A case of esthetic disorder due to median diastema

Abstract

Methods for improving esthetic problems caused by median diastema include orthodontic treatment, full-coverage all-ceramic restoration, laminated veneer restoration with partial cutting, and direct bonding. In the present case, when the enamel is sufficiently preserved, and considering the long-term prognosis, it is preferable to opt for enamel preservation. In this paper presented is a case of esthetic repair of median diastema by direct bonding with good results. A 51-year-old woman presented with a complaint of esthetic problems. The patient had been previously treated at another clinic, but repeatedly experienced crown detachment. A diagnosis of median diastema with mild rotation was made, and taking into account the patient's request, less invasive procedure of composite resin direct veneer repair was performed. Agreeable results were obtained in which the morphology and color tone were in harmony. This suggests that esthetic improvement of the median diastema can be achieved by composite resin restoration with enamel preservation.