Journal articles: 'Midline Diastema'

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Maryam, Bibi, Javaria Imtiaz, Umar Nasir, Shaheen ., Aqsa Mumtaz, and Nauman Ullah. "Frequency of Midline Diastema in patients reported To OPD of Bacha Khan Medical College Mardan." Pakistan Journal of Medical and Health Sciences 16, no. 5 (2022): 1147–50. http://dx.doi.org/10.53350/pjmhs221651147.

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Background: A space between adjacent central incisor teeth is termed "diastema or diastemata". Midline diastema in mixed dentition is a great center of concern for parents as well as their children, therefore, determining the time of closure of midline diastema is essential for clinical practice in Orthodontic and the study was aimed to determine the frequency of midline diastema in both maxillary and mandibular arches in patients. Material and Method: The current study was carried out at Bacha Khan Medical College Mardan, Khyber Pukhtoon Khwa to determine the frequency of midline diastema in both maxillary and mandibular arches in patients for which a total of 200 responders have examined 100 responders were males while 100 were female. Results: The frequency of Midline diastema was 12%, out of 200 hundred in which Maxillary midline diastema was 5% and Mandibular midline diastema was 5.5% and both the arches were found to be 1.5% in females. Conclusion: The finding of the current study is that the population of Khyber Pukhtunkhwa has several Midline diastemata affecting their esthetic. A similar study to find out the etiology of Midline diastema is suggested which requires a large sample size. Keywords: Midline diastema, Frequency, Orthodontic

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KAUR, JAPNEET. "MULTIDISCIPLINARY APPROACH TO MIDLINE DIASTEMA CAUSED DUE TO HIGH FRENUM ATTACHMENT." DMIMS Journal of Dental Research 6, no. 4 (2022): 163–66. http://dx.doi.org/10.54054/jodr.2022641.

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Midline diastema can be defined as a space between the maxillary central incisors. In growing patients midline diastema can be seen as a physiological condition that is self-correct after the eruption of all permanent teeth. This phenomenon of self-correct condition was explained by Broadbent. But not all diastemas are self-correcting. For some patients, the diastema does not close at all. There are various reasons for the occurrence of upper arch midline diastema that must be considered, with the help of intraoral evaluation, including soft tissue/ mucosal diseases, tooth size discrepancies, teeth angulation among others. The case presented described presence of midline diastema due to high frenal attachment in a female aged 17 years. A multidisciplinary approach was taken for this case involving orthodontic and periodontal treatments. Periodontology involvement was for frenectomy.

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DeSeta, Michaela, Janelle Nurse, Paul Ashley, Joseph Noar, and Susan Parekh. "The role of the maxillary labial frenectomy in closure of the midline diastema: A review and management recommendations." Dental Update 50, no. 11 (2023): 955–60. http://dx.doi.org/10.12968/denu.2023.50.11.955.

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A maxillary midline diastema is often seen in childhood as part of physiological development, but those persisting after the establishment of the permanent dentition may be a functional and aesthetic concern for which patients seek treatment. The association between an enlarged maxillary labial frenum and a maxillary midline diastema is commonly reported in the literature. However, the aetiologic role of an enlarged frenum is likely to represent only a proportion of diastema cases, and many diastemas exist without the presence of an abnormal frenum. This article provides an overview of the maxillary labial frenectomy and its role in closure of the midline diastema, providing management recommendations for practitioners. CPD/Clinical Relevance: The association between an enlarged maxillary labial frenum and a midline diastema and the management options is useful clinical information

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Singh, Parmjit, and Antonio Garrett. "Safe Midline Diastema Closure in the Presence of Porcelain Veneered Central Incisors." Clinical Medical Reviews and Reports 3, no. 8 (2021): 01–05. http://dx.doi.org/10.31579/2690-8794/097.

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Midline maxillary diastemas have been known to have a detrimental effect on facial aesthetics. Orthodontics can successfully close a diastema using fixed appliances. Porcelain restorations bonded with fixed appliances may suffer damage. A case is presented where a fixed appliance was used to close a midline maxillary diastema bypassing porcelain veneered central incisors. Palatal attachments were used to optimise tooth movements and the porcelain veneers were left intact.

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Sabri, Nur Amirah Binti Mohamad, Sarah Batrisyia Binti Ridzwan, Suet Yeo Soo, Lishen Wong, and In Meei Tew. "Smile Attractiveness and Treatment Needs of Maxillary Midline Diastema with Various Widths: Perception among Laypersons, Dental Students, and Dentists in Malaysia." International Journal of Dentistry 2023 (April 15, 2023): 1–7. http://dx.doi.org/10.1155/2023/9977868.

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Smile attractiveness and the need for treatment of maxillary midline diastema with various widths are perceived differently between dentally trained and nondentally trained individuals of different sociodemographic backgrounds. This study aims to evaluate how laypersons, dental students, and dentists in Malaysia differ in their perceptions on smile attractiveness and treatment needs of maxillary midline diastema. A smiling photograph with well-aligned maxillary central incisors with proportionate width-to-height ratio and healthy gingival tissues was selected and digitally manipulated to create maxillary midline diastema with 0.5, 2.0, and 4.0 mm widths. The smile attractiveness and the perceived need for treatment of varying widths of maxillary midline diastemas were rated by laypersons, dental students, and dentists using the Likert scale via a single set of self-administered questionnaires. The impact of sociodemographic variables on aesthetic perception of different gap widths was tested using univariate analysis followed by a multiple linear regression model. A total of 158 laypersons, 118 dental students, and 138 dentists participated in this study. Both laypersons and dentists showed significantly higher mean aesthetic scores for 0.5 mm maxillary midline diastema, lower mean aesthetic scores, and hence higher mean treatment needs scores for 4.0 mm maxillary midline diastema as compared with dental students ( p < 0.05 ). In general, female respondents perceived a gap width of up to 2.0 mm as aesthetically pleasing. Higher educational group and the Malay ethnicity had tolerance threshold of 0.5 mm gap width. The older group considered 4.0 mm gap width as aesthetically unpleasing. In conclusion, both laypersons and dentists accepted a 0.5 mm maxillary midline diastema as an attractive smile but considered 4.0 mm maxillary midline diastema as unpleasing smile which required treatment. Perceptions of laypersons and dentists were significantly different from dental students. Educational level, gender, ethnicity, and age were significantly associated with smile attractiveness of maxillary midline diastema at different investigated widths.

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Kamath, MKetaki, and AV Arun. "Midline diastema." International Journal of Orthodontic Rehabilitation 7, no. 3 (2016): 101. http://dx.doi.org/10.4103/2349-5243.192532.

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International, Journal of Medical Science and Innovative Research (IJMSIR). "Midline diastema closure using lithium disilicate glass ceramic: step by step procedure." International Journal of Medical Science and Innovative Research (IJMSIR) 9, no. 1 (2024): 35–42. https://doi.org/10.5281/zenodo.15363458.

