A clinical case by our Community member Dr. Riccardo Galetti
This article and its content are published under the Author’s responsibility as an expression of the Author’s own ideas and practice. Styleitaliano denies any responsibility about the visual and written content of this work.
This young patient came seeking for the closure of the spaces between teeth 13-12-11-21-22-23, which presence was due to a discrepancy of the dental-alveolar mesio-distal space (Altered Bolton Index).
Fig.1
Spaces were distributed quite evenly on both sides between canines, laterals and central incisors.
Fig.2
After providing proper isolation, ligatures were done on all the teeth to expose the cervical area and retract the soft tissues.
Fig.3
Lateral views showing the distribution of the diastemas between all frontal teeth.
Fig.4
Sandblasting with 30-micron aluminum oxide particles to roughen the teeth surfaces prior to the adhesion procedure.
Fig.5
Enamel etching procedure of the proximal and bonding areas that need to be restored.
Fig.6
Etched enamel surfaces.
Fig.7
After applying of a universal adhesive to the dental surfaces.
Fig.8
Closure of the central diastema between with a single shade mass of Body A2 composite. A posterior matrix was placed vertically to build up the proximal walls of the two teeth.
Fig.9
Closure of the diastemas between teeth 12-11 and 22-21 was managed in the same way, again with a single shade mass of Body A2 composite.
Fig.10
Side views of the teeth showing the closed diastemas.
Fig.11
Immediate post-op after removing the rubber dam.
Fig.12
Two week check-up. As we can see, the papilla migrated coronally, guided by the new emergence profiles of the teeth.
Fig.13
Smile of the patient at the end of the treatment, 2 weeks post-op.
Conclusions
Many patients just don’t think about how easy and fast is to completely change the look of a smile like this. Diastemas are not a big deal to treat, but their closure can give amazing results. A single visit treatment with just one shade, and freehand is enough to obtain a result that is smile-changing.
Bibliography
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