Direct Composite Restoration of Anterior Diastemas With Multidisciplinary Approach

It was aimed to present an illustrative clinical case report with an accurate treatment protocol for the esthetic rehabilitation of a patient through the combination of orthodontic and restorative therapy. After intraoral and radiographic examinations of the patient with no systemic disease, it was revealed that there was a midline spacing between maxillary central incisors. Following orthodontic treatment, direct esthetic partial composite laminate veneers as build-ups for both maxillary incisors were considered. For the restorative procedure, it is planned to restore teeth 12, 13, 22, and 23 with direct universal composite resin. To simulate a natural outlook, the shades DA2, and EA1 (Vittra APS Essential, FGM, Brasil) were decided to be used together as layers. Recalls were arranged for 1 week, 6 months, and 18 months. Restorations were evaluated according to modified USPHS Criteria, 18 months follow- up, there was no evidence of any fracture, surface defect, or discoloration. Composite resin restorations might be considered as a simple treatment option with patient satisfaction in diastema cases. It was thought that the correct positioning of diastemas with orthodontic treatment increases the success of composite restorations.