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Abstract Midline diastemas are of a major concern for one’s appearance. The various treatment options mentioned in literature for magement of midline diastema are direct and indirect composite restorations, orthodontic treatment, surgical approach and partial or full veneer crowns. The prognosis of the treatment depends on understanding the etiology and application of  proper treatment plan considering its indications and limitations. This case report focuses on a step-by-step procedure of maxillary midline diastema closure using lithium disilicate glass ceramic laminate veneer.

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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 (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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Singla, Divya, Neha Stan, Sanjay Mittal, Mandeep Bhullar, Isha Aggarwal, and Rameez Hassan. "Esthetic Perception of Various Forms of Anterior Diastemas during Smiling." Dental Journal of Advance Studies 07, no. 03 (2019): 103–9. http://dx.doi.org/10.1055/s-0039-3402302.

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Abstract Introduction Midline diastema is a common esthetic problem in mixed and permanent dentition. It is considered attractive in some cultures and unattractive in others. Aim The aim of this study is to compare the perceptions of anterior diastema by dental students and laypersons. Materials and Methods The study was conducted on 100 undergraduate students of Bhojia Dental College (n = 50) and Bhojia Nursing College (n = 50), Himachal Pradesh, India. A self-prepared questionnaire was given, which consisted of two parts: first part had personal details (name, age, sex, knowledge of diastema) and the second part contained an edited photograph of a patient who had reported to the Department of Orthodontics, Bhojia Dental College, with the chief complaint of midline diastema. The photographs were modified by photoediting software and arranged according to the previous studies on anterior diastema by Frush and Fisher, Lombardi, and Simian. A visual analog scale with scores 1–4 (1, most attractive; 2, attractive; 3, less attractive; 4, least attractive) was used to rank these photographs by the students. Comparison between various variables was made by using chi-squared test. Results Smile attractiveness from the most to the least attractive was Simian > Frush and Fisher > Lombardi > midline diastema among both dental and nursing students. Gender and presence of diastema had no relation with the students’ perceptions (p > 0.05). Conclusion The location and width of diastema had an important role in the perception of dental diastemas. Midline diastema was a gap with most negative perception.

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Pribadi, Nirawati, S. Sukaton, Galih Sampoerno, et al. "The aesthetic management of a midline diastema with direct composite using digital smile design, putty index and button shade technique: A case report." Dental Journal (Majalah Kedokteran Gigi) 55, no. 1 (2022): 44. http://dx.doi.org/10.20473/j.djmkg.v55.i1.p44-48.

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Background: A diastema is the distance or space between two or more adjacent teeth. This abnormality can interfere with the aesthetics of a patient, and 97% of diastemas occur in the maxilla. Various treatments can be performed for diastema closure in patients, one of which is composite resin restoration. Purpose: To explain the aesthetic procedure for diastema closure. Case: A 20-year-old female patient presented with complaints of the distance between her anterior teeth (Class I Angle occlusion with normal overjet and overbite). The labial frenum associated with the diastema was normal in size and position. The patient was not amenable to invasive procedures. Case Management: Management of midline diastema closure using the direct composite technique with DSD, the putty index method and button shade technique. Conclusion: The closure of a midline diastema with direct composite using DSD, the putty index method and button shade technique provides aesthetic results with less cost and time due to the absence of laboratory procedures.

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Akinboboye, B. O., A. O. Ehizele, and T. Esan. "Influence of Socio-demographic Factors on Perception of Midline Diastema." Nigerian Dental Journal 23, no. 1 (2020): 122–29. http://dx.doi.org/10.61172/ndj.v23i1.32.

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Objective: Socio-demographic factors have been said to affect the perception of midline diastema. Aesthetic importance of maxillary midline diastema varies in individuals and there is no common consensus on the registration of diameter of maxillary midline diastema. The aim of the study was therefore to determine the acceptable width of diastema among a group of Nigerian subjects and the effect of their socio-demographic factors on the perception of midline diastema. Method: Subjects aged 19-45 yrs were recruited from the 6 geopolitical zone of Nigeria. A structured questionnaire was administered to participants. The questionnaire sought for information such as age, gender, profession, presence of midline diastema and created diastema. The questionnaire included a coloured smile photograph with digitally altered varying sizes of diastema (2mm - 6mm). Subject rated the different coloured photographs using the rating scale (very attractive =1, attractive =2, accepted =3, unattractive =4, and very unattractive =5). Data were analyzed with the Statistical Package for Social Sciences (SPSS) version 16.0 (SPPS Inc, Chicago IL). Result: A total of 374 participants aged 19 – 45 years was involved in this study. Majority (52.1%) were females and mean age was 37.07+/-0.63 years. Only 30.2% had midline diastema out of which 12% was artificially created. Majority (86.7%) of the created diastema was done by the dentist. Age (p=0.024) and level of education (p=0.017) had a significant relationship with perception of midline diastema. Older subjects and those with lower educational level considered midline diastema a sign of beauty. Majority of the participants perceived the 2-4mm midline diastema attractive and 5-7mm midline diastema unattractive. Conclusion: It can be concluded from this study that a relationship exists between age and perception of midline diastema. The acceptable width of the midline diastema in this study is 2mm-4mm.

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Chaves, Priscila Rios Bomfim, Alexandre Melo Karam, and Andre Wilson Machado. "Does the presence of maxillary midline diastema influence the perception of dentofacial esthetics in video analysis?" Angle Orthodontist 91, no. 1 (2020): 54–60. http://dx.doi.org/10.2319/032020-200.1.

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ABSTRACT Objective To evaluate the influence of a midline diastema on dentofacial esthetic perceptions of orthodontists, restorative dental specialists or prosthodontists, and laypersons in a frontal facial evaluation performed by means of video. Materials and Methods Two individuals aged between 20 and 25 years, one of each gender, with presence of a midline diastema were selected. An acrylic resin mockup was made of the maxillary anterior region, simulating ideal conditions of smile esthetics. Four standardized frontal view videos of the complete face were filmed of each individual in the following situations: with the ideal smile (unchanged mockup) and with the presence of midline diastemas of 0.5, 1.0, and 1.5 mm created by the mockup. In all videos, the patient said a certain sentence and, at the end, simulated a posed smile. Dentofacial esthetic perceptions of all four videos of each individual were evaluated by 51 orthodontists, 51 restorative dental specialists or prosthodontists, and 51 laypersons by means of visual analog scales. Data were evaluated using analysis of variance and Tukey post hoc test, with the level of significance set at 5%. Results The most attractive videos for all groups of examiners were those without diastema and with a diastema of 0.5 mm, for both the woman and the man. For a diastema of 1 mm or 1.5 mm, the dentofacial characteristics were considered unesthetic. Conclusions Diastemas equal to or greater than 1 mm negatively influence dentofacial esthetics in a frontal facial evaluation performed by means of video.

