Case Report
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Year 2025, Volume: 15 Issue: 3, 718 - 722, 30.09.2025
https://doi.org/10.33808/clinexphealthsci.1499354

Abstract

References

  • Harikrishnan R, Nivethigaa B, Ganesh B. Etiological factors of midline diastema-a retrospective study. Int J Dentistry Oral Sci. 2021;8(8):4119-4123. https://doi.org/10.19070/2377-8075-21000841
  • Ghoul R, Ghannam N, Hanali AS, Azzaldeen A, Muhamad AH. Multidisciplinary approach to treatment of midline diastema. J Neonatal Surg, 2025;14 (22s), 240-284.
  • Nuvvula S, Ega S, Mallineni SK, Almulhim B, Alassaf A, Alghamdi SA, Aldhuwayhi S. Etiological factors of the midline diastema in children: A systematic review. Int J Gen Med. 2021;14,2397–2405. https://doi.org/10.2147/IJGM.S297462
  • Azzaldeen A, Muhamad AH. Diastema closure with direct composite: Architectural gingival contouring. J Adv Med Dent Sci Res. 2015;3(1):134-139.
  • Meşeli S, Kemaloğlu H, Pamir T. Providing anterior aesthetic with resin composite in diastema cases. Türkiye Klinikleri J Dental Sci. 2020;26(2):302-308. https://doi.org/10.5336/dentalsci.2019-66768 (Turkish)
  • Garai D, Pramanik K, Ghosh S, Tshering L, Kumar M, Nakib AA. Int Res J Multidiscip Scope. 2025;6(2):1022-1026. https://doi.org/10.47857/irjms.2025.v06i02.03695
  • Jung S, Jih M, Lee N. Manegement of transposed maxillary canines and peg-shaped lateral incisors: Case reports. J Korean Acad Pediatr Dent. 2025;52(1):117-128. https://doi.org/10.5933/JKAPD.2025.52.1.117
  • Giannetti L, Apponi R. Combined orthodontic and restorative minimally invasive approach to diastema and morphology management in the esthetic area. Clinical multidisciplinary case report with 3-year follow-up. Case Rep. Dent. 2020;2020:1-5. https://doi.org/ 10.1155/2020/3628467
  • Pace Balzan A, Chatzipantelis AJ, Dunn K, Charan GP, Ashley M. Restorative dentistry clinical decision-making for hypodontia: Complex cases. Br. Dent. J. 2023;235(7):489-495. https://doi.org/10.1038/s41415-023-6324-5
  • Bitonto F, Verdecchia A, Lombardo M, Lipani E, Dettori C, Spinas E. Treatment options for unilateral agenesis of the maxillary lateral incisor combined with contralateral microdontic or peg-shaped lateral incisor: A systematic review. Dent. J. 2025, 13, 169. https://doi.org/10.3390/ dj13040169
  • Korkut B, Unal T, Murat N, Özcan M. Effect of prerestorative short-term clear aligner therapy in restorative treatment planning. J Prosthet Dent. 2023;1-9 (online early). https://doi.org/10.1016/j.prosdent.2023.02.024
  • Magne P, Salem P, Magne M. Influence of symmetry and balance on visual perception of a white female smile. J Prosthet Dent. 2018;120(4):573-582. https://doi.org/10.1016/j.prosdent.2018.05.008
  • Kurniawan A, Chusida A, Margaretha MS et al. Tooth evaluation and its effect on the malocclusion in modern human dentition. Bull Int Assoc Paleodont. 2022;16(2):262-266.
  • Carneiro DPA, Venezian GC, Valdrighi HC, Meneghim MC, Vedovello AS. Esthetic impact of maxillary midline diastema and mandibular crowding in children in the mixed dentition. Am J Orthod Dentofacial Orthop. 2022;161(3):390-395. https://doi.org/10.1016/j.ajodo.2020.09.031
  • Cremonini F, Provenzano C, Palone M, Spedicato GA, Albertini P. Correlation. between mesio-distal teeth diameters and arch width. Pesqui Bras Odontopediatria Clin Integr. 2021; 21(suppl 1):e0023. https://doi.org/10.1590/pboci.2021.121
  • Yazıcıoğlu O, Yıldırım Üçüncü M, Demirci M. The prevalence of peg-shaped maxillary permanent lateral incisors in the Turkish population. EDR. 2024;2(2):39-43. https://doi.org/10.62243/edr.1494530
  • Castellucci M, Mathias P. Planning and orthodontic preparation for maxillary incisors reshaping. Dent Press J Orthod. 2021;26(4):e21spe4. https://doi.org/10.1590/2177-6709.26.4.e21spe4
  • Saeralaathan S, Lavu V, Rajan M, Balaji SK, Ganesh A. An interdisciplinary approach to management of diastemas: A novel classification and a case report. Indian J Dent Res 2021; 32:250-5. https://doi.org/ 10.4103/ijdr.IJDR_952_20
  • Milian R, Lefrançois E, Radzikowski A et al. Pre-orthodontic restorative treatment of microdontia diastema teeth using composite injection techhnique with. a digital workflow-Case report. Heliyon. 2023; 9:e15843. https://doi.org/10.1016/j.heliyon.2023.e15843
  • Gürel G. The science and art of porcelain laminate veneers. Berlin: Quintessence Books; 2003.
  • Rathi S, Dhannawat P, Gilani R, et al. A multidisciplinary aesthetic treatment approach for peg lateral of the maxillary incisors. Cureus. 2022; 14(9): e29184. https://doi.org/10.7759/cureus.29184
  • Batisse C, Cousson PY, Nicolas E, Bessadet M. Aesthetic and functional rehabilitation of patients with genetic microdontia: A multidisciplinary approach. Healthcare. 2022,10,485. https://doi.org/10.3390/healthcare10030485
  • Perdigao J, Araujo E, Ramos RQ et al. Adhesive dentistry: Current. concepts and clinical considerations. J Esthet Restor Dent. 2020; 1-18. https://doi.org/10.1111/jerd.12692
  • Hardan L, Mancino D, Bourgi R et al. Treatment of tooth wear using direct or indirect restorations: A systematic review of clinical studies. Bioengineering 2022; 9,346. https://doi.org/10.3390/ bioengineering9080346
  • Korkut B, Yanikoglu F, Tagtekin D. Direct midline diastema closure with composite layering technique: A one-year follow-up. Case Rep. Dent. 2016;2016:1-5. https://doi.org/10.1155/2016/6810984

