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1

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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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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<strong>Abstract</strong> Midline diastemas are of a major concern for one&rsquo;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&nbsp; 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 lam
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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
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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 f
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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 max
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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 si
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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 I
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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: Feldspa
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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 aes
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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 fem
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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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<strong>Background:&nbsp;</strong>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. <strong>Objective:</strong>&nbsp;To present a case report of frenectomy as a mean of eliminating maxillary midline diastema. <stro
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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 classifi
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V Bansode, Pradnya, Seema D Pathak, M. B Wavdhane, and Aarti Pathak. "Anterior Midline Diastema Closure with Putty Index - A Case Report." International Journal of Science and Research (IJSR) 10, no. 7 (2021): 1036–39. https://doi.org/10.21275/sr21717154409.

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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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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 ca
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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
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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 properti
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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
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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 (2019): 183–84. http://dx.doi.org/10.1016/j.prosdent.2018.04.025.

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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 (2016): 59–62. http://dx.doi.org/10.1515/bjdm-2016-0010.

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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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Descallar, Jean Paula, Richard Cheng, Hannah Shantal Enage, Christine Lorenz Pineda, and Kyla Miles Villanueva. "Diastema closure with direct composite veneers: A case report." Dental Investigation 1, no. 1 (2022): 8–14. https://doi.org/10.5281/zenodo.6969427.

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<strong>Abstract</strong> Diastema closure is a frequently requested, technique-sensitive cosmetic procedure. Because of their predictable results and conservation of tooth structure, direct veneers are indicated for the esthetic treatment of anterior teeth with anomalous positions or appearance. This case report aims to highlight the steps in dental rehabilitation using direct veneers. In this case, the patient had diastemas in her maxillary centrals. After preliminary procedures, diagnostic models, waxing, and mock-ups were completed. Impression was made with additional silicone and the vene
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Ridyumna, Garain, GR Krishnakumar, M. Bharathi, Karim Jibin, Singh Priyansha, and S. N. Prakruthi. "A Patient Centric Alternative Approach to Treating Large Diastemas: A Case Report." International Journal of Pharmaceutical and Clinical Research 15, no. 1 (2023): 676–82. https://doi.org/10.5281/zenodo.13143257.

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The current case report discusses the morphofunctional rehabilitation of a large midline diastema and labially inclined teeth with the help of virtual smile designing and lithium disilicate restorations.<strong>Key Messages:&nbsp;</strong>It is important to be aware of the etiology and the various treatment options available for the closure of diastemas. As a clinician, it is important to understand the unique challenges each case presents. It is the ability to translate acquired knowledge to suit the current situation that enables a clinician to provide the best possible treatment to their pa
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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 (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
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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 dent
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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 (2015): 238–44. http://dx.doi.org/10.1016/j.ajodo.2015.03.026.

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Ajaji, Norah Al, Ali Barakat, Pradeep Koppolu, and Lingam Amara Swapna. "Minimal Invasive Technique for The Esthetic Management of Midline Diastema: A Case Report." Pakistan Journal of Medical and Health Sciences 15, no. 10 (2021): 3088–91. http://dx.doi.org/10.53350/pjmhs2115103088.

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It is a case report of a minimally invasive technique for diastema restoration with sectional veneer fabrication. It involves a technically demanding procedure and less time with minimal disruption and stress to soft tissue. The method presented in this case report depicts the closure of anterior spacing by an aesthetic sectional veneer. Successful restoration in present-day dentistry includes minimal biological cost, promising longevity and esthetic integration in addition to traditional criteria. However, several other factors influence patient acceptance, such as the uncomplicated technique
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Martina, Stefano, Marco Martini, Monica Bordegoni, and Armando Viviano Razionale. "Predictability of Root Movements Using Virtual Root Setup in a Patient With Periodontal Disease Treated With Clear Aligners." Open Dentistry Journal 15, no. 1 (2021): 605–11. http://dx.doi.org/10.2174/1874210602115010605.

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Aims: The aim of the study was to show a case with a midline diastema in a patient with high periodontal risks and gingival recessions treated with clear aligners. The objective was to predict and quantify root movements using a dedicated software that extrapolates data from the Cone Beam Computed Tomography (CBCT). Case Presentation: A 31-year-old female with a mandibular midline diastema asked for an aesthetic treatment. She had vertical bone loss on the lower central incisors, so a CBCT was necessary in order to plan the root movements. The purpose of the treatment was to avoid an uncontrol
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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 (2015): 161–62. http://dx.doi.org/10.4103/0301-5742.165564.

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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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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 (2015): 161–62. http://dx.doi.org/10.1177/0974909820150308.

