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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

Orthodontic tooth movement. (a) A 0.16 × 0.22 inch TMA wire was used for arranging the teeth; (b) An open coil spring was inserted between right central incisor and right lateral incisor for mesial movement of right central incisor.
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Figure 4: Orthodontic tooth movement. (a) A 0.16 × 0.22 inch TMA wire was used for arranging the teeth; (b) An open coil spring was inserted between right central incisor and right lateral incisor for mesial movement of right central incisor.

Mentions: All preoperative data were collected and orthodontic treatment was initiated. The metal brackets (Gemini 018 Roth bracket, 3M Unitek, St. Paul, MN, USA) were bonded to the maxillary anterior teeth. A 0.16 × 0.22 inch TMA wire (TMA broad arch wire, Ormco Corp., Orange, CA, USA) was used, combined with an elastic chain (Super thread, Rocky Mountain Morita Corp., Tokyo, Japan) to move the left lateral incisor and the both central incisors toward the left side. After two weeks, the space between the left lateral incisor and the left canine was closed and the both central incisors moved to the left (Figure 4a), resulting in correcting the maxillary midline. To keep the space between the left central incisor and the left lateral incisor, a flowable resin (Unifil flow, GC Corp., Tokyo, Japan) was applied on the interdental space of the teeth. An open coil spring was then inserted between the right central incisor and the right lateral incisor in order to move the right central incisor in mesial direction (Figure 4b). The recall checks were carried out every other week.


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)

Orthodontic tooth movement. (a) A 0.16 × 0.22 inch TMA wire was used for arranging the teeth; (b) An open coil spring was inserted between right central incisor and right lateral incisor for mesial movement of right central incisor.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 4: Orthodontic tooth movement. (a) A 0.16 × 0.22 inch TMA wire was used for arranging the teeth; (b) An open coil spring was inserted between right central incisor and right lateral incisor for mesial movement of right central incisor.
Mentions: All preoperative data were collected and orthodontic treatment was initiated. The metal brackets (Gemini 018 Roth bracket, 3M Unitek, St. Paul, MN, USA) were bonded to the maxillary anterior teeth. A 0.16 × 0.22 inch TMA wire (TMA broad arch wire, Ormco Corp., Orange, CA, USA) was used, combined with an elastic chain (Super thread, Rocky Mountain Morita Corp., Tokyo, Japan) to move the left lateral incisor and the both central incisors toward the left side. After two weeks, the space between the left lateral incisor and the left canine was closed and the both central incisors moved to the left (Figure 4a), resulting in correcting the maxillary midline. To keep the space between the left central incisor and the left lateral incisor, a flowable resin (Unifil flow, GC Corp., Tokyo, Japan) was applied on the interdental space of the teeth. An open coil spring was then inserted between the right central incisor and the right lateral incisor in order to move the right central incisor in mesial direction (Figure 4b). The recall checks were carried out every other week.

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