A variety of treatment modalities, from removable partial dentures, fixed prosthesis to implant placement can be used for replacement of missing teeth. Anterior diastema closure is one of the most challenging tasks; it is appreciable that restorative approach is the fastest, simplest and most predictable. This case report presents a successfully accomplished closure of diastema in mandibular anterior teeth, and splinting of the adjacent teeth which were grade II mobile. This present treatment modality offers a conservative, aesthetic and non-invasive treatment which can be considered as a long-lasting treatment.
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http://dx.doi.org/10.1136/bcr-2013-009829 | DOI Listing |
Cureus
October 2024
Periodontics, Sree Balaji Dental College and Hospital, Chennai, IND.
In the oral cavity, the frenum is an anatomical structure composed of mucosal folds that connect the lip and cheek to the alveolar mucosa, gingiva, and underlying periosteum. An abnormally positioned maxillary labial frenum can contribute to the formation of a diastema and gingival recession. Various techniques have been proposed for the correction of aberrant frenal attachments, including frenectomy and frenal repositioning procedures.
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July 2024
Department of Conservative Dentistry and Endodontics, Datta Meghe Institute of Higher Education and Research, Sharad Pawar Dental College and Hospital, Wardha, IND.
Midline diastemas are one of the most prevalent dental malocclusions. In young adults this may create aesthetics problems, especially in individuals marked by a gap between central incisors higher than 4 mm. This case report demonstrates the treatment of a patient with Angle's Class I malocclusion and midline diastema with the M-spring appliance resulting in complete closure within four months.
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July 2024
Department of Periodontics and Implantology, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Frenum morphology is of pivotal concern while treating patients who desire improved aesthetics and for treating patients with midline diastemas, as it may lead to failure or relapse of orthodontic treatment. Frenum, a thick band of muscle fiber, may present with abnormalities in the shape, size, form, number, and thickness, which may cause gingival recession along with poor oral health. Frenectomy is adopted as the plan of action while treating abnormal frenum cases by resecting the frenum attachment to provide closure of the spacing between the upper anterior teeth, as in the case of midline diastema.
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July 2024
Private Practice, Tehran, Iran.
Porcelain laminate veneers (PLV) offer a conservative aesthetic solution for interdental space closure. However, space is typically not distributed symmetrically, and the mesiodistal width of the restored teeth may increase unless multiple teeth are prepared for conventional PLV to maintain appropriate individual tooth proportion. Ceramic fragments can be suggested to close the space without modifying tooth size and dental proportion.
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June 2024
Department of Pediatric and Preventive Dentistry, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Median diastema is a physiological occurrence that is frequently seen in the maxillary jaw. Therefore, a median diastema has been associated with a wide range of etiological variables, including thumb sucking, supernumerary teeth, tongue thrusting, some dentoalveolar discrepancy, and hypodontia. Patient esthetic and function demands are both negated by the labial frenum's abnormal location in relation to the maxillary anterior teeth, which results in diastema and gingival recession.
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