A Case Report on Aesthetic Rehabilitation of Midline Diastema- An Insight into Perio-Restorative Interrelationship

Aesthetic restorative procedures have gained immense popularity in the recent years. Midline diastemas have been commonly reported by a majority of patients due to poor aesthetic appeal. Various treatment modalities are available and cases have to be managed differently depending on the aetiological factors. Also, the selection of an appropriate restorative option is imperative to providing a pleasing smile. Conservative treatments that provide a solution to aesthetic problems and fulfil the patient’s expectations should always be the first therapeutic option. Ceramic veneers are capable of providing an accurate replica of the natural teeth along with good colour stability and periodontal biocompatibility. Soft tissues play a vital role in creating a harmonious and aesthetic result between the restorations, hard tissues and surrounding gingiva. Therefore, periodontal treatments such as crown lengthening and frenectomy are essential for creating an ideal soft tissue form corresponding to the tooth proportions. Management of large anterior interdental spaces requires a comprehensive treatment planning and often, a multidisciplinary approach is essential from a team of restorative dentists and periodontists to focus on the aetiological factors, patient needs, aesthetics and achieve stable long-term clinical results. The present case report discussed the satisfactory management of a wide anterior maxillary midline diastema in a 30-year-old female using a conservative perio-restorative approach with ceramic veneers after frenectomy and aesthetic crown lengthening procedure without any orthodontic intervention. The success of the present case was determined by a proper diagnosis of the underlying aetiology, treatment planning, use of ceramic veneers and total-etch adhesive technique.