Multidisciplinary esthetic approach for multiple anterior diastema: 36-month clinical performance

Authors

  • Karin Cristina da Silva Modena Assistant DDS, PhD, Professor in Public Health /Graduate Professor in Operative Dentistry at the University of Sagrado Coração, School of Dentistry. DDS, PhD, Department of Operative Dentistry, Endodontics and Dental Materials. Bauru School of Dentistry, São Paulo University.
  • Bella Luna Colombini-Ishikiriama Assistant DDS, PhD, Professor Professor in Periodontology at the University of Sagrado Coração, School of Dentistry.
  • Sergio Kiyoshi Ishikiriama Assistant Professor, Department of Operative Dentistry, Endodontics and Dental Materials. Bauru School of Dentistry, São Paulo University, Bauru, SP, Brazil
  • Cassiana Koch Scotti Master student in Dentistry, Department Operative Dentistry, Endodontics and Dental Materials. Bauru School of Dentistry, São Paulo University, Bauru, SP, Brazil.
  • Flavia Pardo Salata Nahsan Adjunct Professor, Federal School of Dentistry of Sergipe. DDS, PhD, Department of Operative Dentistry, Endodontics and Dental Materials. Bauru School of Dentistry, São Paulo University

DOI:

https://doi.org/10.14295/bds.2015.v18i4.1124

Abstract

The presence of diastema, between anterior teeth, distorts a pleasing smile by concentrating the observer’s attention on the spaces. The patient’s needs and expectations must be considered in the process of treatment planning to ensure satisfaction with the treatment outcomes. There are many forms of therapy that can be used for diastema closure. A carefully developed diagnosis, which includes a determination of the causal elements and advanced treatment planning, allows the most appropriate treatment to be selected for each case. The aim of this paper is present a multidisciplinary approach as a solution to multiple diastemas in the anterior region using gingival tissue recontouring and direct adhesive restorations, with minimum wear of the dental structure, after the orthodontic intervention discussing the minimal intervention to obtain imperceptive and aesthetic final restoration. Thirty-six months after the treatment was carried out, the final aesthetic was maintained with all dental element details and gingival tissue harmony, without recurrence of periodontal pockets and the preservation of the tooth color and shape. 

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Published

2015-12-07

How to Cite

1.
Modena KC da S, Colombini-Ishikiriama BL, Ishikiriama SK, Scotti CK, Nahsan FPS. Multidisciplinary esthetic approach for multiple anterior diastema: 36-month clinical performance. BDS [Internet]. 2015 Dec. 7 [cited 2025 Aug. 21];18(4):111-20. Available from: https://ojs.ict.unesp.br/index.php/cob/article/view/1124

Issue

Vol. 18 No. 4 (2015): Oct. - Dec. / 2015 - Published November 2015

Section

Case Report or Clinical Technique

License

Brazilian Dental Science uses the Creative Commons (CC-BY 4.0) license, thus preserving the integrity of articles in an open access environment. The journal allows the author to retain publishing rights without restrictions.

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