From Volume 48, Issue 2, February 2021 | Pages 145-147
Interdental space between anterior teeth is an aesthetic and a phonetic problem. While various treatment options are available, patients often have concerns regarding treatment invasiveness, duration of treatments, costs and long-term prognosis. This case report describes a step-by-step smile makeover with direct composite restorations in maxillary incisors and canines with interdental spaces, tooth size discrepancy and altered passive eruption.
Interdental spacing between anterior teeth is an aesthetic and a phonetic problem.1 In the era of Facebook, Instagram and selfie photography, more patients are seeking aesthetic dental treatments. While various treatment options are available, patients often have concerns regarding treatment invasiveness, duration of treatments, costs and long-term prognosis.2
The appearance of a smile is influenced by the coronal proportion (width and length) and the teeth-smile-face relationship.3 This relationship must be considered when diastema closure is performed. Both the orthodontic and prosthodontic fields offer several treatment options for diastema closure, with several differences between them. In cases of aesthetic defects and/or discrepancies in tooth size, orthodontic treatment alone will not solve the aesthetic problem.4
Within the prosthodontic field, the direct restorative approach is the most minimally invasive and cost effective. It is highly efficient and easily altered and maintained.5 Direct composite restorations permit changes of tooth size, shape, colour and inclination, and can be performed using a minimally invasive approach.6 Furthermore, when possible, original tooth structure may be preserved, making the treatment reversible.2
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