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DIRECT COMPOSITE RESTORATION OF ANTERIOR DIASTEMAS WITH MULTIDISCIPLINARY APPROACH

Simge Meşeli, Sergen Ekenel, Bora Korkut, Dilek Tağtekin

Clinical and Experimental Health Sciences - 2025;15(3):718-723

Marmara University, Faculty of Dentistry, Department of Restorative Dentistry, Istanbul, Türkiye

 

It was aimed to present an illustrative clinical case report with an accurate treatment protocol for the esthetic rehabilitation of a patient through the combination of orthodontic and restorative therapy. After intraoral and radiographic examinations of the patient with no systemic disease, it was revealed that there was a midline spacing between maxillary central incisors. Following orthodontic treatment, direct esthetic partial composite laminate veneers as build-ups for both maxillary incisors were considered. For the restorative procedure, it is planned to restore teeth 12, 13, 22, and 23 with direct universal composite resin. To simulate a natural outlook, the shades DA2, and EA1 (Vittra APS Essential, FGM, Brasil) were decided to be used together as layers. Recalls were arranged for 1 week, 6 months, and 18 months. Restorations were evaluated according to modified USPHS Criteria, 18 months follow - up, there was no evidence of any fracture, surface defect, or discoloration. Composite resin restorations might be considered as a simple treatment option with patient satisfaction in diastema cases. It was thought that the correct positioning of diastemas with orthodontic treatment increases the success of composite restorations.