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    Management of Midline Diastema

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    Hitesh Chopra
    This document discusses the causes, diagnosis, and treatment of midline diastema. It begins with an introduction defining midline diastema as a space greater than 0.5 mm between adjacent teeth. Some common causes are transient malocclusion, tooth-arch length discrepancies, abnormal frenum attachment, and habits. Diagnosis involves examining the teeth and gums and checking for causes. Treatment involves removing the underlying cause, using appliances or surgery. Active treatment may include composites or orthodontics to close the space. Long-term retention is then needed to prevent recurrence, often with lingual retainers.

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    Management of Midline Diastema

    Uploaded by

    Hitesh Chopra
    422 views20 pages
    This document discusses the causes, diagnosis, and treatment of midline diastema. It begins with an introduction defining midline diastema as a space greater than 0.5 mm between adjacent teeth. Some common causes are transient malocclusion, tooth-arch length discrepancies, abnormal frenum attachment, and habits. Diagnosis involves examining the teeth and gums and checking for causes. Treatment involves removing the underlying cause, using appliances or surgery. Active treatment may include composites or orthodontics to close the space. Long-term retention is then needed to prevent recurrence, often with lingual retainers.

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    midline diastema

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    This document discusses the causes, diagnosis, and treatment of midline diastema. It begins with an introduction defining midline diastema as a space greater than 0.5 mm between adjacent teeth. Some common causes are transient malocclusion, tooth-arch length discrepancies, abnormal frenum attachment, and habits. Diagnosis involves examining the teeth and gums and checking for causes. Treatment involves removing the underlying cause, using appliances or surgery. Active treatment may include composites or orthodontics to close the space. Long-term retention is then needed to prevent recurrence, often with lingual retainers.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    422 views20 pages

    Management of Midline Diastema

    Uploaded by

    Hitesh Chopra
    This document discusses the causes, diagnosis, and treatment of midline diastema. It begins with an introduction defining midline diastema as a space greater than 0.5 mm between adjacent teeth. Some common causes are transient malocclusion, tooth-arch length discrepancies, abnormal frenum attachment, and habits. Diagnosis involves examining the teeth and gums and checking for causes. Treatment involves removing the underlying cause, using appliances or surgery. Active treatment may include composites or orthodontics to close the space. Long-term retention is then needed to prevent recurrence, often with lingual retainers.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 20

    Presented by:

    Dr. Hitesh Chopra


    Consultant Cosmetic Surgeon and
    Endodontist

    INTRODUCT
    ION
    ETIOLOGY
    DIAGNOSIS
    MANAGEME
    NT
    CONCLUSIO
    N
    REFERENCE
    S
    REMOV
    AL OF
    CAUSE
    ACTIVE
    TREAT
    MENT
    RETENT
    ION


    INTRODUCTION
    The term midline diastema refers to any
    spacing or gaps existing in midline of the dental
    arch.
    It is generally used in reference to maxillary
    arch,even tough midline spacing is present in
    the mandibular arch.
    Maxillary midline diastema are one of the most
    common problems encountered.
    It has been defined as a space greater than 0.5
    mm between proximal surfaces of adjacent
    teeth
    It is easy to treat but difficult to retain.

    ETIOLOGY
    Main etiological factors are:-
    TRANSIENT
    MALOCCLUSION
    TOOTH MATERIAL-ARCH
    LENGTH DESCREPENCY
    ABNORMAL FRENAL
    ATTACHMENT
    PRESSURE HABITS
    MIDLINE PATHOLOGY
    IATROGENIC
    RACIAL PREDISPOSITION
    DIAGNOSIS
    1. The proper history and clinical examination should
    be done .

    2. Measure the mesiodistal width of the teeth
    which will help in determining the tooth material
    arch length discrepancies.

    3. BLANCH TEST- lift the upper lip and pull in
    outward and look for blanching of the soft tissue
    lingual to and between two central incisors.
    presence of blanch
    indicates high frenal
    attachment as cause of
    midline diastema.
    4. Check for any oral habit.

    5. Periapical radiograph- presence of nothing in
    interdental bone is a diagnostic of a thick and
    fleshy frenum.
    MANAGEMENT
    RETENTION
    REMOVAL
    OF CAUSE
    TREATMENT
    First phase involves the removal of etiology.
    Habbit should be eliminated using fixes or
    removal habit breakers
    a) Diastema due to ugly duckling stage -no
    treatment required
    b) Diastema due to imperfect fusion at midline-
    excision of included interdental tissue
    between the incisors. a flap is raised
    interdentally and fissure inserted gently into
    the cleft.with the bur the included tissue are
    removed and flap situated.
    12
    Esthetic
    Rehabilitation
    ACTIVE Tx
    Removal
    appliances
    PASSIVE Tx
    Fixed
    appliance
    Most orthodontist recomends long term
    retention using suitable retainers since

    midline diastema is considered as easy to
    treat but difficult to retain
    Prolonged retention is indicated in lingual bonded
    retainer
    Esthetic composite resins generally used to
    close midline diastema specially in adult
    patients.

    it requires a gradual composite build up on the
    mesial surface and stripping of distal surface
    of central incisors and lateral incisors in order
    to achieve a natural shape and size of the
    teeth.
    Presence of peg shaped lateral or teeth with
    other anomalies of shape and size require
    prosthetic rehabilitation.
    missing teeth should be replaced
    with fixed or removable prosthesis.
    THUS THE TREATMENT OF MIDLINE
    DIASTEMA WILL IMPROVE THE ESTHETICS
    OF THE PERSON
    IT WILL HELP IN NORMAL ALIGNMENT OF
    TEETH WHICH WILL CONTRIBUTE TO THE
    ORAL HEALTH BUT ALSO GOES A LONG
    WAY IN THE OVERALL WELL BEING AND
    PERSONALITY OF AN INDIVIDUAL.
    Contemporary orthodontics-4
    th
    edition-by:-
    William R Proffit,Henry W.Fields,David
    M.Sarver
    Orthodontics current principle techniques-4
    th

    edition-by:-Thomas M. Graber,Robert L.
    Vanarsdall,Katherine W.L.
    Orthodontics The Art and Science-4
    th
    edition
    by:-S.I.Bhalaji
    Textbook of Orthodontics-2
    nd
    edition-by:-
    Gurkeerat singh


    THANK YOU

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