2012): 165. http://dx.doi.org/10.5395/rde.2012.37.3.165.

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Buzetto, Sofia Chane, Priscila Regis Pedreira, Janaina Emanuela Damasceno, Josué Junior Araujo Pierote, Giselle Maria Marchi, and Luiz Alexandre Maffei Sartini Paulillo. "Minimally invasive approach to diastema closure using lithium disilicate porcelain veneers: clinical report." Brazilian Dental Science 21, no. 4 (October 24, 2018): 491. http://dx.doi.org/10.14295/bds.2018.v21i4.1633.

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<p>Numerous advances in dentistry techniques and material have allowed patients to have not only a functional but also an aesthetic smile in a conservative way. This case report describes a treatment with ceramic laminates to solve the aesthetic problems of an 18-year-old male dissatisfied with his smile. Following the correct protocols, using minimally invasive abrasions, ceramic laminates, and strong adhesion between porcelain and dental enamel can provide predictable results and clinical longevity through follow-up.<strong></strong></p><p><strong>Keywords</strong></p><p>Dental veneers; Ceramic; Dental materials.</p>

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ALMOG, DOV, CARLOS SANCHEZ MARIN, HOWARD M. PROSKIN, MARK J. COHEN, STEPHANOS KYRKANIDES, and HANS MALMSTROM. "The effect of esthetic consultation methods on acceptance of diastema-closure treatment plan." Journal of the American Dental Association 135, no. 7 (July 2004): 875–81. http://dx.doi.org/10.14219/jada.archive.2004.0333.

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