Authors : Amani THABET; Hanen BOUKHRIS; Rihab Dakhli; Hajer Zidani; Nouha M’ghirbi; Sihem Hajjaji; Hayet Hajjami; Souha Ben Youssef

Volume/Issue : Volume 9 - 2024, Issue 9 - September

Google Scholar : https://tinyurl.com/29fpv6k7

Scribd : https://tinyurl.com/bdhf3d5x

DOI : https://doi.org/10.38124/ijisrt/IJISRT24SEP693

Note : A published paper may take 4-5 working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and ResearchGate.

Abstract : Diastema, or the presence of a gap between teeth, is a common dental issue that can affect both aesthetics and function. Traditional methods of diastema closure include orthodontic treatments and direct bonding, but these approaches can be time-consuming and invasive. This case report explores the use of dental veneers fabricated through a digital workflow to close a diastema effectively and efficiently. A 25-year-old patient presented with a prominent diastema between the maxillary central incisors. After a comprehensive evaluation, a treatment plan involving porcelain veneers was proposed. The digital workflow began with an intraoral scan to create a precise 3D model of the patient's dentition. Using computer-aided design (CAD) software, the veneers were meticulously designed to ensure optimal fit and aesthetics. The designs were then sent to a milling machine, which fabricated the veneers from high-quality porcelain. The preparation of the teeth was minimal, preserving as much natural tooth structure as possible. The veneers were bonded using a resin cement, providing a seamless integration with the natural teeth. Post- procedure, the patient reported high satisfaction with both the aesthetic and functional outcomes. The digital workflow not only reduced the overall treatment time but also increased precision and predictability. This case highlights the advantages of using digital technology in dental treatments, particularly for cosmetic enhancements such as diastema closure. The integration of digital impressions, CAD software, and precision milling can lead to superior outcomes with less invasiveness and higher patient satisfaction. Further studies are recommended to explore the long-term durability and patient-reported outcomes of digitally fabricated veneers for diastema closure.

Keywords : Diastema Closure ,Dental Veneers, Digital Workflow, Aesthetic Dentistry, Smile Design.

References :

1. Magne et Belser,Bonded porcelain restorations in the anterior dentition. A biomimetic approach, 2002.
2. Temisanren OT, Opeodu OI. Acceptability of midline diastema among dental technician students at the university college hospital, Ibadan. Niger J Med. 2019;28(4):354-9.
3. Huang WJ, Creath CJ. The midline diastema : a review of its etiology and treatment. Pediatr Dent. 1995;17:171-9.
4. Richardson ER, Malhotra Sk SK, Henry M, Little RG, Coleman HT. Biracial study of the maxillary midline diastema. Angle Orthod. 1973;43(4):438-43.
5. Shashua D, Årtun J. Relapse after orthodontic correction of maxillary median diastema : a follow-up evaluation of consecutive cases. Angle Orthod. 1999;69(3):257-63.
6. Baum AT. The midline diastema. J Oral Med. 1966;21(1):30-9.
7. Joneja P, Pal V, Tiwari M, Hazari P. Factors to be considered in treatment of midline diastema. Int J Curr Pharm Res. 2013;5(2):1-3.
8. Mauro F. Rehabilitation Esthetiques en prothese fixee: Analyse esthetique. 352 p. (Quintessence International; vol. 1). 2006
9. Erdemir U, Yildiz E. Esthetic and functional management of diastema : a multidisciplinary approach. Cham: Springer; 2015. 228 p.
10. Kamble A, Shah P, Velani PR, Jadhav G. Laser-assisted multidisciplinary approach for closure and prevention of relapse of midline diastema. Indian J Dent Res. 2017;28(4):461.
11. Culp L, Mc Lawen E, Swann L. Smile analysis - Converting digital designs to the final smile : Part 2. Journal of Cosmetic Dentistry. 2013;29(2):98-107.
12. Syda PM. Apports des outils numériques à l’analyse esthétique et à la réhabilitation du sourire [Internet]. Académie de Nancy – Metz université de Lorraine Faculté d’odontologie;2018. Disponible sur: http://docnum.univlorraine. fr/public/BUPHA_TD_2018_SYDA_PAUL_MARIE.pdf
13. Breton O, Leclercq P. Apport du numérique en orthodontie. EMC – Orthopédie Dentofaciale. 2021;33 (4) :1-8.
14. Devin R. La dentogénique - une conception actuelle de l’esthétique dentaire. Rev Fr Odontostomatol. 1961;53:7-63.
15. Gaillard C, Riera C. Le smile design : un outil pour la planification des traitements esthétiques et fonctionnels. Le fil dentaire. 2016;121: 40- 46.