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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

Two different diagnostic wax-ups. (a) Direct composite build-ups only; (b) Direct composite build-ups combined with orthodontic tooth movement.
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Related In: Results  -  Collection

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Figure 3: Two different diagnostic wax-ups. (a) Direct composite build-ups only; (b) Direct composite build-ups combined with orthodontic tooth movement.

Mentions: When comparing the obtained value, the maxillary teeth appeared to be smaller (77.2%) than the average value (80.1%) and needed to be enlarged. Based on the analysis of the patient's face, tooth size discrepancy and the diagnostic cast, two different diagnostic wax-ups were made. One was a simple closure with composite addition on the right lateral incisor and the both central incisors (Figure 3a). The other was a set up model in which the interdental spaces were re-distributed from the right lateral incisor to the left canine and the midline was corrected through tooth movement. The spaces were then closed using direct resin composite (Figure 3b). Over the two diagnostic wax-ups, favorable results were predicted by the latter. Assuming the right central incisor would move to the left, the midline would be shifted to the left and harmonize with the facial midline. In addition, resin build-ups could be performed on the distal sides of the central incisors (Figure 3b). Since the tooth shape of the both central incisors was square, composite addition was needed on the distal side of the teeth rather than the mesial to provide an ideal tooth axis, slightly distal toward the apex. After a thorough consultation and review of the two options, the patient agreed to choose the second one. However, gingival level of the two central incisors was inharmonious and the right central incisor looked longer than the left central incisor. Although crown lengthening of the left central incisor was also considered during the presentation of the treatment plan to correct the gingival asymmetry and length discrepancy, the patient did not want a surgical procedure.


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)

Two different diagnostic wax-ups. (a) Direct composite build-ups only; (b) Direct composite build-ups combined with orthodontic tooth movement.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 3: Two different diagnostic wax-ups. (a) Direct composite build-ups only; (b) Direct composite build-ups combined with orthodontic tooth movement.
Mentions: When comparing the obtained value, the maxillary teeth appeared to be smaller (77.2%) than the average value (80.1%) and needed to be enlarged. Based on the analysis of the patient's face, tooth size discrepancy and the diagnostic cast, two different diagnostic wax-ups were made. One was a simple closure with composite addition on the right lateral incisor and the both central incisors (Figure 3a). The other was a set up model in which the interdental spaces were re-distributed from the right lateral incisor to the left canine and the midline was corrected through tooth movement. The spaces were then closed using direct resin composite (Figure 3b). Over the two diagnostic wax-ups, favorable results were predicted by the latter. Assuming the right central incisor would move to the left, the midline would be shifted to the left and harmonize with the facial midline. In addition, resin build-ups could be performed on the distal sides of the central incisors (Figure 3b). Since the tooth shape of the both central incisors was square, composite addition was needed on the distal side of the teeth rather than the mesial to provide an ideal tooth axis, slightly distal toward the apex. After a thorough consultation and review of the two options, the patient agreed to choose the second one. However, gingival level of the two central incisors was inharmonious and the right central incisor looked longer than the left central incisor. Although crown lengthening of the left central incisor was also considered during the presentation of the treatment plan to correct the gingival asymmetry and length discrepancy, the patient did not want a surgical procedure.

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