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Jerie, Romario, Jithesh Kumar, Panchami Marish, Steve Mathew Jacob, and N. Prakash. "An interdisciplinary approach for the closure of midline diastema using esthetic buttons." Indian Journal of Case Reports 11, no. 1 (2025): 36–39. https://doi.org/10.32677/ijcr.v11i1.4880.

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This case report intended to evaluate the clinical outcome of the esthetic buttons for midline diastema space closure rather than full conventional fixed appliance therapy followed by conventional frenectomy. Four esthetic buttons were placed on the central incisors (2 on each tooth) for complete bodily movement of the teeth followed by traction. Space closure was achieved by a 1-month time interval followed by a build-up of lateral incisors and followed by frenectomy. This approach can be followed in patients with compromised financial support who are seeking orthodontic treatment for minor c
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Shivaram, Nemani, Rakesh Rao Annamaneni, and Ranjit Kumar Manne. "Management of midline diastema in an orthodontic retreatment case: A novel technique." Journal of Contemporary Orthodontics 6, no. 4 (2023): 178–80. http://dx.doi.org/10.18231/j.jco.2022.034.

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The purpose of this article was to describe the closure of a maxillary midline diastema that had reopened after breakage of retainers and presenting with a notable amount of root resorption. Treatment was done by placing Begg brackets and elastics on the lingual aspect of upper anterior teeth, and completed in a period of 1 month.
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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 (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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Biswas, Indrajit. "MIDLINE DIASTEMA CLOSURE USING DIRECT LIGHT CURED COMPOSITE RESIN - A CASE SERIES." International Journal of Advanced Research 7, no. 4 (2019): 1559–66. http://dx.doi.org/10.21474/ijar01/8983.

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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 (2015): 294–97. http://dx.doi.org/10.1002/ccr3.213.

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Khateeb Khan. "Esthetic Management of Maxillary Midline Diastema (MMD) using Composite Restoration: A Case Report." International Healthcare Research Journal 2, no. 3 (2018): 63–65. http://dx.doi.org/10.26440/ihrj/02_03/174.

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Treatment of a Maxillary Midline Diastema (MMD) poses a challenge to the clinician, especially when time is a constraint. The use of composite resins provide a conservative approach with minimal tooth loss is less time consuming, and requires fewer dental visits. The present case report describes the closure of MMD in a patient using bulk filled composite resins with favourable results.
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Jana, Anjan, Santanu Mukhopadhyay, and Abu Faijal Karim. "Pyogenic granuloma causing midline diastema: A rare case report." Journal of Oral Research and Review 17, no. 1 (2025): 53–57. https://doi.org/10.4103/jorr.jorr_36_23.

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This case report describes the presentation and management of a 12-year-old female patient with a tissue mass and spacing between her upper front teeth. Clinical examination revealed a reddish pink, lobulated tissue mass measuring approximately 1.5 cm × 2 cm, extending from the upper labial frenum to the incisive papilla and involving the interdental gingiva of the two central incisors. The mass was moderately firm, pedunculated, and prone to bleeding. The patient had poor oral hygiene, exacerbating the condition. Radiographic evaluation ruled out underlying bony lesions, leading to a provisio
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Dali, Mamta, Parajeeta Dijshit, Sandhya Joshi, and Arathi Rao. "Interceptive Management of Midline Diastema Related to Mesiodens: A Case Report." Orthodontic Journal of Nepal 1, no. 1 (2011): 68–70. http://dx.doi.org/10.3126/ojn.v1i1.9372.

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Supernumerary teeth which occur both in the primary and the permanent dentition are seen more frequently in the permanent dentition causing a variety of pathological and occlusal disturbances. Presented herewith is a case report of a patient with a mesiodens which had caused problem in esthetic appearance and spontaneous eruption of right sided upper lateral incisor. Extraction of the mesiodens was carried out, subsequently followed by the space closure utilizing simple fixed orthodontic therapy.
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Sri Redjeki Indiani, Sianiwati Goenharto, Fina Aprilia Sabilana, et al. "Diagnostic wax up of teeth with a maxillary central diastema resulting from mesiodens extraction: A case report." World Journal of Advanced Research and Reviews 25, no. 3 (2025): 109–18. https://doi.org/10.30574/wjarr.2025.25.3.0636.

