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Article: Volume 41 Number 5 Page 457 - June 2014

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  Dent Update 2014; 41: 457-464

Orthodontics:  Midline Diastema and its Aetiology − A Review

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Abstract: Maxillary midline diastema is a common aesthetic complaint of patients. Treating the midline diastema is a matter of concern for practitioners, as many different aetiologies are reported to be associated with it. The appearance of midline diastema as part of the normal dental development makes it difficult for practitioners to decide whether to intervene or not at an early stage. The aim of this article is to review the possible aetiology and management options which will help the clinician to diagnose, intercept and to take effective action to correct the midline diastema. The available data shows that an early intervention is desirable in cases with large diastemas. Treatment modality, timing and retention protocol depends on the aetiology of the diastema. Therefore, priority needs to be given to diagnosing the aetiology before making any treatment decisions.

Clinical relevance: This article aims to determine and evaluate the aetiology and possible treatment options of midline diastema.

Author notes: Reji Abraham, BDS, MDS, Professor, Department of Orthodontics and Dentofacial Orthopaedics, Geetha Kamath, BDS, MDS, Professor, Department of Oral Medicine and Radiology Sri Hasanamba Dental College and Hospital, Hassan, Karnataka, India.

Objective: To recognize the aetiology of a midline diastema and consider possible management options.