Single mass diastema closure. An easy approach
A diastema in between the anterior teeth affect the self confidence of many patients and represents one of the challenges in clinical aesthetic dentistry. In the cover picture the intra-oral pre-operative situation, 52 years old female patient.
The occlusal view shows a misalignment and a slight mesial rotation on tooth 1.1
Rubber dam isolation is ideal in cases of diastema closure because not only it provides absolute isolation, but it retracts the gums, allowing access for the creation of an ideal profile.
Preoperative palatal view under the rubber dam.
After the surfaces were selective roughened and clean with aluminium oxide 50 micron sandblasting, enamel was etched using 37% phosphoric acid.
One Coat 7 Universal Adhesive was used on the etched areas, using a large Styleitaliano brush to better spread the bonding.
A 60 seconds curing high power led lamp session was used for oxygen layer inhibition.
The restorations before finishing procedures.
After shape is complete, finishing and polishing can be done using a multi blade flame bur first to remove the bonding excess in the cervical area.
Diamond discs to define marginal mesial inter proximal ridges.
Soft rubber mini points to smooth composite over the unprepared enamel.
At low speed and low pressure with intermitted touches.
To achieve the maximum gloss.
The palatal view shows the new 1.1 mesial ridge alignment.
One week later, at check-up.
A direct composite approach was chosen to fix her smile on the concept of minimally invasive treatments.