Simplifying anterior diastema closure with composite resin

Daniel Vargas, Giselle S. Almeida, Eduardo Vargas da Silva, Eduardo Vargas, Felipe Vargas, André Maia, Dayse Amaral

Objective: In order to solve multiple diastemas, the present clinical case describes a classic technique with a modification, allowing professionals to appropriately achieve width proportions based on a modified wax-up, transposing with a higher degree of assertiveness what was planned in the dental cast to the patients’ mouth. Methods: After the patient’s impression and the pouring of the dental cast, a silicone index based on a modified wax-up was done, replacing conventional wax by composite resin. Results: The modification of the conventional wax-up allowed for a more accurate final restoration, compared to the planned diagnostic cast, enabling the dentist to have a closer contact with all treatment steps – from planning to execution – and to practice the building of the composite resin before the execution itself. Conclusions: Teeth proportions, precisely reproducing the waxup and technical difficulties due to lack of training with the material are the main related adversities when closing multiple diastemas with composite resin. The 2-year follow-up confirmed the validity of the proposed technique modification as, despite the presence of gingival inflammation due to obvious lack of hygiene, the composite resin restorations were intact, with no cracking, staining or color modification.

Keywords: Resin composite. Diastema. Diagnoses.

How to cite: Vargas D, Almeida GS, Silva EV, Vargas E, Vargas F, Maia A, Amaral D. Simplifying anterior diastema closure with composite resin. J Clin Dent Res. 2019 May-Aug;16(2):124-33. DOI: https://doi.org/10.14436/2447-911x.16.2.124-133.oar

Thursday, June 20, 2019 10:20