Abstract:

Purpose: Diasthesis may be caused by differences in the size of the tooth, such as narrow or conic-shaped teeth, or by the difference between the gap in the back and the size of the tooth. Direct composite restorations are a conservative and low-cost treatment option for closing non-esthetic interdental spots. The purpose of this presentation of the phenomenon is to describe the treatment of the interdental spaces caused by lateral tooth size after orthodontic treatment and disconformity in the back with direct composite resin restorations. Facts: Our patients who complain about the previous diasthesis have applied to the Department of Dental Diseases and Treatment of the Atatürk University Dental Medicine. After the patient’s treatment options were told, the patient’s approval was also taken and the decision was made to close the diasthes with the direct resin composite restoration. After the teeth were cleaned and the color was chosen, the isolation of the teeth was provided. 30 seconds of acid (Scotchbond; 3M ESPE, Minn, America) was applied to the surface of the tooth to be applied. After the acid was washed and dried, the transparent tape was placed in the toothpaste. Later adhesive resin (3M Single bond, Minn, America) was applied to the tooth surfaces and polymerized with 20 seconds LED (Woodpecker LED-B Lighting Device, Guilin Wood-Pecker Medical Industry, Ltd, Guangxi, China) lighting Device. After the transparent tape was placed, the mine composite was first applied to the palatinal part of the restoration. For the polymerization of the composite resin (3M ESPE Filter Ultimate, USA) 20'sher s light from the bukal and palatinal surface was applied. Then the body composite was placed on and the mine composite was placed on the upper layer and then polymerized in the same way. After the polimerization was completed, the transparent band was removed. Contouring, finishing and polishing processes were carried out using polishing disks and polishing tyres (Sof-Lex; 3M ESPE). Results: In clinical reviews of patients who were checked after 6 months, no breaks and color changes were observed in the restorations. Keywords: Anterior, diastema, composite, aesthetic AESTHETIC REHABILITATION OF ANTERIOR DIASTEMA CASES WITH DIRECT COMPOSITE RESTORATION: A CASE REPORT ABSTRACT Aim: Diastema can result from tooth-size discrepancies such as narrow or cone-shaped teeth or from the teeth size and the space in the arch. Direct composite laminate veneer is a treatment choice that provides minimally invasive, conservative and cost effective way for the closure of anesthetic interdental spaces. The aim of this case report was to present the diastema closure of patients after orthodontic treatment with direct composite resin veneers. Case: Our patients suffering from previous diastema was admitted at the Atatürk University Faculty of Dentistry and Department of Restorative Dentistry. After the explanation of treatment options to patients, the confirmation was taken from the patient and it was decided to diastema closure with direct resin composite restorations. After the teeth have been cleaned and the color selection made, the isolation of the teeth was done. Orthophosphoric acid was applied on the teeth surface. After the acid is washed and dried, transparent strip was placed in a gingival groove. Then the resin adhesive (3M Single Bond, USA) were applied to tooth surfaces and were polymerized to 20 seconds LED device. After transparent strip was placed, first enamel composite restorations was appiled palatal portion. Composite resin (3M ESPE Filtek Ultimate, USA) 20 seconds LED light was applied buccal and palatal surface for the polymerization to composite resin. Then body composite placed on that and the emal composite was placed on the upper layer and then polymerized. Abrasive discs (Sof-Lex, 3M ESPE) was using for contouring and finishing. Result: In clinical evaluation of the patients coming control affeter 6 months, the were no evidence of any fracture and discoloration. The patients were satisfied with this treatment. Key Words: Anterior, Diastema, Composite, Esthetic

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