Dental Journal (Mar 2022)

The aesthetic management of a midline diastema with direct composite using digital smile design, putty index and button shade technique: A case report

  • Nirawati Pribadi,
  • S. Sukaton,
  • Galih Sampoerno,
  • S. Sylvia,
  • Hendy Jaya Kurniawan,
  • Maya Safitri,
  • Rahmadanty Mustika

DOI
https://doi.org/10.20473/j.djmkg.v55.i1.p44-48
Journal volume & issue
Vol. 55, no. 1
pp. 44 – 48

Abstract

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Background: A diastema is the distance or space between two or more adjacent teeth. This abnormality can interfere with the aesthetics of a patient, and 97% of diastemas occur in the maxilla. Various treatments can be performed for diastema closure in patients, one of which is composite resin restoration. Purpose: To explain the aesthetic procedure for diastema closure. Case: A 20-year-old female patient presented with complaints of the distance between her anterior teeth (Class I Angle occlusion with normal overjet and overbite). The labial frenum associated with the diastema was normal in size and position. The patient was not amenable to invasive procedures. Case Management: Management of midline diastema closure using the direct composite technique with DSD, the putty index method and button shade technique. Conclusion: The closure of a midline diastema with direct composite using DSD, the putty index method and button shade technique provides aesthetic results with less cost and time due to the absence of laboratory procedures.

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