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.

style italiano styleitaliano Single mass diastema closure

Fig.1
The occlusal view shows a misalignment and a slight mesial rotation on tooth 1.1

style italiano styleitaliano Single mass diastema closure

Fig.2
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.

style italiano styleitaliano Single mass diastema closure

Fig.3
Preoperative palatal view under the rubber dam.

style italiano styleitaliano Single mass diastema closure

Fig.4
After the surfaces were selective roughened and clean with aluminium oxide 50 micron sandblasting, enamel was etched using 37% phosphoric acid.

style italiano styleitaliano Single mass diastema closure

Fig.5
One Coat 7 Universal Adhesive was used on the etched areas, using a large Styleitaliano brush to better spread the bonding.

style italiano styleitaliano Single mass diastema closure

Fig.6
Building the proximal walls is easy with thin metallic sectional matrices. A single A2/B2 shade from the Brilliant Everglow composite kit was used.

style italiano styleitaliano Single mass diastema closure

Fig.7
A 60 seconds curing high power led lamp session was used for oxygen layer inhibition.

style italiano styleitaliano Single mass diastema closure

Fig.8
The restorations before finishing procedures.

style italiano styleitaliano Single mass diastema closure

Fig.9
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.

style italiano styleitaliano Single mass diastema closure

Fig.10
Diamond discs to define marginal mesial inter proximal ridges.

style italiano styleitaliano Single mass diastema closure

Fig.11
Soft rubber mini points to smooth composite over the unprepared enamel.

style italiano styleitaliano Single mass diastema closure

Fig.12
And Lucida diamond paste with disposable felts.

style italiano styleitaliano Single mass diastema closure

Fig.13
At low speed and low pressure with intermitted touches.

style italiano styleitaliano Single mass diastema closure

Fig.14
To achieve the maximum gloss.

style italiano styleitaliano Single mass diastema closure

Fig.15
The palatal view shows the new 1.1 mesial ridge alignment.

style italiano styleitaliano Single mass diastema closure

Fig.16
One week later, at check-up.

Conclusions

A direct composite approach was chosen to fix her smile on the concept of minimally invasive treatments.

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