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Conservative Approach for the Esthetic Management of Multiple Interdental Spaces: A Systematic Approach
Abelardo Báez Rosales1, Diego De Nordenflycht Carvacho1, Ramón Schlieper Cacciutolo1
1Department of Restorative Dentistry, Universidad Andrés Bello, Viña del Mar, Chile.
Summary
This study presents a conservative method for closing multiple teeth gaps using a special layering technique with resin composites. This approach offers a predictable and esthetic solution for dental imperfections.
Area of Science:
- Restorative Dentistry
- Esthetic Dentistry
Background:
- Multiple diastemas and worn anterior teeth present significant esthetic challenges.
- Previous composite restorations may lack optimal value and appearance.
Observation:
- A patient with multiple anterior diastemas and esthetic concerns was treated.
- Nanofilled composite resin was used with a novel buccolingual layering technique.
Findings:
- A customized silicon index, created from a wax-up, guided the composite placement.
- The buccolingual technique allowed for precise 3D restoration of tooth anatomy and esthetics.
- This method achieved optimal esthetics while preserving tooth structure.
Implications:
- Direct resin composite layering offers a conservative and reversible solution for diastemas.
- The buccolingual technique provides a simple, reproducible method for predictable esthetic outcomes.
- This approach minimizes the need for extensive tooth preparation, benefiting patients.

