Interdental papilla formation after diastema closure

Area of Science:

• Dentistry
• Esthetic Dentistry
• Restorative Dentistry

Background:

• Increasing patient demand for smile enhancement.
• Prevalence of dental imperfections like diastemas and conoid teeth impacting smile aesthetics.
• Limitations of traditional orthodontic treatment in terms of time and cost.

Observation:

• A 40-year-old female patient presented with dissatisfaction regarding diastemas and a conoid tooth.
• Maxillary anterior teeth were short, creating an unfavorable height-to-width ratio.
• Patient declined orthodontic treatment, seeking a faster, more economical solution.

Findings:

• Diagnostic casts and wax-ups were utilized for treatment planning.
• Composite resin mock-ups were employed to ensure adequate interdental papilla space.
• The patient's anterior teeth underwent bleaching, definitive composite restoration, and occlusal adjustments.

Implications:

• Demonstrates the efficacy of conservative composite resin restorations for smile enhancement.
• Highlights a viable alternative to orthodontics for correcting diastemas and tooth shape discrepancies.
• Achieved a harmonious and esthetic smile with positive long-term outcomes, including no black spaces or periodontal inflammation.