Abstract

CASTRO, Mara Antônio Monteiro de et al. Diastemas: reestablishment of an attractive smile. RGO, Rev. gaúch. odontol. (Online) [online]. 2010, vol.58, n.2, pp. 253-256. ISSN 1981-8637.

A healthy and attractive smile is very valued in today's society. Yet this requires better aesthetic and cosmetic solutions from dental surgeons. The present paper presents a case report of diastema closure using an association of tooth movement induced by orthodontic elastics, dental cosmetics and resin-bonded prosthesis. The female patient L.B.A.J., aged 19 years, visited the Integrated Clinic of Araçatuba Dental School - UNESP mainly complaining of missing teeth and poor esthetics. After anamnesis, clinical and radiographic examination revealed hypodontia of the maxillary right and left first premolars, abnormal maxillary right lateral incisor shape and diastema between the maxillary right lateral incisor and canine and between the maxillary left lateral incisor and canine. Planning was done which included indication of diastema closure with composite resin restoration and metal-free resin-bonded prosthesis, with a structure made of Vectris (Ivoclar Vivadent Inc., Amherst, NT, USA). The option for dental cosmetics associated with resin-bonded prosthesis after movement with orthodontic elastics resulted in an excellent aesthetic outcome of low cost and short treatment duration.

Keywords : composite resins; diastema; fixed resin bonded partial denture.