Periodontal and prosthetic approach to diastema closure – case report

Vol. 11 – Number 41 – 2019 CLINICAL DENTISTRY NOTEBOOK Case report Page 85-95 Periodontal and prosthetic approach to diastema closure – case report Franklin Barbosa da Silva1 Aline Moraes Andrade2 Fabrício dos Santos Diniz3 Carolina Rocha Augusto4 Rosanne Pereira Pires5 Abstract Diastema is one of the most common aesthetic complaints in dental clinics, characterized by distinct spaces between two teeth, usually between central incisors. Its solution is varied and may include orthodontics, periodontal surgeries, and direct or indirect restorations. The aim of this study is to report a case report of periodontal surgery prior to the closure of diastemas with ceramic veneers. Patient attended the dental clinic of Nilton Lins University complaining of dissatisfaction with her smile. In the intraoral examination, diastema was observed between the anterior teeth in both arches. Initially were made molding and assembly in articulator for correct evaluation and planning. After analysis of proportionality and aesthetic harmony of the anterior teeth, it was proposed to perform the periodontal surgery and reanatomization with ceramic veneers. The surgical procedure was performed on teeth 11, 12, 13, 21, 22 and 23 and, after healing, a new double impression. The resulting models were digitally reproduced for diagnostic waxing followed by 3D model printing. The previous aesthetic test was performed with bisacrylic resin, with the patient’s approval, the preparation was performed and the upper arch was re-molded. With the diagnostic waxing, the porcelain veneers were made and then installed with dual resin cement. The techniques employed provided a satisfactory harmonization of the smile, restoring the patient’s self-esteem. Descriptors: Dental esthetics, diastema, dental veneers, gingivoplasty. 1 Me. In Health, Society and Endemics of the Amazon – UFAM, Dr. in Public Health – USP, Prof. of the subjects of Total Prosthesis I, Total Prosthesis II and Occlusion – Faculty of Dentistry – Nilton Lins University. 2 Graduating in Dentistry – Nilton Lins University. 3 Graduated in Dentistry – Nilton Lins University. 4 Drª. in Dental Clinic – UFRGS, Profª. of the Disciplines of CBT I and II – Faculty of Dentistry – Nilton Lins University. 5 Esp. in Implantodontics – IAES, Profª. of the discipline of Periodontics – Faculty of Dentistry – Nilton Lins University.