Direct Composite Restoration of Anterior Diastemas With Multidisciplinary Approach

Year 2025, Volume: 15 Issue: 3, 718 - 722, 30.09.2025
https://doi.org/10.33808/clinexphealthsci.1499354

Abstract

It was aimed to present an illustrative clinical case report with an accurate treatment protocol for the esthetic rehabilitation of a patient through the combination of orthodontic and restorative therapy. After intraoral and radiographic examinations of the patient with no systemic disease, it was revealed that there was a midline spacing between maxillary central incisors. Following orthodontic treatment, direct esthetic partial composite laminate veneers as build-ups for both maxillary incisors were considered. For the restorative procedure, it is planned to restore teeth 12, 13, 22, and 23 with direct universal composite resin. To simulate a natural outlook, the shades DA2, and EA1 (Vittra APS Essential, FGM, Brasil) were decided to be used together as layers. Recalls were arranged for 1 week, 6 months, and 18 months. Restorations were evaluated according to modified USPHS Criteria, 18 months follow- up, there was no evidence of any fracture, surface defect, or discoloration. Composite resin restorations might be considered as a simple treatment option with patient satisfaction in diastema cases. It was thought that the correct positioning of diastemas with orthodontic treatment increases the success of composite restorations.

Ethical Statement

No ethics committee approval was needed.

