ABSTRACT
ABSTRACT: Nowadays, maxillary midline diastema (MMD) can be treated with different multidisciplinary approaches. When restorative dentistry is needed, glass-matrix ceramic materials is one of the best choices, since they present good optical behavior and high survival rates in the anterior dentition. To obtain an adequate interphase, and color integration are one of the main restorative goals, and for that purpose, specific finishing and polishing procedures must be employed to avoid staining and ensure the restoration's color stability. In the case report presented in this article, a single lithium disilicate ceramic fragment was performed to close a MMD produced by the shape alteration of one of the maxillary central incisors. Also, the finishing and polishing procedure is discussed.
Subject(s)
Humans , Female , Adult , Ceramics , Color , Dentistry , DiastemaABSTRACT
ABSTRACT: The maxillary midline diastema is a common esthetic problem in patients. Assess and diagnose may be challenging due to the many factors that influences the alteration of tooth eruption process and tooth shape. Due to the various advantages and the reversibility of treatments, composite resins are today a suitable aesthetic and functional option, even so, its management and technique require a trained and experienced clinician in order to obtain an optimal outcome. The following report, is a clinical case of a 21-year old female with a main complaint of a maxillary midline diastema produced by the alteration in tooth shape and size of both upper central incisors, which was closed and corrected with direct composite resins.
Subject(s)
Humans , Female , Adult , Orthodontics , Composite Resins , Diastema , MaxillaABSTRACT
The present report highlights a case where a patient presented with midline diastema in the lower arch due to missing mandibular incisors and the esthetic and occlusal problems associated with permanent teeth Oligodontia. Congenitally missing teeth is the condition of having one or more missing teeth which cannot be observed clinically or in radiographic images. However, the prevalence of oligodontia in permanent teeth is reported to be 0.14%. There have been reports showing absence of maxillary lateral incisors, premolars, unilateral absence of mandibular incisors but agenesis of bilateral mandibular central incisors is not well documented in the literature. The early orthododntic intervention may eliminate some of the periodontal and restorative problems that could arise in these patients as adults. The aim of this case report is to document a case of congenitally missing permanent teeth along with other occlusal abnormalities and to discuss its clinical implications and management.
ABSTRACT
Maxillary midline diastemas are a common esthetic problem that dentists must treat. Many innovative therapies have been used, varying from restorative procedures to surgery (frenectomies) and orthodontics. The importance of the presence of a maxillary midline diastema resides in its position and the concern it causes to patients. This specific diastema has been attributed to genetic and environmental factors, even though it is often a normal feature of growth, especially in primary and mixed dentition. The need for treatment is mainly attributed to esthetic and psychological reasons, rather than functional ones. Although it is often the case, treatment plans should not be selected empirically but rather should be based on adequate scientific documentation. This paper reviews different treatment techniques to manage the situation and presents three cases to illustrate a range of restorative, prosthetic and orthodontic options.