Diastema Closure in Anterior Teeth Using a Posterior Matrix
Ayush Goyal1, Vineeta Nikhil1, Ritu Singh2
1Department of Conservative Dentistry & Endodontics, Subharti Dental College, Meerut, Uttar Pradesh, India.
Case Reports in Dentistry
|November 8, 2016
Summary
Diastema closure using direct composite restorations is an effective treatment for improving dental aesthetics. This technique, utilizing sectional matrices for precise contouring, offers durable and satisfying results with no signs of failure at 14-month follow-up.
Area of Science:
- Dental Restorations
- Esthetic Dentistry
- Conservative Dentistry
Background:
- Diastema, or spacing between anterior teeth, presents a significant esthetic concern for many patients.
- Various treatment options exist for diastema closure, but success depends on proper evaluation of the space's extent and cause.
- Appropriate case selection is crucial for achieving optimal treatment outcomes.
Purpose of the Study:
- To report a case of diastema closure using direct composite restorations.
- To evaluate the efficacy and durability of this conservative treatment approach.
- To highlight the importance of proper technique and materials for esthetic success.
Main Methods:
- Diastema closure was achieved with direct composite restorations.
- A single shade of composite and a one-bottle etch-and-rinse adhesive were employed.
- Contoured sectional posterior matrices were utilized for accurate proximal contouring, followed by finishing and polishing.
Main Results:
- The direct composite restorations successfully closed the diastemas with excellent anatomic contouring.
- At a 14-month recall, the restorations showed no clinical signs of failure, such as discoloration or fracture.
- The patient reported no post-operative sensitivity, indicating high treatment tolerance.
Conclusions:
- Direct composite restorations, when performed with meticulous anatomic contouring using sectional matrices, provide an easy and effective method for diastema closure.
- This technique yields durable, highly esthetic results, leading to complete patient satisfaction.
- Conservative direct composite restorations represent a viable and successful treatment modality for managing anterior tooth spacing.