Supporting Institution

None

Thanks

None

References

  • Harikrishnan R, Nivethigaa B, Ganesh B. Etiological factors of midline diastema-a retrospective study. Int J Dentistry Oral Sci. 2021;8(8):4119-4123. https://doi.org/10.19070/2377-8075-21000841
  • Ghoul R, Ghannam N, Hanali AS, Azzaldeen A, Muhamad AH. Multidisciplinary approach to treatment of midline diastema. J Neonatal Surg, 2025;14 (22s), 240-284.
  • Nuvvula S, Ega S, Mallineni SK, Almulhim B, Alassaf A, Alghamdi SA, Aldhuwayhi S. Etiological factors of the midline diastema in children: A systematic review. Int J Gen Med. 2021;14,2397–2405. https://doi.org/10.2147/IJGM.S297462
  • Azzaldeen A, Muhamad AH. Diastema closure with direct composite: Architectural gingival contouring. J Adv Med Dent Sci Res. 2015;3(1):134-139.
  • Meşeli S, Kemaloğlu H, Pamir T. Providing anterior aesthetic with resin composite in diastema cases. Türkiye Klinikleri J Dental Sci. 2020;26(2):302-308. https://doi.org/10.5336/dentalsci.2019-66768 (Turkish)
  • Garai D, Pramanik K, Ghosh S, Tshering L, Kumar M, Nakib AA. Int Res J Multidiscip Scope. 2025;6(2):1022-1026. https://doi.org/10.47857/irjms.2025.v06i02.03695
  • Jung S, Jih M, Lee N. Manegement of transposed maxillary canines and peg-shaped lateral incisors: Case reports. J Korean Acad Pediatr Dent. 2025;52(1):117-128. https://doi.org/10.5933/JKAPD.2025.52.1.117
  • Giannetti L, Apponi R. Combined orthodontic and restorative minimally invasive approach to diastema and morphology management in the esthetic area. Clinical multidisciplinary case report with 3-year follow-up. Case Rep. Dent. 2020;2020:1-5. https://doi.org/ 10.1155/2020/3628467
  • Pace Balzan A, Chatzipantelis AJ, Dunn K, Charan GP, Ashley M. Restorative dentistry clinical decision-making for hypodontia: Complex cases. Br. Dent. J. 2023;235(7):489-495. https://doi.org/10.1038/s41415-023-6324-5
  • Bitonto F, Verdecchia A, Lombardo M, Lipani E, Dettori C, Spinas E. Treatment options for unilateral agenesis of the maxillary lateral incisor combined with contralateral microdontic or peg-shaped lateral incisor: A systematic review. Dent. J. 2025, 13, 169. https://doi.org/10.3390/ dj13040169
  • Korkut B, Unal T, Murat N, Özcan M. Effect of prerestorative short-term clear aligner therapy in restorative treatment planning. J Prosthet Dent. 2023;1-9 (online early). https://doi.org/10.1016/j.prosdent.2023.02.024
  • Magne P, Salem P, Magne M. Influence of symmetry and balance on visual perception of a white female smile. J Prosthet Dent. 2018;120(4):573-582. https://doi.org/10.1016/j.prosdent.2018.05.008
  • Kurniawan A, Chusida A, Margaretha MS et al. Tooth evaluation and its effect on the malocclusion in modern human dentition. Bull Int Assoc Paleodont. 2022;16(2):262-266.
  • Carneiro DPA, Venezian GC, Valdrighi HC, Meneghim MC, Vedovello AS. Esthetic impact of maxillary midline diastema and mandibular crowding in children in the mixed dentition. Am J Orthod Dentofacial Orthop. 2022;161(3):390-395. https://doi.org/10.1016/j.ajodo.2020.09.031
  • Cremonini F, Provenzano C, Palone M, Spedicato GA, Albertini P. Correlation. between mesio-distal teeth diameters and arch width. Pesqui Bras Odontopediatria Clin Integr. 2021; 21(suppl 1):e0023. https://doi.org/10.1590/pboci.2021.121
  • Yazıcıoğlu O, Yıldırım Üçüncü M, Demirci M. The prevalence of peg-shaped maxillary permanent lateral incisors in the Turkish population. EDR. 2024;2(2):39-43. https://doi.org/10.62243/edr.1494530
  • Castellucci M, Mathias P. Planning and orthodontic preparation for maxillary incisors reshaping. Dent Press J Orthod. 2021;26(4):e21spe4. https://doi.org/10.1590/2177-6709.26.4.e21spe4
  • Saeralaathan S, Lavu V, Rajan M, Balaji SK, Ganesh A. An interdisciplinary approach to management of diastemas: A novel classification and a case report. Indian J Dent Res 2021; 32:250-5. https://doi.org/ 10.4103/ijdr.IJDR_952_20
  • Milian R, Lefrançois E, Radzikowski A et al. Pre-orthodontic restorative treatment of microdontia diastema teeth using composite injection techhnique with. a digital workflow-Case report. Heliyon. 2023; 9:e15843. https://doi.org/10.1016/j.heliyon.2023.e15843
  • Gürel G. The science and art of porcelain laminate veneers. Berlin: Quintessence Books; 2003.
  • Rathi S, Dhannawat P, Gilani R, et al. A multidisciplinary aesthetic treatment approach for peg lateral of the maxillary incisors. Cureus. 2022; 14(9): e29184. https://doi.org/10.7759/cureus.29184
  • Batisse C, Cousson PY, Nicolas E, Bessadet M. Aesthetic and functional rehabilitation of patients with genetic microdontia: A multidisciplinary approach. Healthcare. 2022,10,485. https://doi.org/10.3390/healthcare10030485
  • Perdigao J, Araujo E, Ramos RQ et al. Adhesive dentistry: Current. concepts and clinical considerations. J Esthet Restor Dent. 2020; 1-18. https://doi.org/10.1111/jerd.12692
  • Hardan L, Mancino D, Bourgi R et al. Treatment of tooth wear using direct or indirect restorations: A systematic review of clinical studies. Bioengineering 2022; 9,346. https://doi.org/10.3390/ bioengineering9080346
  • Korkut B, Yanikoglu F, Tagtekin D. Direct midline diastema closure with composite layering technique: A one-year follow-up. Case Rep. Dent. 2016;2016:1-5. https://doi.org/10.1155/2016/6810984
There are 25 citations in total.

