Diastema Closure Following Detection and Removal of Residual Resins After Orthodontic Treatment: Case Report with 1-year follow-up

This case report aimed to determine and remove the residual resins after debonding, to restore the upper lateral teeth with a single shade composite to evaluate with follow-ups. An 18-year-old female patient applied to our clinic with the complaint of the presence of diastemas. Following the sond marking technique, MDP (Smile Lite, Smile Line) and mobile phone (iPhone 11, Apple); DSLR camera (Nikon), macro lens and D-Light caries detection mode (GC) before and after the application of plaque staining gel (Tri Plaque ID, GC) to detect resin residues on tooth surfaces after bracket removal. The residual resins were removed with finishing and polishing discs (last 3 stages) (OptiDisc, Kerr). One week later, the selective-etch technique, universal adhesive (Gluma Bond Universal, Kulzer), and single shade composite (Charisma Diamond One, Kulzer) were used for diastema closure. The patient was called for follow-up at 3, 6, and 12-months evaluated FDI criteria. Residual resins were best determined by using a combination of plaque coloring agent and MDP since the composite used was not a fluorescent light-emitting material. For restorations, FDI 1 and 2 scores were observed in the esthetic, functional, and biological evaluations.