Conservative and esthetic closure of maxillary midline diastema without creating "black triangle" using direct resin composite

Anterior diastemas are common esthetic problems. One of the challenges in clinical esthetic dentistry is closing anterior diastemas without creating “black triangles” between the teeth. The success of a restorative treatment in anterior teeth depends on the esthetic integration between soft tissues and hard tissues. This report describes the successfully accomplished diastema closure case by producing the emergence profile with natural contours at the gingival-tooth interface and then generating of gingival recontouring process.

Direct Esthetic Rehabilitation of Teeth with Severe Fluorosis Using Uveneer Facial Template: A Case Report.

“Dental fluorosis,” a specific disturbance in tooth formation and an esthetic condition, is defined as a chronic, fluorideinduced condition, in which enamel development is disrupted and the enamel is hypomineralized. Fluorosis can be prevented by having an adequate knowledge of the fluoride sources, knowing how to manage this issue and therefore, avoid overexposure. Controlling the fluoride intake is the best preventive measure for dental fluorosis, however when this is already installed and causing esthetic problems to the patient, many treatment techniques are recommended. This article describes an esthetic rehabilitation of a case of severe fluorosis using a new system for placing direct composite veneer, the Uveneer System (Ultradent) which simulates predictable shape and symmetry of natural teeth. In cases of severe dental fluorosis, the tooth enamel usually becomes porous and tooth whitening methods are not recommended. Therefore, minimally invasive technique of direct composite veneering using facial templates is the treatment of choice as it is easy to use, enhance clinical productivity, saves time, requires minimal preparation and is cost effective.

Comprehensive Management of An Adult Patient With Dental Fluorosis.

Dental fluorosis is a condition of enamel hypo-mineralization due to the effects of excessive fluoride on ameloblasts during enamel formation. Bonding brackets to fluorosed teeth remains a notable clinical challenge because of frequent bracket failure at the compromised enamel interface. This case report presents comprehensive management of an adult patient with Angle’s class II div 1 malocclusion with crowding and severe dental fluorosis. Diagnosis: A diagnosis of severe dental flourosis was established based on Deans‘s index for fluorosis (score-3) with a skeletal Class I pattern and Angle’ s Class II Division I dental malocclusion with upper anterior crowding . Treatment plan: Orthodontic treatment with extraction of upper first premolars to correct the dental malocclusion followed by restorative procedure. Treatment results: Competent lips achieved after orthodontic treatment. A class-II molar relation was maintained .Excellent dental esthetics was seen after direct composite restoration.