Details

Primary Language English
Subjects Restorative Dentistry
Journal Section Case Report
Authors

Simge Meşeli 0000-0002-2970-658X

Sergen Ekenel 0000-0001-8926-6718

Bora Korkut 0000-0001-6360-9436

Dilek Tağtekin 0000-0002-2675-1764

Early Pub Date September 30, 2025
Publication Date September 30, 2025
Submission Date June 11, 2024
Acceptance Date June 16, 2025
Published in Issue Year 2025 Volume: 15 Issue: 3

Cite

APA Meşeli, S., Ekenel, S., Korkut, B., Tağtekin, D. (2025). Direct Composite Restoration of Anterior Diastemas With Multidisciplinary Approach. Clinical and Experimental Health Sciences, 15(3), 718-722. https://doi.org/10.33808/clinexphealthsci.1499354
AMA Meşeli S, Ekenel S, Korkut B, Tağtekin D. Direct Composite Restoration of Anterior Diastemas With Multidisciplinary Approach. Clinical and Experimental Health Sciences. September 2025;15(3):718-722. doi:10.33808/clinexphealthsci.1499354
Chicago Meşeli, Simge, Sergen Ekenel, Bora Korkut, and Dilek Tağtekin. “Direct Composite Restoration of Anterior Diastemas With Multidisciplinary Approach”. Clinical and Experimental Health Sciences 15, no. 3 (September 2025): 718-22. https://doi.org/10.33808/clinexphealthsci.1499354.
EndNote Meşeli S, Ekenel S, Korkut B, Tağtekin D (September 1, 2025) Direct Composite Restoration of Anterior Diastemas With Multidisciplinary Approach. Clinical and Experimental Health Sciences 15 3 718–722.
IEEE S. Meşeli, S. Ekenel, B. Korkut, and D. Tağtekin, “Direct Composite Restoration of Anterior Diastemas With Multidisciplinary Approach”, Clinical and Experimental Health Sciences, vol. 15, no. 3, pp. 718–722, 2025, doi: 10.33808/clinexphealthsci.1499354.
ISNAD Meşeli, Simge et al. “Direct Composite Restoration of Anterior Diastemas With Multidisciplinary Approach”. Clinical and Experimental Health Sciences 15/3 (September2025), 718-722. https://doi.org/10.33808/clinexphealthsci.1499354.
JAMA Meşeli S, Ekenel S, Korkut B, Tağtekin D. Direct Composite Restoration of Anterior Diastemas With Multidisciplinary Approach. Clinical and Experimental Health Sciences. 2025;15:718–722.
MLA Meşeli, Simge et al. “Direct Composite Restoration of Anterior Diastemas With Multidisciplinary Approach”. Clinical and Experimental Health Sciences, vol. 15, no. 3, 2025, pp. 718-22, doi:10.33808/clinexphealthsci.1499354.
Vancouver Meşeli S, Ekenel S, Korkut B, Tağtekin D. Direct Composite Restoration of Anterior Diastemas With Multidisciplinary Approach. Clinical and Experimental Health Sciences. 2025;15(3):718-22.

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