BibTex RIS Cite

Maksiller Orta Hat Diastemasının Hareketli Şeffaf Plak ve Elastikler Kullanılarak Tedavisi: Olgu Sunumu

Year 2017, Volume: 18 Issue: 1, 68 - 71, 01.04.2017

Abstract

Maksilladaki orta hat diasteması tedavi gerektiren yaygın bir estetik problemdir. Bu olgu sunumunda minör üst orta hat diastemasının hareketli şeffaf plak ve elastikler kullanılarak tedavi edilme süreci anlatılmaktadır. Üst santral kesici dişleri arasındaki küçük diastemadan şikayetçi 20 yaşındaki kadın hasta simetrik bir yüze ve yeterli dudak kapanışına sahipti. Ağız içi muayenesinde sınıf 1 dişsel ilişki, normal overjet ve overbite ilişkisi görüldü. Diastemanın kapatılması amacıyla hastadan alınan ölçü üzerinde, orta hattan 2 parçaya ayrılmış ve kaninler bölgesinde elastik kullanılması amacıyla birer adet çıkıntısı olan şeffaf plak hazırlandı. İki ayın sonunda diastema tamamen kapatıldı ve retansiyon amacıyla üst 3-3 lingual retainer yerleştirildi. Estetik problem giderildi. Şeffaf apareyler estetiktir ve maksiller orta hat diastemasının kapatılmasında başarıyla kullanılabilir

References

  • 1. Huang WJ, Creath CJ. The midline diastema: a review of its etiology and treatment. Pediatr Dent 1995; 17: 171-9.
  • 2. Furuse AY, Franco EJ, Mondelli J. Esthetic and functional restoration for an anterior open occlusal relationship with multiple diastemata: A multidisciplinary approach. J Prosthet Dent 2008; 99: 91-4.
  • 3. Gkantidis N, Kolokitha OE, Topouzelis N. Management of maxillary midline diastema with emphasis on etiology. J Clin Pediatr Dent 2008; 32 :265-72.
  • 4. Frese C, Schiller P, Staehle HJ, Wolff D. Recontouring teeth and closing diastemas with direct composite buildups: A 5-year follow-up. J Dent 2013; 41: 979-85.
  • 5. Chu CH, Zhang CF, Jin LJ. Treating a maxillary midline diastema in adult patients: a general dentist’s perspective. J Am Dent Assoc 2011; 142: 1258-64.
  • 6. Tulluch JFC. Adjunctive treatment for adults. In: Proffit W, Fields Jr H, editors. Contempory orthodontics. 2nd ed. St Louis: Mosby; 1993. p. 579-81.
  • 7. Mattos CT, Silva DL Da, Ruellas ACDO. Relapse of a maxillary median diastema: Closure and permanent retention. Am J Orthod Dentofac Orthop 2012; 141: e23-7.
  • 8. Cassarella D, Pair J. Closure of a minor midline diastema using Essix trays. J Clin Orthod 2011; 45: 229.
  • 9. Bolton W. Disharmony in tooth size and its relation to the analysis and treatment of malocclusion. Angle Orthod 1958; 28: 113-30.
  • 10. Popovich F, Thompson GW, Main PA. The maxillary interincisal diastema and its relationship to the superior labial frenum and intermaxillary suture. Angle Orthod 1977; 47: 265-71.
  • 11. Oesterle LJ, Shellhart WC. Maxillary midline diastemas: a look at the causes. J Am Dent Assoc 1999; 130: 85-94.
  • 12. Lewis KC, Sherriff M, Stewart Denize E. Change in frequency of the maxillary midline diastema appearing in photographs of Caucasian females in two fashion magazines from 2003 to 2012. J Orthod 2014; 41: 98-101.
  • 13. Shashua D, Årtun J. Relapse after orthodontic correction of maxillary median diastema: A follow-up evaluation of consecutive cases. Angle Orthodontist 1999; 69: 257-63.
  • 14. Zachrisson BU. Clinical experience with direct-bonded orthodontic retainers. Am J Orthod. 1977; 71: 440-8.
  • 15. Naraghi S, Andren A, Kjellberg H, Mohlin BO. Relapse tendency after orthodontic correction of upper front teeth retained with a bonded retainer. Angle Orthod 2006; 76: 570-6.

