Aesthetic and conservative restorative approach for multiple diastema closure after orthodontic treatment

a case report

  • Cassiana Koch Scotti Universidade de São Paulo
  • Marilia Mattar de Amoêdo Campos Velo Universidade de São Paulo
  • Martha Beteguelli Michellin Universidade de São Paulo
  • Giovanna Speranza Zabeu Universidade de São Paulo
  • Ernesto Benalcázar Jalkh Universidade de São Paulo
  • Juliana Fraga Soares Bombonatti Universidade de São Paulo
  • Rafael Francisco Lia Mondelli Universidade de São Paulo
Keywords: Diastema, Composite Resin, Dental Esthetics

Abstract

Objectives: The presence of multiple diastema in anterior teeth compromises the smile esthetics and the harmony of the face, often interfering in the quality of life of the patient. This case report aims to address a direct and conservative restorative technique with composite resin for the esthetic resolution of multiple anterior diastema, reporting the restorative principles and indications for greater outcome predictability. Materials and methods: The treatment consisted of at-home whitening with 16% carbamide peroxide gel in a custom-fitted tray for 14 days. After obtaining the impressions, the gypsum models were obtained, and the wax-up and palatal silicone guide were performed. The direct composite resin restorations for diastema closure were performed utilizing the shades E-bleaching L, D-bleaching and T-neutral (Opalis, FGM, Joinville, Brasil), providing repositioning of the midline, adequate inclination and alignment of the anterior teeth. Results: After 7 days the restorations were finished and polished and final X Ray was obtained. Conclusion: Based on the results after 1 year and 8 months, it is important to know the relationship between direct restorative materials and the domain of operative technique in order to provide greater predictability and satisfactory aesthetic results.

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Author Biographies

Cassiana Koch Scotti, Universidade de São Paulo

Departamento de Dentística, Endodontia e Materiais Dentários, Faculdade de Odontologia de Bauru, Universidade de São Paulo, Bauru, SP, Brasil

Marilia Mattar de Amoêdo Campos Velo, Universidade de São Paulo

Departamento de Dentística, Endodontia e Materiais Dentários, Faculdade de Odontologia de Bauru, Universidade de São Paulo, Bauru, SP, Brasil

Martha Beteguelli Michellin, Universidade de São Paulo

Departamento de Dentística, Endodontia e Materiais Dentários, Faculdade de Odontologia de Bauru,
Universidade de São Paulo, Bauru, SP, Brasil

Giovanna Speranza Zabeu, Universidade de São Paulo

Departamento de Dentística, Endodontia e Materiais Dentários, Faculdade de Odontologia de Bauru, Universidade de São Paulo, Bauru, SP, Brasil

Ernesto Benalcázar Jalkh, Universidade de São Paulo

Departamento de Reabilitação Oral, Faculdade de Odontologia de Bauru, Universidade de São Paulo, Bauru, SP,
Brasil

Juliana Fraga Soares Bombonatti, Universidade de São Paulo

Departamento de Dentística, Endodontia e Materiais Dentários, Faculdade de Odontologia de Bauru, Universidade de São Paulo, Bauru, SP, Brasil

Rafael Francisco Lia Mondelli, Universidade de São Paulo

Departamento de Dentística, Endodontia e Materiais Dentários, Faculdade de Odontologia de Bauru, Universidade de São Paulo, Bauru, SP, Brasil

Published
2019-03-28
Issue
Section
Case report or technical report