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  • #11782
    Anonymous
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    Diastema (plural diastemata) is a space between two teeth. Many species of mammals have diastemata as a normal feature, most commonly between the incisors and molars.[1]

    Diastema is a treatable dental deformation (if considered one). Treatments include traditional braces, Invisalign, or direct dental bonding to make the teeth wider and thus fill up the space. One problem with orthodontic correction is relapse: There is a strong propensity for the gap to reappear after treatment.[citation needed] This can be addressed by bonding a permanent retainer to the inside surfaces of the teeth.

    Some internet sources sell elastics that are designed to pull the front teeth together and close a diastema. However, orthodontists and cosmetic dentists warn that these techniques tip the teeth rather than move them sideways as they should be moved. In some cases, people using this technique have caused their front teeth to come loose.[4]

    Maxillary midline diastema is a common aesthetic problem in mixed and early permanent dentitions. The space can occur either as a transient malocclusion or created by developmental, pathological or iatrogenical factors. Many innovative therapies varying from restorative procedures such as composite build-up to surgery (frenectomies) and orthodontics are available. Although literature says every frenectomy procedure should be preceded by orthodontic treatment , some opt for frenectomy technique without any orthodontic intervention.

    #16944
    sushantpatel_doc
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    Registered On: 30/11/2009
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    Will the diastema caused due to high frenal attachment re-occur after closing it with composite? I mean is it mandatory to perform a frenectomy in such cases?

    #16950
    Anonymous

    frenectomy is done as protocol but most importantly one must remember that diastemas are the conditions with highest chance of recurrence and so retentive plates after ortho treatment is compulsory

    for a diastema closure with mere composite, retention is important but has high chances of chipping

    #16953
    vedrahool123
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    Registered On: 21/01/2011
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    Long term retention is essential after Orthodontic treatment.. and Relapse can be frustrating
    for the patient..
    Another option is to use Ceramic Veneers.. they provide excellent
    esthetics with minimum tooth prepration and less treatmet time..
    Veneers like Lumineers sometimes even do not require ne preparation
    and can be placed directly..

    #16957
    tirath
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    Registered On: 31/10/2009
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    is recurrence possible?

    #16958
    Anonymous

    Diastemas have the highest chance of recurence unless enuf retention time is given

    #16965
    tonyshori.perio
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    Registered On: 18/03/2011
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    yes it needs long term retention and also the cause of diastemas should be ruled out if it is due to high frenum that is if the frenum is attached or having a papillary penetrated attachment then frenectomy along with fibrotomy should be done before ortho treatment.

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