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A mesiodens is a supernumerary tooth located in the midline between the maxillary central incisors. Extraction of mesiodens often results in a central diastema, characterized by a gap between the m axillary central incisors. Given the significant tooth alterations involved in complex prosthodontic treatment, a diagnostic wax-up is highly recommended to plan and visualize the final restorative outcome. In this case, we received the final cast from the dentist, where teeth 11 and 21 had already been prepared. Closure of the diastema was achieved by creating a diagnostic wax in the form of a cant
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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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Ansari, Afsana, and Dipika Yadav. "Diastema closure and esthetic rehabilitation with peg-shaped laterals: A case series." Saint's International Dental Journal 8, no. 2 (2024): 48–51. https://doi.org/10.4103/sidj.sidj_9_24.

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ABSTRACT Esthetic rehabilitation utilizes advanced materials and technology to address the needs of patients with significant esthetic concerns, adhering to a conservative approach through the application of direct composites. This methodology is designed to ensure minimal discomfort and maximum safety during treatment. Direct composite veneers represent a conservative strategy for the correction of esthetic profiles. This case report details the esthetic enhancement of a midline diastema accompanied by peg-shaped lateral incisors, with a follow-up period of 6 months. In summary, for patients
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Georgieva, Irena. "Closure of maxillary midline diastema after frenectomy and nonsurgical periodontal therapy – a case report." Varna Medical Forum 9, no. 2 (2020): 194. http://dx.doi.org/10.14748/vmf.v9i2.6655.

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Prabhu, R., S. Bhaskaran, KR Geetha Prabhu, MA Eswaran, G. Phanikrishna, and B. Deepthi. "Clinical evaluation of direct composite restoration done for midline diastema closure - long-term study." Journal of Pharmacy and Bioallied Sciences 7, no. 6 (2015): 559. http://dx.doi.org/10.4103/0975-7406.163539.

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Tüter, Ezgi, Bora Korkut, Pınar Yılmaz Atalı, and Cafer Türkmen. "Prepless Direct Midline Diastema Closure in a Single Visit: 18 months Follow-up Report." Marmara Dental Journal 1, no. 3 (2019): 29–34. http://dx.doi.org/10.35333/erd.2019.11.

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Kishore, M., M. Gayathri, L. Md Wasim Bari, M. Sreeja Yadav, and K. Prathibha Lakshmi. "Management of midline diastema using the direct composite resin technique - A case report." IP Indian Journal of Conservative and Endodontics 9, no. 1 (2024): 45–48. http://dx.doi.org/10.18231/j.ijce.2024.010.

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Diastema or space between the anterior teeth is a common aesthetic complaint of patients. Direct composite resins in midline diastema cases allow dentists to have complete control in formation of natural smiles. This case report describes midline diastema closure with esthetic composite layering technique. A 25-year-old male patient reported to the clinic, with a complaint of spacing in the upper front tooth region of the jaw. The direct aesthetic composite laminate veneer was considered as the treatment of choice for the build-up of both maxillary central incisors as a more conservative, inex
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Jeong, Jin-Seok, Seung-Youp Lee, and Moontaek Chang. "Alterations of papilla dimensions after orthodontic closure of the maxillary midline diastema: a retrospective longitudinal study." Journal of Periodontal & Implant Science 46, no. 3 (2016): 197. http://dx.doi.org/10.5051/jpis.2016.46.3.197.

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Mayank, Trivedi, Chaurasia Priya, and Prabhakaran Pranitha. "Treating an Orthodontic Case of Midline Diastema with High Frenal Attachment in Association with Laser Assisted Periodontics and Restorative Procedure." Journal of Health and Medical Sciences 2, no. 1 (2019): 97–102. https://doi.org/10.31014/aior.1994.02.01.25.

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Maxillary midline diastema presents with the compromised aesthetic appearance of an individual which includes spacing in between the maxillary central incisors. Such appearances may worsen with the presence of high attachment of the frenum and small or peg-shaped lateral incisors. In order to address such conditions, multiple approaches may be required. It is important to close the space first and eliminate the cause of abnormal frenum followed by compensating the tooth size discrepancy with suitable restorative material. To achieve such objectives fixed orthodontics or bracket assisted closur
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Kandasamy, Sanjivan, Mithran Goonewardene, and Marc Tennant. "Changes in interdental papillae heights following alignment of anterior teeth." Australasian Orthodontic Journal 23, no. 1 (2007): 16–23. http://dx.doi.org/10.2478/aoj-2007-0003.

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Abstract Background Orthodontic alignment of overlapped incisors can reduce the apparent heights of the interdental papillae leading to unsightly dark triangles or open gingival embrasures. Aim To determine if certain pretreatment contact point relationships between the maxillary anterior teeth were accompanied by changes in the heights of the interdental papillae after orthodontic alignment. Methods Pre- and post-treatment intra-oral 35 mm slides, lateral cephalometric radiographs and study casts of 143 patients (60 males, 83 females) between 13 and 16 years of age were used. The patients had
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