Correction of midline diastemas without much preparation of the teeth is one of the challenges in clinical esthetic dentistry. While excellent aesthetics are possible with indirect restorations, there may be unnecessary tooth structure removed in order to achieve the desired results. This may affect the long term success of the restoration, when dealing with younger patients. Whenever possible, tooth material augmentation versus tooth material amputation allows for a more conservative treatment option. Many innovative therapies have been used, varying from restorative procedures to surgery (frenectomies) and orthodontics. The size of the diastema is an important determinant when selecting the mode of treatment as well as the material for correction. When a larger space closure is needed, orthodontics may be indicated to allow for a more aesthetic outcome. When a small diastema with teeth in proper orthodontic alignment, no preparation of the tooth structure is necessary and direct composite bonding may yield the desired result. The following case report shows a restorative protocol using direct composite resin build up when addressing the midline diastema.
Keywords: Diastema closure, Direct resin, Customized matrix