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OPEODU, Olanrewaju Ige, Orighoye Tosan TEMISANREN, and Esther Adanma OKECHUKWU. "An assessment of a possible relationship between level of frenal attachment and the severity of midline diastema among selected group of Nigerians." Nigerian Journal of Dental Research 10, no. 1 (2025): 28–33. https://doi.org/10.4314/njdr.v10i1.5.

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Background: There are divergent opinions concerning the coexistence of midline diastema with high frenal attachment. While some have reported high frenal attachment in association with wide midline diastema, others have reported otherwise. Objective: To assess the relationship between the level of frenal attachment and the severity of midline diastema Materials and Methods: Midline diastema was measured to the nearest millimeters in a cross sectional study among one hundred and sixty-four selected group of Nigerians. The level of attachment of the median labial frenum was assessed and classified into the mucosal, gingival and the papillary attachment types. The mean width of the midline diastema was compared with the height of the frenal attachment using t-test and level of statistical significance was set at p < 0.05. Results: One hundred and sixty-four participants consisting of 16 (9.8%) males and 148 (90.2%) females were assessed. A larger percentage (12/18) of papillary type of frenal attachment had diastema greater than 1 millimeter, while one of those with mucosal attachment had midline diastema. There was a statistically significant relationship between the presence of midline diastema and the level of frenal attachment (p<0.000). Similar findings were observed when mean width of midline diastema was compared with the frenal height (p<.000) and when mean differences of midline diastema of the various frenal heights were compared. Conclusion: Within the limitation of this study, frenal height was found to be associated with the presence and severity of midline diastema. This may be essential in the management of midline diastema, especially in its orthodontic closure as it is considered as a malocclusion trait, which may necessitate surgical excision of the frenum.

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Aristo Lay and Shafira Kurnia Supandi. "Management of maxillary midline diastema caused by aberrant frenum attachment: A case report." World Journal of Advanced Research and Reviews 14, no. 3 (2022): 252–55. http://dx.doi.org/10.30574/wjarr.2022.14.3.0543.

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Background: Midline diastema in the maxillary is very common aesthetics problem in mixed and early permanent dentition, one of which etiology is aberrant frenum attachment. High frenum attachment might interfere with aesthetics, plaque control, and create mucogingival deformities, therefore compromising orthodontic result and causing recurrence. Several treatments for maxillary midline diastema are available, one of which is labial frenectomy. Objective: To present a case report of frenectomy as a mean of eliminating maxillary midline diastema. Case: This is a case report of a 25 years old female patient with high frenum attachment causing maxillary midline diastema. Patient was treated with frenectomy afterward. Frenectomy is a complete removal of frenum, including the attachment to the underlying bone. Following the treatment, midline diastema closure was showed in 4 months following frenectomy. Conclusions: Frenectomy is a potential alternative for treatment of maxillary midline diastema.

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Aristo, Lay, and Kurnia Supandi Shafira. "Management of maxillary midline diastema caused by aberrant frenum attachment: A case report." World Journal of Advanced Research and Reviews 14, no. 3 (2022): 252–55. https://doi.org/10.5281/zenodo.7731488.

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Background: Midline diastema in the maxillary is very common aesthetics problem in mixed and early permanent dentition, one of which etiology is aberrant frenum attachment. High frenum attachment might interfere with aesthetics, plaque control, and create mucogingival deformities, therefore compromising orthodontic result and causing recurrence. Several treatments for maxillary midline diastema are available, one of which is labial frenectomy. Objective: To present a case report of frenectomy as a mean of eliminating maxillary midline diastema. Case: This is a case report of a 25 years old female patient with high frenum attachment causing maxillary midline diastema. Patient was treated with frenectomy afterward. Frenectomy is a complete removal of frenum, including the attachment to the underlying bone. Following the treatment, midline diastema closure was showed in 4 months following frenectomy. Conclusions: Frenectomy is a potential alternative for treatment of maxillary midline diastema.

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Fathia, Hammad, and Elmehdawi Huda. "The Prevalence of Upper Midline Diastema in Benghazi-Libya." Alq J Med App Sci 6, no. 2 (2023): 441–43. https://doi.org/10.5281/zenodo.8219532.

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Background and aims. The localized space between central incisors in upper jaw is termed as midline diastema. The midline diastema is typical part of normal dental development during the period of mixed dentition (self-limiting). The continuing presence of the diastema between the maxillary central incisors in adult often is considered an esthetic or malocclusion problem. The aim of this study was to determine the prevalence of midline diastema among a sample of Libyan patients and to find out whether it's more common in males or females. Methods. The present cross-sectional study was conducted at the Department of Orthodontics, Faculty of dentistry, university of Benghazi on a randomly selected 562 individuals (149 males and 413 females) to investigate the prevalence of midline diastema among them. The measurements in current study were carried out directly on patient’s examination. The age of the subject’s study ranged from (16-32 years; average 24 years). Results. A total of 562 patients were screened, among which midline diastema was present in 5.34% (30) of the cases. Conclusion. From 562 OPD patients in orthodontic Department patients, only 5.34% had midline maxillary diastema, while 94.66% were normal means without midline maxillary diastema. With no statistical difference between males and females.

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Nazeh, Abdullah A. Al. "Relationship between Perception of Maxillary Midline Diastema and Personality Profiles." World Journal of Dentistry 7, no. 2 (2016): 59–63. http://dx.doi.org/10.5005/jp-journals-10015-1365.

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ABSTRACT Aims The aim of this study was to investigate the relationship between personality profiles and perception of maxillary midline diastema (MMD) among laypeople. Materials and methods Hundred total of 200 laypeople (100 females and 100 males, mean age = 28.8 ± 5.5 years) were recruited in this cross-sectional study. They were asked to rate the attractiveness of two digital photographs of ideal smile with 1 and 2 mm MMD on a visual analog scale (VAS) from 0 to 10. Participants' personality and psychological profiles were assessed via neuroticism.extraversion.openness five-factor inventory. The statistically significant levels were set at p ≤ 0.05. Results The mean VAS scores were 5.7 (± 2.1) and 4.3 (± 2.0) for 1 and 2 mm MMD respectively. The participants rated the attractiveness of 1 mm diastema better than the attractiveness of 2 mm diastema (p < 0.001). Females showed no difference in rating diastema attractiveness in comparison with males (p > 0.05). Participants (from both genders) with higher neuroticism scores rated 1 and 2 mm diastemas as less attractive than those with lower neuroticism scores (p ≤ 0.001). Conclusion Psychological profiles (high neuroticism) might be associated with negative perceptions of attractiveness of MMD. How to cite this article Al Nazeh AA. Relationship between Perception of Maxillary Midline Diastema and Personality Profiles. World J Dent 2016;7(2):59-63.

