TREATMENT OF MIDLINE DIASTEMA – MULTIDISCIPLINARY MANAGMENT: A CASE REPORT

Abstract

Introduction: Midline diastema is a common cosmetic problem. Based on the etiology, it can be physiological, pathological or iatrogenical. Various innovative therapies including restorative, orthodontic and surgical procedures are available for the treatment of midline diastema.

Case History: A young female patient reported with a midline diastema, that was associated with a crestal frenal attachment and skeletal and dental class I relationship.

Progress: Midline diastema and spaces were closed by orthodontic treatment. Teeth were moved anteriorly maintaining class I dental relationship. At the finishing stage, six weeks before appliance removal frenectomy was performed and wrap around upper and lower retainers were used.

Conclusion: Midline diastema and crestal frenal attachment are two different problems. Therefore both problems should be diagnosed accurately and treated for better long term results. Thus a working relationship and team work of an Orthodontist and a Periodontist is mandatory.