DIASTEMA CLOSURE USING COMPOSITE RESIN ASSOCIATED WITH PERIODONTAL PLASTIC SURGERY

Objective: The closure of interdental spaces using composite resins is considered an esthetic, practical, and conservative treatment option. However, the combination of two or more types of treatment may be required in order to handle cases in the most complete and suitable way. This case report shows the condition of a patient with complaints about dental esthetics due to the presence of diastema. The objective was the planning and implementation of a restorative treatment with esthetic purpose. Clinical considerations: Treatment was planned by means of photographs, study models and digital planning. Firstly, external tooth whitening was performed, followed by periodontal plastic surgery, replacement of acrylic resin provisional crowns, and restorative test with the purpose of evaluating the form and color of the maxillary central incisors prior to definitive procedures. Then, direct resin composite restorations were carried out for closing diastema and achieving dental harmony. Conclusions: A considerable improvement in dental esthetics, smile harmony and patient satisfaction was obtained by the reported procedures.Clinical Significance: With proper planning, closure of anterior teeth diastema using composite resin and periodontal recontouring surgery become viable options for the dentist.