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

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...

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Main Authors: Karin Cristina da Silva Modena, Bella Luna Colombini-Ishikiriama, Sergio Kiyoshi Ishikiriama, Cassiana Koch Scotti, Flavia Pardo Salata Nahsan
Format: Article
Language:English
Published: Universidade Estadual Paulista 2015-12-01
Series:Brazilian Dental Science
Online Access:https://ojs.ict.unesp.br/index.php/cob/article/view/1124
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author Karin Cristina da Silva Modena
Bella Luna Colombini-Ishikiriama
Sergio Kiyoshi Ishikiriama
Cassiana Koch Scotti
Flavia Pardo Salata Nahsan
author_facet Karin Cristina da Silva Modena
Bella Luna Colombini-Ishikiriama
Sergio Kiyoshi Ishikiriama
Cassiana Koch Scotti
Flavia Pardo Salata Nahsan
author_sort Karin Cristina da Silva Modena
collection DOAJ
description 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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issn 2178-6011
language English
publishDate 2015-12-01
publisher Universidade Estadual Paulista
record_format Article
series Brazilian Dental Science
spelling doaj-art-39aafc4ac1334af78e4da0282aeb03072025-08-22T18:13:52ZengUniversidade Estadual PaulistaBrazilian Dental Science2178-60112015-12-0118410.14295/bds.2015.v18i4.1124Multidisciplinary esthetic approach for multiple anterior diastema: 36-month clinical performanceKarin Cristina da Silva Modena0Bella Luna Colombini-Ishikiriama1Sergio Kiyoshi Ishikiriama2Cassiana Koch Scotti3Flavia Pardo Salata Nahsan4Assistant 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.Assistant DDS, PhD, Professor Professor in Periodontology at the University of Sagrado Coração, School of Dentistry.Assistant Professor, Department of Operative Dentistry, Endodontics and Dental Materials. Bauru School of Dentistry, São Paulo University, Bauru, SP, BrazilMaster student in Dentistry, Department Operative Dentistry, Endodontics and Dental Materials. Bauru School of Dentistry, São Paulo University, Bauru, SP, Brazil.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 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.  https://ojs.ict.unesp.br/index.php/cob/article/view/1124
spellingShingle Karin Cristina da Silva Modena
Bella Luna Colombini-Ishikiriama
Sergio Kiyoshi Ishikiriama
Cassiana Koch Scotti
Flavia Pardo Salata Nahsan
Multidisciplinary esthetic approach for multiple anterior diastema: 36-month clinical performance
Brazilian Dental Science
title Multidisciplinary esthetic approach for multiple anterior diastema: 36-month clinical performance
title_full Multidisciplinary esthetic approach for multiple anterior diastema: 36-month clinical performance
title_fullStr Multidisciplinary esthetic approach for multiple anterior diastema: 36-month clinical performance
title_full_unstemmed Multidisciplinary esthetic approach for multiple anterior diastema: 36-month clinical performance
title_short Multidisciplinary esthetic approach for multiple anterior diastema: 36-month clinical performance
title_sort multidisciplinary esthetic approach for multiple anterior diastema 36 month clinical performance
url https://ojs.ict.unesp.br/index.php/cob/article/view/1124
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AT bellalunacolombiniishikiriama multidisciplinaryestheticapproachformultipleanteriordiastema36monthclinicalperformance
AT sergiokiyoshiishikiriama multidisciplinaryestheticapproachformultipleanteriordiastema36monthclinicalperformance
AT cassianakochscotti multidisciplinaryestheticapproachformultipleanteriordiastema36monthclinicalperformance
AT flaviapardosalatanahsan multidisciplinaryestheticapproachformultipleanteriordiastema36monthclinicalperformance