A Comparative Assessment between Patients with Midline Diastema Treated with Novel S Spring and Conventional Method: An In Vivo Study

intervention either through fixed appliances such as E-chains, closed coil springs, and ligature wires, or removable appliances such as finger springs and Hawley appliances are considered.This IntroductIonDiastema is the Greek word for "interval," and it refers to the distance or gap that separates two or more neighboring teeth.Often found between the two central incisors in the midline of the maxillary arch, this gap is known as midline diastema. 1As part of the mixed dentitions in normal development, the diastema is seen in many children and typically goes away on its own as dental development advances. 2A gap between adults' maxillary central incisors is commonly regarded as a malocclusion or an esthetic concern. 3idline diastemas occur in approximately 98% of 6-year-olds, 49% of 11-year-olds, and 7% of 12-18-year-olds.A number of conditions, such as forwardly placed maxillary incisors, labial frenum attachment, a missing tooth, a conical-shaped lateral, mesiodens, and self-harming conditions induced by tongue piercing, can result in midline diastema.In order to diagnose frenal attachment Placek's classification is used.There are different types of frenal attachment, such as mucosal, gingival, papillary, and papilla penetrating.Removable appliance can cause uncontrolled tipping movement, as there is single point contact.Although there is a two-point contact with fixed appliances, the brackets are bonded in the middle to the clinical crown, which is distant from the tooth's center of resistance. 4,5umerous innovative treatments have been employed, ranging from orthodontics and surgery (frenectomies) to restorative methods.Following the diagnosis and attending the underlying cause of midline diastema, closure of diastema by orthodontic 1,