Treatment of Maxillary Midline Diastema Using Removable Clear Trays and Elastics: A Case Report

Year 2017, Volume: 18 Issue: 1, 68 - 71, 01.04.2017

Abstract

Maxillary midline diastema is a common esthetic problem requiring treatment. This case presentation shows the treatment of a patient with a minor midline diastema using removable clear trays and elastics. A 20-year-old female patient, whose chief complaint was a small diastema between upper central incisors, had a symmetric face and competent lips. Intraoral examination showed class 1 buccal segments relationship with normal overjet and overbite. For the closure of midline diastema, an upper clear tray was fabricated and it was sectioned at the mesial third of each central incisor to create separate left and right trays with attachments for the elastic wear. Two months later, maxillary midline diastema was totally closed and a bonded maxillary 3-3 retainer was placed for retention. The esthetic problem was resolved. Clear appliance is aesthetic, and sufficient to close maxillary midline diastema.

References

  • 1. Huang WJ, Creath CJ. The midline diastema: a review of its etiology and treatment. Pediatr Dent 1995; 17: 171-9.
  • 2. Furuse AY, Franco EJ, Mondelli J. Esthetic and functional restoration for an anterior open occlusal relationship with multiple diastemata: A multidisciplinary approach. J Prosthet Dent 2008; 99: 91-4.
  • 3. Gkantidis N, Kolokitha OE, Topouzelis N. Management of maxillary midline diastema with emphasis on etiology. J Clin Pediatr Dent 2008; 32 :265-72.
  • 4. Frese C, Schiller P, Staehle HJ, Wolff D. Recontouring teeth and closing diastemas with direct composite buildups: A 5-year follow-up. J Dent 2013; 41: 979-85.
  • 5. Chu CH, Zhang CF, Jin LJ. Treating a maxillary midline diastema in adult patients: a general dentist’s perspective. J Am Dent Assoc 2011; 142: 1258-64.
  • 6. Tulluch JFC. Adjunctive treatment for adults. In: Proffit W, Fields Jr H, editors. Contempory orthodontics. 2nd ed. St Louis: Mosby; 1993. p. 579-81.
  • 7. Mattos CT, Silva DL Da, Ruellas ACDO. Relapse of a maxillary median diastema: Closure and permanent retention. Am J Orthod Dentofac Orthop 2012; 141: e23-7.
  • 8. Cassarella D, Pair J. Closure of a minor midline diastema using Essix trays. J Clin Orthod 2011; 45: 229.
  • 9. Bolton W. Disharmony in tooth size and its relation to the analysis and treatment of malocclusion. Angle Orthod 1958; 28: 113-30.
  • 10. Popovich F, Thompson GW, Main PA. The maxillary interincisal diastema and its relationship to the superior labial frenum and intermaxillary suture. Angle Orthod 1977; 47: 265-71.
  • 11. Oesterle LJ, Shellhart WC. Maxillary midline diastemas: a look at the causes. J Am Dent Assoc 1999; 130: 85-94.
  • 12. Lewis KC, Sherriff M, Stewart Denize E. Change in frequency of the maxillary midline diastema appearing in photographs of Caucasian females in two fashion magazines from 2003 to 2012. J Orthod 2014; 41: 98-101.
  • 13. Shashua D, Årtun J. Relapse after orthodontic correction of maxillary median diastema: A follow-up evaluation of consecutive cases. Angle Orthodontist 1999; 69: 257-63.
  • 14. Zachrisson BU. Clinical experience with direct-bonded orthodontic retainers. Am J Orthod. 1977; 71: 440-8.
  • 15. Naraghi S, Andren A, Kjellberg H, Mohlin BO. Relapse tendency after orthodontic correction of upper front teeth retained with a bonded retainer. Angle Orthod 2006; 76: 570-6.
There are 15 citations in total.

Details

Other ID JA83RB25HP
Journal Section Case Report
Authors

Sümeyya Şin This is me

Kadir Beycan This is me

Yazgı Ay This is me

Publication Date April 1, 2017
Published in Issue Year 2017 Volume: 18 Issue: 1

Cite

EndNote Şin S, Beycan K, Ay Y (April 1, 2017) Treatment of Maxillary Midline Diastema Using Removable Clear Trays and Elastics: A Case Report. Meandros Medical And Dental Journal 18 1 68–71.