A clinical case by our Community member Dr. Muhammad Bahadeen
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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.
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.
Using an abrasive disc slightly roughen the enamel surface and remove the fluoridated enamel.
Enamel etching with 37% phosphoric acid for 20 seconds to the areas which will receive the composite restoration.
Etched surface looks frosty.
Final result with dehydration which makes the teeth look whiter than natural. Shade selection should be performed at the beginning of any restorative procedure.
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.
Diastema closure can be done in a conservative, single visit, and doesn’t have to be a complicated procedure
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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.