J Dent Rehabil Appl Sci.  2017 Jun;33(2):163-168. 10.14368/jdras.2017.33.2.163.

Conservative and esthetic closure of maxillary midline diastema without creating "black triangle" using direct resin composite

• Jung KH
• Kwon EY
• Choi YK
• Kim SY
• Jeon HM
• Park JK

• KMID: 2388023
• DOI: http://doi.org/10.14368/jdras.2017.33.2.163

Abstract

Anterior diastemas are common esthetic problems. One of the challenges in clinical esthetic dentistry is closing anterior diastemas without creating "black triangles" between the teeth. The success of a restorative treatment in anterior teeth depends on the esthetic integration between soft tissues and hard tissues. This report describes the successfully accomplished diastema closure case by producing the emergence profile with natural contours at the gingival-tooth interface and then generating of gingival recontouring process.

Keyword

black triangle; diastema closure; direct composite restoration; emergence profile; gingival contouring

MeSH Terms

Dentistry
Diastema*
Tooth

Figure

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  Fig. 1 Preoperative photograph and radiograph.

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  Fig. 2 The length measurements on radiogragh.

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  Fig. 3 Restoration procedure photographs. (A) Initial photograph, (B) Application of Mylar strip on maxillary right central incisor, (C) Completion of restoration of maxillary right central incisor, (D) Polishing of restoration, (F) Application of Mylar strip on maxillary right central incisor and teflon tape on maxillary right central incisor, (F) Completion of restoration and polishing of maxillary right central incisor.

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  Fig. 4 (A) Preoperative photograph, (B) Postoperative photograph, (C) Follow-up after 3 months.

Reference

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