Closure of interdental spaces using proximal build-ups with resin composite is considered to be practical and conservative. However, a comprehensive approach combining two or more treatment modalities may be needed to improve esthetics. This case report describes the management of a patient with multiple diastemas, a peg-shaped lateral incisor and midline deviation in the maxillary anterior area. Direct resin bonding along with orthodontic movement of teeth allows space closure and midline correction, consequently, creating a better esthetic result.

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One of the most challenging task in closing anterior diastema is avoiding "black triangle" between the teeth.

This paper reports a case that the closure of diastema in anterior teeth could be successfully accomplished using direct adhesive restorations and gingival recontouring. The traditional technique using Mylar strip was modified to increase the emergence profile with natural contours at the gingival-tooth interface. Mylar strip was extended out of the sulcus by approximately 1 mm high from the gingival margin, and a small cotton pellet was used to provide the emergence contour. This modified approach is acceptable for the clinical situation.

Citations

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• Gingival Conditioning with Provisional Composite Veneer Prior to Final Dental Restoration: Three-year Follow-up
  B Mueller, GB Rauber, LA Linhares, JK Bernardon, E Santini, LF Pottmaier
  Operative Dentistry.2023; 48(3): 237.     CrossRef
• Black Triangle and its Management in Dentistry: A Review Article
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• Maxillary midline diastema closure with sectional feldspathic porcelain veneers: A case series followed 1 to 4 years
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• Conservative and esthetic closure of maxillary midline diastema without creating “black triangle” using direct resin composite
  Kyoung-Hwa Jung, Eun-Young Kwon, Youn-Kyung Choi, So-Yeun Kim, Hye-Mi Jeon, Jeong-Kil Park
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