Orta Hat Diastemasının Tek Seansta Preparasyonsuz Tedavisi: 18 Aylık Takip Raporu

Yıl 2019, Cilt: 3 Sayı: 1, 29 - 34, 28.06.2019

Ezgi Tüter , Bora Korkut Pınar Yılmaz Atalı , Cafer Türkmen

https://doi.org/10.35333/ERD.2019.11

Öz

Hastalar için yaygın estetik problemlerden biri olan maksiller orta hat diastemaları, yüksek frenulum bağlantısı kaynaklı oluşabilir. Direk preparasyonsuz kompozit rezin restorasyonlar, normal olmayan frenum bağlantısı tedavisinden sonra ekonomik ve başarılı olabilir. Bu yayında, yüksek frenulum nedeniyle meydana gelen bir maksiller majör diastema vakası bildirilmiştir. Diastema, frenektomi ve ofis tipi beyazlatma prosedürlerinden sonra invaziv olmayan direkt kompozit rezin restorasyonları ile tedavi edilmiştir. Restorasyonların başarısı 3 ay, 9 ay ve 18 ay takiplerinde değerlendirilmiştir.

Anahtar Kelimeler

Estetik Diş Hekimliği, orta hat diasteması, preparasyonsuz restorasyon

Prepless Direct Midline Diastema Closure in a Single Visit: 18 months Follow-up Report

Öz

Maxillary midline (major) diastemas are common aesthetic problems for the patients. Recently, it is easier to get rid of those unwilling spaces aesthetically with the help of newly developed restorative materials. Major diastema may frequently occur due to high frenulum junctions thus causing unaesthetic outlook for some patients. In this case report a maxillary major diastema due to high frenulum was closed non-invasively with direct, prepless composite resin restorations. In this case frenectomy, office bleaching and direct prepless restorations was respectively planned. Six weeks were waited for periodontal tissue healing after frenectomy operation and then bleaching procedure was done using 40% hydrogen peroxide gel (Opalescence Xtra Boost, Ultradent, USA). Following vital bleaching; after 2 weeks, universal adhesive agent (Universal bond, Kuraray Noritake, Japan) was applied to the etched enamel surfaces (36% phosphoric acid etching with DeTrey Conditioner 36, Dentsply, Germany). Direct composite resin restorations was done using “A1B” and “NE” shades (Estelite Asteria, Tokuyama Dental, Japan). Polishing discs (SofLex, 3M ESPE, USA), interdental strips (Epitex, GC, Japan) and two spiral polishing twists (Twist Dia, Kuraray, Japan) was used during the finishing and polishing stages.  The success of the final restorations were assessed in 3 month, 9 month and 18 month follow ups.

Anahtar Kelimeler

Aesthetic dentistry, midline diastema, prepless restoration

Kaynakça

• 1. Elfadel II, Abuaffan AH. Prevalence and Etiology of Midline Diastema among Sudanese University Students. Indian Journal of Dental Education. 2016;9(1):15-20
• 2. Prabhu R, Bhaskaran S, Geetha Prabhu KR, Eswaran MA, Phanikrishna G, Deepthi B. Clinical evaluation of direct composite restoration done for midline diastema closure – long-term study. Journal of pharmacy & BioAllied Sciences. 2015;7(2):559-562
• 3. AIDA A, N Masatoshi, S Naoko, K Yukinori , M.F. Richard, T Junji. Effect of enamel margin con guration on color change of resin composite restoration. Dental Materials Journal. 2016;35(4):675–683
• 4. Korkut B. Emulating Natural Morphology In Anterior Crown Fractures: Two Years Follow-up Report. Adv Dent & Oral Health. 2017;6:(1):1-5
• 5. Aslam A, Ahmed B, A Azad, O Nida, N Maleeha. Layers to a beautiful smile: composite resin stratification. Pakistan Oral & Dental Journal. 2016;36(2):335-340
• 6. Bakır EP, Yıldırım ZS, Bakır S. The anterior polidiastema closure with direct composite resin restorations: 5 case report. Journal of dental faculty Ataturk University. 2016;15:18-25
• 7. Araujo E M, Fortkamp S. Closure of Diastema and Gingival Recontouring Using Direct Adhesive Restorations: A Case Report. Journal of Esthetic and Restorative Dentistry 2009; 21(4):229-240
• 8. Katsarou T, Antoniadou M, Papazoglou E. Effectiveness and optical illusions applied on a single composite resin veneer for the diastema closure of maxillary central incisors. The International Journal of Esthetic Dentistry. 2017:12:42-59
• 9. Chen C, Niu LN, Xie H, Zhang ZY, Zhou LQ, Jiao K, Chen JH, Pashley DH, Tay FR. Bonding of universal adhesives to dentine old wine in new bottles? Journal of dentistry Elsevier. 2015:43(5):525-36
• 10. Korkut B, Yanıkoğlu F, Tağtekin D. Direct Midline Diastema Closure with
 Composite Layering Technique: A One-Year Follow-Up. Hindawi Publishing Corporation
Case Reports in Dentistry. 2016;2016:1-5
• 11. Gezawi ME, Haridy R, Elazm EA, Al-Harbi F, Zouch M, Kaisarly D. Microtensile bond strength, 4-point bending and nanoleakage of resin- dentin interfaces: Effects of two matrix metalloproteinase inhibitors. Journal of the Mechanical Behavior of Biomedical Materials. 2018;78:206–213
• 12. Nainar SM, Gnanasundaram N. Incidence and etiology of midline diastema in a population in south India (Madras) Angle Orthodontist. 1989;59:277–82
• 13. Kano Y, Nakajima M, Aida A, Seki N, Foxton RM, Tagami J. Influence of enamel prism orientations on color shifting at the border of resin composite restorations. Dental Materials Journal 2018;37(2):341–349
• 14. Goyal A, Nikhil V, Singh R. Case Report: Diastema Closure in Anterior Teeth Using a Posterior Matrix. Hindawi Publishing Corporation 
Case Reports in Dentistry. 2016;2016:1-6
• 15. Heymann HO. Tooth whitening: facts and fallacies. Br Dent J 2005; 198(8):514
• 16. Luk K, Tam L, Hubert M. Effect of light energy on peroxide tooth bleaching. The Journal of the American Dental Association 2004;135(2):194–201
• 17. Alharbi A, Ardu S, Bortolotto T, Krejci I. In-office bleaching efficacy on stain removal from CAD/CAM and direct resin composite materials. J Esthet Restor Dent. 2018;30:51–58
• 18. Dominguez JA, Bittencourt B, Michel M, Sabino N, Gomes Joc, Gomes Omm. Ultrastructural Evaluation of Enamel After Dental Bleaching Associated With Fluoride. Mıcroschopy research and technique. 2012;75(8):1093-1098
• 19. Tabatabaei HM, Alizade Y, Taalim S. Effect of Various Surface Treatment on Repair Strength of Composite Resin. 2004;4(1):5-11