Diastema closures: a novel technique to ensure dental proportion.

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dc.coverageDOI: 10.1111/jerd.12397
dc.creatorKabbach, William
dc.creatorSampaio, Camila S.
dc.creatorHirata, Ronaldo
dc.date2018
dc.date.accessioned2025-11-18T19:47:01Z
dc.date.available2025-11-18T19:47:01Z
dc.description<p>Objective: To describe a novel technique that helps the clinician on promoting a midline diastema closure with appropriate width proportions based on previous wax up, avoiding excesses of the resin material on the gingival area, which could lead to possible inflammation. Materials and Methods: Two different silicone indexes were made over a wax up to perform a diastema closure. Results: The use of a silicone index made with putty polyvinyl siloxane (PVS) material and another index made with putty and light PVS materials performed over a modified wax up, helped on achieving esthetically pleasant diastema closure with appropriate proportional widths, respecting the gingival tissue. Conclusions: The use of a novel silicone index technique allowed for ensuring the same width for both upper central incisors in a midline diastema closure, improving gingival tissue's health. Clinical Significance: The main difficulties regarding diastema closure are related to reaching an appropriate width proportion of the central incisors and avoiding a ledge at the gingival aspect of the contact area, which could become a plaque and food trap. This article describes, step-by-step, how to avoid such diastema closure issues, ensuring the width proportions of the upper central incisors.</p>eng
dc.descriptionObjective<br/>To describe a novel technique that helps the clinician on promoting a midline diastema closure with appropriate width proportions based on previous wax up, avoiding excesses of the resin material on the gingival area, which could lead to possible inflammation.<br/><br/>Materials and Methods<br/>Two different silicone indexes were made over a wax up to perform a diastema closure.<br/><br/>Results<br/>The use of a silicone index made with putty polyvinyl siloxane (PVS) material and another index made with putty and light PVS materials performed over a modified wax up, helped on achieving esthetically pleasant diastema closure with appropriate proportional widths, respecting the gingival tissue.<br/><br/>Conclusions<br/>The use of a novel silicone index technique allowed for ensuring the same width for both upper central incisors in a midline diastema closure, improving gingival tissue's health.<br/><br/>Clinical Significance<br/>The main difficulties regarding diastema closure are related to reaching an appropriate width proportion of the central incisors and avoiding a ledge at the gingival aspect of the contact area, which could become a plaque and food trap. This article describes, step-by-step, how to avoid such diastema closure issues, ensuring the width proportions of the upper central incisors.spa
dc.identifierhttps://investigadores.uandes.cl/en/publications/66413b14-5119-4f31-b350-07eb3307745e
dc.identifier.urihttps://repositorio.uandes.cl/handle/uandes/54810
dc.languageeng
dc.rightsinfo:eu-repo/semantics/restrictedAccess
dc.sourcevol.30 (2018) date: 2018-07-01 nr.4 p.275-280
dc.subjectcomposite resin
dc.subjectmidline diastema closure
dc.subjectsilicone index
dc.titleDiastema closures: a novel technique to ensure dental proportion.eng
dc.typeArticleeng
dc.typeArtículospa
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