Limits...
Diastema closure using direct bonding restorations combined with orthodontic treatment: a case report.

Hwang SK, Ha JH, Jin MU, Kim SK, Kim YK - Restor Dent Endod (2012)

Bottom Line: However, a comprehensive approach combining two or more treatment modalities may be needed to improve esthetics.This case report describes the management of a patient with multiple diastemas, a peg-shaped lateral incisor and midline deviation in the maxillary anterior area.Direct resin bonding along with orthodontic movement of teeth allows space closure and midline correction, consequently, creating a better esthetic result.

View Article: PubMed Central - PubMed

Affiliation: Department of Conservative Dentistry, Kyungpook National University School of Dentistry, Daegu, Korea.

ABSTRACT
Closure of interdental spaces using proximal build-ups with resin composite is considered to be practical and conservative. However, a comprehensive approach combining two or more treatment modalities may be needed to improve esthetics. This case report describes the management of a patient with multiple diastemas, a peg-shaped lateral incisor and midline deviation in the maxillary anterior area. Direct resin bonding along with orthodontic movement of teeth allows space closure and midline correction, consequently, creating a better esthetic result.

No MeSH data available.


Related in: MedlinePlus

Preoperative photograph. Note the unevenly distributed interdental spaces among maxillary anterior teeth and midline deviation of 2 mm to right side of maxillary arch.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC3569402&req=5

Figure 1: Preoperative photograph. Note the unevenly distributed interdental spaces among maxillary anterior teeth and midline deviation of 2 mm to right side of maxillary arch.

Mentions: A 23-year-old male came to the Department of Conservative Dentistry, Kyungpook National University dental hospital, complaining about spaces among maxillary anterior teeth. Through a clinical examination, the esthetic problems of the patient in maxillary anterior part were uneven spaces among teeth from right lateral incisor to left canine, midline deviation to the right side and slightly pegshaped right lateral incisor (Figure 1). Meanwhile, there was no esthetic problem in mandibular anterior region. The widest interdental space was between two central incisors, approximately 1 mm. Maxillary midline had shifted 2 mm to the right side from facial midline. On the first visit, irreversible hydrocolloid impressions of both arches were taken to fabricate a diagnostic cast (Figure 2). The patient showed Angle class I malocclusion with normal overjet (2 mm) and overbite (2 mm). Since a proper size relationship in anterior teeth is very important to achieve an esthetic result, mesio-distal widths of anterior teeth of both arches were recorded to calculate intermaxillary tooth-size ratio.8 The sums of mesio-distal widths of maxillary and mandibular teeth were 46.0 and 36.8 mm, respectively. Tooth size ratio was then calculated according to the following formula:


Diastema closure using direct bonding restorations combined with orthodontic treatment: a case report.

Hwang SK, Ha JH, Jin MU, Kim SK, Kim YK - Restor Dent Endod (2012)

Preoperative photograph. Note the unevenly distributed interdental spaces among maxillary anterior teeth and midline deviation of 2 mm to right side of maxillary arch.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3569402&req=5

Figure 1: Preoperative photograph. Note the unevenly distributed interdental spaces among maxillary anterior teeth and midline deviation of 2 mm to right side of maxillary arch.
Mentions: A 23-year-old male came to the Department of Conservative Dentistry, Kyungpook National University dental hospital, complaining about spaces among maxillary anterior teeth. Through a clinical examination, the esthetic problems of the patient in maxillary anterior part were uneven spaces among teeth from right lateral incisor to left canine, midline deviation to the right side and slightly pegshaped right lateral incisor (Figure 1). Meanwhile, there was no esthetic problem in mandibular anterior region. The widest interdental space was between two central incisors, approximately 1 mm. Maxillary midline had shifted 2 mm to the right side from facial midline. On the first visit, irreversible hydrocolloid impressions of both arches were taken to fabricate a diagnostic cast (Figure 2). The patient showed Angle class I malocclusion with normal overjet (2 mm) and overbite (2 mm). Since a proper size relationship in anterior teeth is very important to achieve an esthetic result, mesio-distal widths of anterior teeth of both arches were recorded to calculate intermaxillary tooth-size ratio.8 The sums of mesio-distal widths of maxillary and mandibular teeth were 46.0 and 36.8 mm, respectively. Tooth size ratio was then calculated according to the following formula:

Bottom Line: However, a comprehensive approach combining two or more treatment modalities may be needed to improve esthetics.This case report describes the management of a patient with multiple diastemas, a peg-shaped lateral incisor and midline deviation in the maxillary anterior area.Direct resin bonding along with orthodontic movement of teeth allows space closure and midline correction, consequently, creating a better esthetic result.

View Article: PubMed Central - PubMed

Affiliation: Department of Conservative Dentistry, Kyungpook National University School of Dentistry, Daegu, Korea.

ABSTRACT
Closure of interdental spaces using proximal build-ups with resin composite is considered to be practical and conservative. However, a comprehensive approach combining two or more treatment modalities may be needed to improve esthetics. This case report describes the management of a patient with multiple diastemas, a peg-shaped lateral incisor and midline deviation in the maxillary anterior area. Direct resin bonding along with orthodontic movement of teeth allows space closure and midline correction, consequently, creating a better esthetic result.

No MeSH data available.


Related in: MedlinePlus