Single-visit diastema closure

A clinical case by our Community member Dr. Muhammad Bahadeen

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.

A patient came asking to correct the central diastema. Some extrinsic stains were found. The central diastema was 2mm, there was no shift in the midline, and the frenal attachment did not interfere with the future emergence of the restoration. Although diastema between the centrals and the laterals were present, the patient only wanted to correct the central one.

floss ligatures and rubber dam isolation on central incisors style italiano styleitaliano

Fig.1
Isolation of the teeth with rubber dam and floss ligature were put on the centrals to ensure optimum gingival retraction and avoid over hanging restorations.

abrasive disc for surface cleaning style italiano styleitaliano

Fig.2
Using an abrasive disc slightly roughen the enamel surface and remove the fluoridated enamel.

enamel etching with acid style italiano styleitaliano

Fig.3
Enamel etching with 37% phosphoric acid for 20 seconds to the areas which will receive the composite restoration.

etched enamel style italiano styleitaliano

Fig.4
Etched surface looks frosty.

Lucida star felt for composite polishing style italiano styleitaliano

Fig.5
After finishing the restorations, polishing is done using the Lucida Composite Gloss System.

polished composite restorations style italiano styleitaliano

Fig.6
Final result.

right after direct composite restoration style italiano styleitaliano

Fig.7
Final result with dehydration which makes the teeth look whiter than natural. Shade selection should be performed at the beginning of any restorative procedure.

final result after composite restoration rehydration style italiano styleitaliano

Fig.8
3 days after rehydration, the teeth look more natural and the gingiva is healthy. Complete rehydration of the tissues can take between 24 and 48 hours.

Conclusions

Diastema closure can be done in a conservative, single visit, and doesn’t have to be a complicated procedure

Bibliography

1. Manauta J, Salat A. Layers: An Atlas of Composite Resin Stratification. 2012 Quintessence Pub
2. De Araujo EM, Fortkamp S, Baratieri LN. Closure of Diastema and Gingival Recontouring Using Direct Adhesive Restorations: A Case Report. J Esthet Rest Dent 2009; 21:229-240.
3. Dietschi D. Optimizing smile composition and esthetics with resin composites and other conservative esthetic procedures. Eur J Esthet Dent 2008; 3(1):14-29.

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