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P S, Samyuktha, and Dr Naveen Kumar M. "Evaluation of Association Between High Frenal Attachment and Severity of Midline Diastema." Journal of Advanced Zoology 44, S7 (2023): 316–21. http://dx.doi.org/10.17762/jaz.v44is7.2742.

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Introduction: A "midline diastema" arises when there is a space of more than 0.5 millimeters between the proximal surfaces of two consecutive teeth. There is usually open space between the two central incisors. Depending on its width, a midline diastema can make speaking difficult and look unsightly. Genetic factors, large tongues, improper tongue positioning during rest or function, microdontia or hypodontia of upper lateral incisors, extra teeth between upper central incisors, particularly mesiodens, aberrant frenal attachment, periodontal disease, and extra teeth are some of the multifactorial causes of midline diastema. The aim of this study is to assess the association between high frenal attachment and the severity of midline diastema. Materials and method: The study involved 126 patients. We assessed the frequency of high frenal attachment and midline diastema in these patients. The Chi square test was used to examine the data in the SPSS Software. Results and discussion: The current study has arrived at a positive correlation between the frenal attachment type and the severity of the midline diastema space. Midline diastema might be transitory or result from pathogenic, developmental, or iatrogenic reasons. Treatment options for diastema vary, and each one calls for an accurate etiology diagnosis and prompt action appropriate to that etiology. A correct diagnosis needs radiographic and clinical examination, medical and dental history, and perhaps tooth size assessment. Conclusion: Within the limitations of the study, it can be concluded that there is a positive correlation between the frenal attachment type and the severity of midline diastema space. It was also observed that the most common frenal attachment type was papillary type and the space more commonly was 2-3 mm in length.

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Jaija, Abdullah M. Zakria, Amr Ragab El-Beialy, and Yehya A. Mostafa. "Revisiting the Factors Underlying Maxillary Midline Diastema." Scientifica 2016 (2016): 1–5. http://dx.doi.org/10.1155/2016/5607594.

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Aim. The aim of this study is to analyze the etiological factors underlying the presence of maxillary midline diastema in a sample of orthodontic patients.Materials and Methods. One hundred patients who fulfill the inclusion criteria were selected from 1355 patients seeking orthodontic treatment. The pretreatment orthodontic records were analyzed. The width of the maxillary midline diastema was measured clinically with a digital caliper at two levels: the mesioincisal angles of the central incisors and five millimeters from the incisal edge. The two measurements were averaged, and patients with diastema of more than 0.5 millimeter in width were enrolled.Results. Diastema is a multifactorial clinical finding with more than one underlying etiological cause. The interrelationship between the familial pattern of midline diastema and the microdontia, macroglossia, labial frenum, and alveolar cleft conforms was clear. The effect of a mesiodens and the upper lateral incisor whether bilaterally missing, unerupted, or peg shaped was minimal.Conclusion. Etiological factors underlying maxillary midline diastema are interconnected. Using a checklist as a guide during handling maxillary midline diastema is important in the different stages of treatment.

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Hamad, Nail Hasan. "Incidence of Maxillary Midline Diastema in Iraqi Students in Baghdad City." Al Mustansiriyah Journal of Pharmaceutical Sciences 15, no. 1 (2015): 30–34. http://dx.doi.org/10.32947/ajps.v15i1.162.

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Maxillary midline diastema is one of important numerical anomalies of teeth which character as an open space between the maxillary central incisors so that many studies have been carried out in different countries of the world to find the prevalence of maxillary midline diastema. The purpose of this study was to determine the prevalence of the maxillary midline diastema and assess the gender difference in a selective sample of college and institute Iraqi student age (18-22) year in Baghdad city. A total sample of (1460) students distributed into (680) males and (780) females. The statistical analysis shows the incidence of maxillary midline diastema is (55) cases in the total sample with percent (3.8%) which is in males (3.4%) and (4.1%) in female. So it is found in females more than in males, the maxillary Midline Diastema.

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Alqarni, Abdullah, Muhammad Aamir Ghafoor Chaudhary, Muhammad Haseeb Rana, et al. "Laypersons and dentists' perception of smile esthetics in spacing between maxillary central and lateral incisors teeth: a cross-sectional study." Bioscience Journal 41 (April 2, 2025): e41008. https://doi.org/10.14393/bj-v41n0a2025-62120.

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A smile is an important component of facial attractiveness. However, perceptions of gaps between adjacent teeth, known as diastema, may vary among different individuals and regions depending on cultural or other factors. This study aimed to evaluate perceptions of midline diastema and lateral diastema among individuals of different ages, genders, education levels, and occupations. A cross-sectional study based on a survey with manipulated pictures was conducted at the Department of Prosthodontics, Islamic International Dental Hospital and College, Islamabad, Pakistan, from 1 March to 31 May 2020. The surveyed population included dentists and laypeople and comprised 198 (44.4%) men and 248 (55.6%) women with a mean age of 30.52±13.46 years. Data were analyzed using the Statistical Package for Social Sciences (SPSS), version 23.0 (IBM Corporation, Armonk, USA) for Microsoft Windows. The statistical hypothesis test and chi-square test were used to validate significant differences (p≤0.05). Of the 446 participants who completed the survey, 384 (86.09%) preferred a midline diastema of 0mm, and 320 (71.74%) preferred a lateral diastema of 0mm. Approximately 71.71% of the male and 83.6% of the female participants preferred a maxillary midline diastema of 0mm. A significantly (P≤0.05) greater percentage of dentists (91.12%) than laypeople (70.40%) rated a midline diastema of 0mm as most attractive. The negative perceptions of midline and lateral diastema appear to be related to their location and width. The participants rated a diastema of 0mm more attractive than a diastema of 1.5mm or 2mm.

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L.N, Sunil Kumar, Pradnya Nagmode, Varsha Tambe, Sumeet Gonmode, and Fareedi Mukram Ali. "MIDLINE DIASTEMA: TREATMENT OPTIONS." Journal of Evolution of medical and Dental Sciences 1, no. 6 (2012): 1267–72. http://dx.doi.org/10.14260/jemds/206.

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Saputri, Ulfah Chaerani, Ayu Rahayu Feblina, and Surijana Mappangara. "Combination Therapy Of Frenectomy And Orthodontic Appliance For Midline Diastema Closure." Interdental Jurnal Kedokteran Gigi (IJKG) 20, no. 3 (2024): 497–501. https://doi.org/10.46862/interdental.v20i3.9523.

