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Quintessence Publishing: Journals: AJED

 

The American Journal of Esthetic Dentistry

Edited by Richard J. Simonsen, DDS, MS

ISSN 2162-2833 (print) • ISSN 2162-2841 (online)

Publication:
The American Journal of Esthetic Dentistry
Summer 2012
Volume 2 , Issue 2

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The Use of Gingivoplasty, Direct Composite Resin Restorations, and Minor Tooth Movement to Close Maxillary Anterior Diastemata

André Luis Faria-e-Silva, MS, PhD/Adriano Augusto Melo de Mendonca, MS, PhD/Alaíde Hermínia de Aguiar de Oliveira, MS, PhD/Margarete Aparecida Menezes de Almeida, MS, PhD

Pages: 136-143

The closure of a large anterior diastema is a challenging task for dental clinicians. This case report describes the closure of a large midline diastema with associated shorter diastemata using crown-lengthening surgery, direct composite resin restorations, and minor tooth movement. To significantly lengthen the incisors, 2 mm of gingival tissue was removed. A wax-up was fabricated to determine the adequate height-to-width ratio of the teeth. Diastemata were closed using direct composite resin restorations completed over two appointments. Between these visits, the incisors were slightly moved toward the midline using elastomeric separators. At the 6-month follow-up, complete diastema closure and the absence of black spaces were observed. (Am J Esthet Dent 2012;2:136–143.)

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