Aesthetic and conservative restorative approach for multiple diastema closure after orthodontic treatment
a case report
Keywords:Diastema, Composite Resin, Dental Esthetics
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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