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Introduction : Midline Diastema are a main aesthetic concern for patients, due to its location in anterior teeth and its visibility during smiling. One of the main causes for a midline diastema is an aberrant frenum position, causing the gap between the anterior teeth. In order to address the problem a frenectomy was performed, followed by the application of orthodontic appliances. Case : Patient was referred from the Orthodontic Department of Hasanuddin Dental Hospital due to relapsing Midline Diastema. Patient complained of an non-aesthetic smile due to the gap in the anterior tooth. Class IV Frenal Attachment. Mucogingival Deformities and Conditions Arounds Teeth (Aberrant Frenum/Muscle Position). Case Treatment : Patient showed full healing in 1 month and full diastema closure using Removable Orthodontic Appliances in 6 months. Discussion : Frenectomy is done to remove the aberrant attachment and removing the frenal position that blocked in the midline area, thus removing the cause of diastema. Full closure is achieved through orthodontic appliance. Conclusion : Combination of Frenectomy and Orthodontic Treatment shows a high effectivity in treating Midline Diastema.

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Halley, Elaine. "To bond or not to bond: considerations for choosing the appropriate treatment for closing a midline diastema." Aesthetic Update 1, no. 2 (2024): 82–88. http://dx.doi.org/10.12968/aedu.2024.1.2.82.

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In the realm of dental aesthetics, the decision between employing a resin composite material bonded to the dental hard tissues, or orthodontics to address a midline diastema and enhance smile aesthetics, can be complex and multifaceted. This article delves into the critical considerations and decision-making processes guiding dental practitioners through how to decide when orthodontic movement, while a more costly and complex treatment option, might provide optimum aesthetics. By exploring the aetiology of midline diastemas, and the pivotal role of the central incisor in smile aesthetics the author aims to equip clinicians with a comprehensive framework. CPD/Clinical Relevance: This article shows how to assess suitable treatment modalities for closing midline diastemas in adult patients.

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Suresh, Pavithra, Kavitha Muthukrishnan, Eswari Ramassamy, and Prathima Gajula Shivashankarappa. "‘M’ mechanics for midline diastema correction in mixed dentition." BMJ Case Reports 16, no. 9 (2023): e256179. http://dx.doi.org/10.1136/bcr-2023-256179.

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Maxillary midline diastema is a self-correcting anomaly which in few conditions may get retained in adolescence stage due to various aetiological factors and correction of which is usually done at permanent dentition stage. The persistence of midline diastema can be predicted in mixed dentition period and necessary management could be provided at the mixed dentition period. This case report is on a novel technique using ‘M’ spring to correct the midline diastema in mixed dentition period.

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Romulo, Sean Ulysses, Ellah Mae Diu, ChinieLee Manuel, Ellekah Trumata, and Kristel Tugnao. "Orthodontic treatment on patient with maxillary diastema: A case report." Dental Investigation 1, no. 1 (2022): 29–35. https://doi.org/10.5281/zenodo.6970506.

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Maxillary midline diastema is a space seen in between the upper front teeth. Diastema is part of normal development, and this causes a great challenge for practitioners to intervene or not during the early stage. Diastema on maxillary central incisors on a 24-year-old female patient, with crowding on her mandibular incisors was a success using orthodontic treatment, upper palatal expander, and lower lingual expander. The diastema treatment lasted for only 4 months, and great results were observed. It was confirmed by a panoramic x-ray. Although the diastema gap was successfully narrowed to almost normal, another challenge encountered was midline misalignment. The treatment proposed was to extract all third molars, maxillary, and mandible to correct the midline misalignment.

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Ilvana Ardiwirastuti and Dion Sandro Satrya. "Case report: A-short period management of female adolescent with Papilary Penetrating (PP) frenulum attachment." World Journal of Advanced Research and Reviews 20, no. 1 (2023): 775–79. http://dx.doi.org/10.30574/wjarr.2023.20.1.2130.

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Background: A space between the anterior teeth and midline diastema is really important for aesthetic concerns in adolescents. Midline diastema may be related to high frenal attachment. Frenectomy is a treatment option for high frenal attachment. The entire removal of the frenum may be followed by orthodontic treatment. Case Presentation: A female 16-year-old patient complained of feeling embarrassed because of a gap in her front teeth. A frenectomy with orthodontic treatment is used to correct midline diastema. A frenectomy procedure uses conventional technique. The Straight Wire Technique (SWT) technique for orthodontic treatment. Midline diastema is complete correction at the 3rd control. Conclusion: Frenectomy before orthodontic treatment, followed by a medium-anchored Straight Wire Technique (SWT) with an elastromic chain or power chain, can be an alternative technique with a short duration.

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Dr.Asjad, Nizar, Jibin Joy Dr., K. Nillan Shetty Dr., and Naveen Suvarna Dr. "Midline Diastema Correction Utilizing Clinical Application of M-Spring: A Case Report." International Journal of Innovative Science and Research Technology 7, no. 11 (2022): 108–10. https://doi.org/10.5281/zenodo.7336337.

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Background The aim of this paper is to illustrate the clinical application of M-Spring for the correction of midline diastema.The midline diastema can be caused by various reasons such as high frenal attachment, midline pathology, etc. In the field of orthodontics, relapse rate is high while treating midline diastema. This relapse can be reduced only when there is bodily movement of the incisors in mesial direction. Case report In this article, midline diastema treated using “M” spring which has three coils; two at periphery and one at the Center and each coil was of 3mm diameter. “M” spring was fabricated using0.017 X 0.025 TMA. The duration of treatment was for six weeks.

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Ilvana, Ardiwirastuti, and Sandro Satrya Dion. "Case report: A-short period management of female adolescent with Papilary Penetrating (PP) frenulum attachment." World Journal of Advanced Research and Reviews 20, no. 1 (2023): 775–79. https://doi.org/10.5281/zenodo.12204554.

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Background:  A space between the anterior teeth and midline diastema is really important for aesthetic concerns in adolescents. Midline diastema may be related to high frenal attachment. Frenectomy is a treatment option for high frenal attachment. The entire removal of the frenum may be followed by orthodontic treatment. Case Presentation: A female 16-year-old patient complained of feeling embarrassed because of a gap in her front teeth. A frenectomy with orthodontic treatment is used to correct midline diastema. A frenectomy procedure uses conventional technique. The Straight Wire Technique (SWT) technique for orthodontic treatment. Midline diastema is complete correction at the 3rd control. Conclusion: Frenectomy before orthodontic treatment, followed by a medium-anchored Straight Wire Technique (SWT) with an elastromic chain or power chain, can be an alternative technique with a short duration.

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Esghir, Amal, Dr Syrine Limem, Nouha Mghirbi, et al. "Partial Laminate Veneers for a Maxillary Midline Diastema Closure: A Case Report." EAS Journal of Dentistry and Oral Medicine 4, no. 3 (2022): 91–96. http://dx.doi.org/10.36349/easjdom.2022.v04i03.003.

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Background: A variety of approaches can be employed to close diastemas using conservative and non-conservative restorative techniques such as composite restorations, laminate veneers, and crowning if there is no indication for orthodontic treatment. Objectives: This paper aimed to discuss the mechanical properties of sectional laminate veneers, the preparation, and the ceramic material used for their manufacturing. Material and methods: A case of a maxillary midline diastema closure using feldspathic partial laminate veneers with an ultra-conservative preparation is described. Results: Feldspathic sectional laminate veneers achieve an esthetically pleasant diastema closure. The ultra-conservative preparation and adequate polishing technique preserve dental and gingival tissues. Conclusion: It can be concluded that sectional partial veneers are an esthetic option with low mechanical properties that must be carefully indicated.

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Raju, Aravind, Mahendra S, Balamohan Shetty, and Shruti Gopinath. "Correction of Relapsed Midline Diastema." Journal of Indian Orthodontic Society 54, no. 4 (2020): 384–85. http://dx.doi.org/10.1177/0301574220924010.

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Midline diastema is one of the most common malocclusion seen in orthodontics. It may reappear after orthodontic treatment if retention protocol is not followed properly. Many treatment approaches have been cited in the literature for this and we propose an effective, time-saving, and reliable method for the correction of relapsed midline diastema using vacuum-formed retainer with elastomeric elastics.

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Kshetrapal, Abhishek. "Correction of Relapsed Midline Diastema." Journal of Indian Orthodontic Society 53, no. 1 (2019): 90–91. http://dx.doi.org/10.4103/jios.jios_225_17.

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Kshetrapal, Abhishek. "Correction of Relapsed Midline Diastema." Journal of Indian Orthodontic Society 53, no. 1 (2019): 90–91. http://dx.doi.org/10.1177/0974909820190118.

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Ulfah, Khairiyah, Ayudia Rifki, and Sarinah Rambe. "Treatment of Multiple Diastema with Fixed Orthodontic Appliance: Case Report." Journal of Syiah Kuala Dentistry Society 9, no. 2 (2025): 10–19. https://doi.org/10.24815/jds.v9i2.42953.

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Background: A diastema is a gap or distance between two or more adjacent teeth. This condition can affect a person's appearance and confidence. Treatment in cases involving aesthetics can be treated by multidisciplinary approach, one of which is orthodontics. Case Report: A 13-year-old boy presented with chief complaints of gap at his front teeth. Intra oral examination showed multiple diastemas on the upper and lower teeth, minimal crowding on the mandibular anterior teeth, and flaring/proclination of the maxillary anterior teeth, class I molar relation on the right and left sides, class I canine relation on the right and left sides, low palate (34.5%), overbite 2.5 mm, overjet 5 mm and maxillary midline shifted to the left by 1 mm. Treatment was performed with Roth system fixed orthodontic appliances for diastema closure. Conclusion: The evaluation of the aetiology of the diastema is an important issue before starting any orthodontic correction. In case of multiple diastema, treatment with fixed orthodontic is an excellent alternative for diastema closure, especially when the incisors are of normal color, shape and size.

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Al-Hashimi, Hadeel. "Significance Of Various Etiological Factors As An Indicator For The Persistence Of Median Diastema." Journal of Al-Rafidain University College For Sciences ( Print ISSN: 1681-6870 ,Online ISSN: 2790-2293 ), no. 2 (October 19, 2021): 139–56. http://dx.doi.org/10.55562/jrucs.v30i2.371.

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Maxillary midline diastemas are a common esthetic problem that dentists must treat. This study was performed to quantify the width of median diastema and level of bone crest and to determine the type of inter-maxillary suture, familial prevalence, spacing in upper anterior region, axial inclination of upper centeral incisors, and low frenal attachment as the most contributing factors associated with median diastema. A standardized periapical radiographs using a paralleling technique with a film holder were taken to the (99) maxillary and/or mandibular centeral incisors with median diastema and to the (85) maxillary incisors with no diastema as a control group in adults with age range from 18-25 years old. Diastema width between 0.5-1 mm has a higher percent while diastema above 2 mm has a least percent. There is a non-significant difference in the level of alveolar crest of central incisor in both control and diastema groups. Type I intermaxillary suture type was the most common in control group while type II and III were the most common in diastema. There is a relationship between spacing and type of intermaxillary suture which can use as an indicator for the persistence of diastema from childhood in addition to familial history while frenum may has no effective role in developing median diastema. Axial inclination of central incisors is one of important factors that should be taken in consideration during treatment of median diastema

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Ayshan Kolemen, Hasan Sabah Hasan, and Arkan Muslim Al Azzawi. "Medline diastema of orthodontic patients - Prevalence and Etiology in Erbil Population - A cross-sectional study." International Journal of Research in Pharmaceutical Sciences 11, no. 4 (2020): 5997–6003. http://dx.doi.org/10.26452/ijrps.v11i4.3262.

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To investigate the prevalence and etiological factors that contribute in midline diastema in Erbil population among different age groups and genders. A sample of (ex: 1021orthodontic patients (537 males and 484 females) were randomly selected from Erbil population attending to orthodontic department of khanzad polyclinic teaching center (General directorate of hawler / Ministry of health/ Kurdistan region- Iraq) during 2018-2019 period. Aged (13-35 years) with mean age ± SD was 19.6 ± 4.8 years, with a median of 19 years. The examination included patient history taking, intraoral examination, photograph, intraoral periapical radiography of incisors area and panoramic radiographic. Diastema consider positive when the space between central incisors is 0.5mm and more, width was measured clinically used digital Vernier calipers at one millimeter above the incisors edge. In this study the prevalence of midline diastema was 23.2%. location was in the maxilla (97%), in mandible (1.3%) and in both was (1.7%). The prevalence of midline diastema differs significantly between the age groups (p < 0.001). The highest prevalence (55.8%) was among patients aged ≥ 30 years, and it was also high (37.7%) among those aged < 15 years. The prevalence among females (26.4%) was significantly higher than the prevalence (20.3%) among males (P= 0.020). The main causes of midline diastema in females was thumb sucking and missing lateral incisors (14.1% and 12.5% respectively) and in males was high labial frenum and super numerally teeth (39.4% and 30.3% respectively). The prevalence of diastema in Erbil City (Kurdistan regional- Iraq) area was 23.2%, the location mostly in maxilla (97%). The prevalence of diastema in females more than males.

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Adibah, Media sukmalia, Eka Pramudita Ramadhany, Valeo Adika Laksana, and Ni Luh Desy Ayu Susilahati. "MULTIDISCIPLINARY PERIODONTIA-ORTHODONTIA APPROACH IN A CASE OF MIDLINE DIASTEMA WITH LABIAL FRENECTOMY USING ELECTROSURGERY." Interdental Jurnal Kedokteran Gigi (IJKG) 20, no. 1 (2024): 1–6. http://dx.doi.org/10.46862/interdental.v19i2.7725.

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Introduction: Periodontal tissue condition plays an important role as an adjunctive in the success of orthodontic therapy. One of prominent esthetic problem is midline diastema case, which was caused by high and aberrant frenulum attachment. This clinical case aims to report the frenectomy procedures with electrosurgery through multidiscipline perio- orthodontic approach to close the midline diastema. Case: : A female 19 years old patient was referred from orthodontic clinic with chief complaint there was a gap between her central insisif in upper jaw. The frenulum showed the Blanch test positive and there was no clinical attachment loss. Case Treatment: Frenectomy with electrosurgery was done to eliminate the aberrant frenulum attachment. This procedure followed with fixed orthodontic therapy to close the midline diastema and prevent any relapse. Discussions: Frenectomy can be achieved with electrosurgery which has many advantages such as coagulation, a better visualization, blood-less area, bacterimial risk reduction, an uneventful healing process, less post operative discomforts, and minimal scar tissue formation. Fixed orthodontic appliance was bonded to close the gap between central incisors. The intraoral examination showed that there was no any relaps in midline after one year follow up debonding of fixed orthodontic. Conclusion and Suggestions: a functional and esthetic outcome can be achieved through multidiscipline perio-orthodontic approach. The combination of frenectomy and orthodontic therapy showed an optimal result to close the midline diastema. Conclusion and Suggestions: a functional and esthetic outcome can be achieved through multidiscipline perio-orthodontic approach. The combination of frenectomy and orthodontic therapy showed an optimal result to close the midline diastema.

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Garai, Diptangshu, Kallol Pramanik, Sankhya Ghosh, Pintso Tshering Lepcha, Mukesh Kumar, and Ali Asger Nakib. "Management of Midline Diastema with Aligners: Case Series." International Research Journal of Multidisciplinary Scope 06, no. 02 (2025): 1022–26. https://doi.org/10.47857/irjms.2025.v06i02.03695.

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In adults, the gap between the maxillary central incisors is frequently regarded as an unaesthetic or malocclusion issue. Active treatment is available for patients who feel that a diastema is unacceptable. Not all diastemas, however, can be handled in the same way or at the same time. This article describes the quick, easy, and hygienic device known as aligners, which was used to address a spacing case. For individuals in need of orthodontic treatment, aligners provide a novel solution. Thus, their worries regarding aesthetics, metal allergies, and hygiene are all addressed. Additionally, the duration of therapy is much less as compared to fixed orthodontic appliance, here the management of midline diastema in adult patients with aligners within 12 months. Clear aligner treatment modality is specially helpful for those adult patients who are in public communication profession. The traditional metallic braces which used to impose embarrassment, low self-confidence level during speech delivery in this group of people, can be eradicated by this newer invention – clear aligner. The aesthetic acceptability of this aligner is so demanding that the people who were previously reluctant to have orthodontic treatment, are availing this treatment modality. In this article three adult patients from three different professions (i.e. medical specialty, stage performer and hospitality management) treated with aligner who were previously reluctant to get traditional orthodontic treatment due to their professional need.

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Amin, Erum, Mehwish Khan, Mohmmad Omer Siddiqui, Adnan Babar, Fatima Hassan, and Wajeeha Ejaz. "PERCEPTION OF ALTERED SMILE ESTHETIC AMONG DENTISTS, STUDENTS AND LAYPERSONS USING DIGITAL PHOTOGRAPHS: A COMPARATIVE STUDY." PAFMJ 71, no. 3 (2021): 875–79. http://dx.doi.org/10.51253/pafmj.v71i3.4592.

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Objective: To investigate whether there is any difference in the perception of altered smile esthetics among dentist, students and layperson. Study Design: Comparative cross sectional study. Place and Duration of Study: Armed Forces Institutes of Dentistry Rawalpindi, from Jan to Jun 2019. Methodology: A total of 120 individuals were selected among which 40 were dentists, 40 were students and 40 lay persons to evaluate smile on given questioner. An individual was photographed in frontal posed smile using a digital camera at natural head position. The photograph was digitally manipulated with minor changes and only desired area of face was framed using Adobe Photoshop CC 2018 software to generate a control and ideal smile. Series of photographs were generated by doing modifications to evaluate five variables including Smile arc, Gingival display, Buccal corridor, Midline shift and Midline diastema. The each group was also asked to rate attractiveness each picture on 5 points Visual Analog Scale (VAS) from 1- Most attractive to 5- Least attractive. Results: The p-value was for midline diastema and midline shift was <0.01. Most of the study population was females 75 (62.5%) and the mean age of participants was 27.51 ± 5.42. Significant difference was observed at VAS in flat smile arc, nil buccal corridor, mid-line shift and midline diastema by study groups. Conclusion: Perception of midline diastema and midline shift differs significantly among dentists, students and lay persons.

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Awooda, Elhadi Mohieldin. "Twelve-Year Follow-Up of Laser Frenectomy during Early Mixed Dentition." Case Reports in Dentistry 2023 (December 29, 2023): 1–5. http://dx.doi.org/10.1155/2023/5525534.

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Median maxillary labial frenum (MMLF) is one of the oral freni, found on the inner side of the centre of the upper lip. Maxillary midline diastema (MMD) is commonly associated with highly attached frenum, and frenectomy during early mixed dentition is controversial. A 6-year-old boy came with a chief complaint of unpleasant spacing between the two upper front teeth. A median maxillary high attached labial frenum with midline spacing of 5 mm was diagnosed. A consensus was made with the child’s father to remove the frenum by laser. Diode laser frenectomy was done, and subsequent follow-up for 12 years revealed no relapse and complete closure of the diastema. Frenectomy during early mixed dentition could be a suitable option for the closure of midline diastema.

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Priyanka, Gaurav Verma, Monalisha Jha, Puja Kumari, and Khushboo. "Diastema closure with direct composite restoration-Case report." International Dental Journal of Student's Research 11, no. 1 (2023): 28–31. http://dx.doi.org/10.18231/j.idjsr.2023.006.

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Maxillary midline diastema is a frequently occurring malocclusion found to be a common aesthetic complaint of patients. It occurs due to of multifactorial etiology such as labial frenum, microdontia, and oral habits such as thumb sucking, Tongue thrusting, or Dental malformations. Proper technique and materials for successful treatment are grounded on time and the patient's physical, psychological, and economical conditions. The use of Direct composite resin restoration in diastema closure permits the dentist and patients to gain complete control of the above-mentioned and recreation of an aesthetic natural smile. The case report describes a case of midline diastema closure using direct composite resin restoration. The patient was recalled for follow-up for 1 year. No discoloration, sensitivity, line of demarcation, or fracture lines were seen. Therefore, midline diastema closure using direct composite resin restoration is considered highly aesthetic, and durable and could fulfill the aesthetic need of the patient in the present case.

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Modak, Sutanu, Partha Pratim Choudhury, Srikrishna Chattaraj, Ekta Lahoti, Snigdha Mondal Chowdhury, and Subhasis Sheet. "Prevalence and Etiological Distribution of Midline Diastema- An Institutional Study." Journal of Pharmacy and Bioallied Sciences 17, Suppl 2 (2025): S1301—S1303. https://doi.org/10.4103/jpbs.jpbs_1921_24.

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ABSTRACT Introduction: The space between two central incisors is called diastema. It is aesthetically very unpleasant to the patients. Besides, this it may be a sign of underlying pathology. So proper research about diastema is necessary. This study has been carried out in Dr. R. Ahmed Dental College and Hospital as no such study has been conducted in Eastern India so far. Materials and Methods: 1000 samples were taken randomly (500 males and 500 females) from the OPD of Dr. R. Ahmed Dental College and Hospital to calculate prevalence of diastema, its male female variation, location and etiological distribution. Clinical and radiological examination has been done. Data were calculated and statistically analyzed. Results: The Prevalence of midline diastema was found to be 5.9%. Prevalence in males is 4.4% and in females is 7.4%. It is present bi-dentally in 49.15%, in maxilla 38.98% and mandible 11.86%. The various etiologies are habits (28.81%), dentoalveolar disproportion (23.72%), high frenal attachments (18.64%), missing laterals (11.86%), microdontia (11.86%), supernumerary tooth (5.08%), etc. There was no statistically significant gender variation among etiologies. Conclusions: Females are having more diastema than males. It is more common in bi dentally. Habit is the most common causes of midline diastema.

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Shivanni S S, Sumathi Felicita A, and Balakrishna R N. "Prevalence of midline diastema and its correlation with high Frenal attachment." International Journal of Research in Pharmaceutical Sciences 11, SPL3 (2020): 847–51. http://dx.doi.org/10.26452/ijrps.v11ispl3.3035.

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The aim of this study is to assess the prevalence of midline diastema in the South Indian population and to find its correlation with high frenal attachment. The study includes patients visiting the department of orthodontics. The data was collected from the digital archives of the institution. Intraoral photos were assessed. A total 305 patients who reported to the department of orthodontics from June 2019 to March 2020 were screened. The causes of diastema namely presence of high frenal attachment, generalised spacing and periodontal disease, were evaluated. The results were statistically analysed using chi-square tests and graphs were tabulated. A total of 305 patients were screened, among which midline diastema was present in 22.3% (68) of the cases. High frenal attachment was found in 52%, generalised spacing in 36% and periodontal disease in 12% of the cases. The mean age of the patient was 23±5.25 years. The incidence of midline diastema was found to be 22%. High frenal attachment was found to be the most common etiology.

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Sathe, Seema. "Enhancing the esthetics of face by management of midline diastema: A Case Report." Journal of School of Advanced Studies 5, no. 1 (2022): 9–11. http://dx.doi.org/10.54054/jsas.2022513.

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Maxillary midline diastema is a common esthetic problem in mixed and permanent dentition. The space can occur either as a transient malocclusion or created by developmental, pathological or iatrogenic factors. Along with midline diastema, anteriors can have generalised spacing, particularly in the maxillary arch. These can be managed by surgical, orthodontic, restorative and prosthodontic procedures, or by a combination of procedures to meet the patient’s aesthetic and functional needs while also improving the patient’s psycholog

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Tanaka, Orlando Motohiro, Alessandro Yuske Kusano Morino, Oscar Fernando Machuca, and Neblyssa Ágatha Schneider. "When the Midline Diastema Is Not Characteristic of the “Ugly Duckling” Stage." Case Reports in Dentistry 2015 (2015): 1–5. http://dx.doi.org/10.1155/2015/924743.

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This case report presents the interceptive orthodontic treatment of a 9-year, 5-month-old boy with class I malocclusion, a 9.0-mm maxillary midline diastema, and deviation from the midline. The treatment goals were to decrease the magnitude of the diastema and to simulate the characteristics of the “ugly duckling” stage. Braces were placed on the first molars and the maxillary central incisors. The biomechanics of the anchors on the first molars elicited substantial mesial movement of the left central incisor to match the midline. A flat wire segment was bonded onto the palatal surface of the central incisors for retention.

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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 (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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Gkantidis, Nikolaos, Olga-Elpis Kolokitha, and Nikolaos Topouzelis. "Management of maxillary midline diastema with emphasis on etiology." Journal of Clinical Pediatric Dentistry 32, no. 4 (2008): 265–72. http://dx.doi.org/10.17796/jcpd.32.4.j087t33221771387.

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The importance of the presence of a maxillary midline diastema resides in its position and the concern it causes to patients. This specific diastema has been attributed to genetic and environmental factors, even though it is often a normal feature of growth, especially in primary and mixed dentition. The need for treatment is mainly attributed to esthetic and psychological reasons, rather than functional ones. Although it is often the case, treatment plans should not be selected empirically but rather should be based on adequate scientific documentation. Possible therapeutic approaches include orthodontics, restorative dentistry, surgery and various combinations of the above. The ideal treatment should seek to manage not only the diastema in question but also the cause behind it. Irrespective of the treatment alternative selected, permanent retention of stable results should be considered as a treatment objective. The aim of this paper is to underscore the main etiological factors for the presence of a maxillary midline diastema and to illustrate the clinical and laboratory examinations required to recognize these factors. Furthermore, alternative treatment options are discussed depending on the etiology of the problem.

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B. Panchal, Akshita, Kailash Attur, Manjusha Rawatiya, Kiran Vachhani, and Sarang Soni. "CLOSURE OF MIDLINE DIASTEMA BY DIRECT COMPOSITE RESIN BUILD-UP USING PUTTY INDEX- A CASEREPORT." International Journal of Advanced Research 9, no. 11 (2021): 1047–51. http://dx.doi.org/10.21474/ijar01/13839.

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A common aesthetic concern among patient is maxillary anterior space or diastema. 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 the interdental septum are some of the causes of midline diastema. For diastema closure there are a variety of therapy options. Many novel therapies have been applied, ranging from restorative procedures to surgery (frenectomies) and orthodontics for closure of diastema or a combination of procedures to meet the aesthetic and functional needs of patientâ€™saesthetic. Recent advancement in direct dental composite resin allows dentists to do minimally invasive cosmetic dentistry that is both conservative and time-consuming. In diastema cases, direct composite resins give the dentist and patient entire control over the restriction and the construction of a natural smile. The purpose of this study is to present a case report of aesthetic management using putty index of maxillary anterior space, which includes the midline.

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Dehghani, Mahboobe, and Farzin Heravi. "Orthodontic-restorative treatment of maxillary midline diastema." Dental Hypotheses 5, no. 3 (2014): 124. http://dx.doi.org/10.4103/2155-8213.136768.

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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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Journal articles on the topic 'Midline Diastema'

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