Dentaltown November 2017 - 64

A Predictable Way
TO CLOSE THE GAP
Diastema closure made simple

Introduction

Case history

Diastema closure can be considered one of
the most conservative restorative procedures
we can offer our patients. Classically, little
to no preparation is necessary, short of
abrading and cleaning the adjacent surfaces
to be restored.
The key elements to consider in this
treatment option are symmetry, proportion
and the balancing of the midline to the long
axis of the face. The smile begins with the
central incisors, and therefore it is critical
to have these teeth as close to mirror images
of each other as possible and in the correct
proportions. In the completed restorations, any
cant in the midline will result in an aesthetic
failure.1,2 A microfi ll or a highly sculptable
supra-nano-filled composite would be ideal
for this procedure.

A 40-year-old patient was not happy
with the bonding between her front teeth,
which had worn down, chipped and become
discolored (Figs. 1 and 2). She asked for it to
be replaced with new material.

Treatment
The shade was selected at the beginning
of the appointment with a mock-up, using
the same composite anticipated in the final
restoration. The selected shade was EA1
from Estelite Omega, a supra-nano-fi lled
composite from Tokuyama Dental America.
Shade selection was made easier because the
shade guide was made from the composite
material. Based on the trial mock-up, only
one composite shade was necessary for the
diastema closure (Fig. 3).3

by Dr. James H. Peyton
James H. Peyton, DDS, FAACD, maintains a private practice in Bakersfield, California. He
graduated in 1982 from the UCLA School of Dentistry, where he is a part-time clinical
instructor. Peyton is also a lecturer at Esthetic Professionals in Tarzana, California, and
a part-time instructor for the Fahl Institute in Curitiba, Brazil. He has lectured and given
workshops for several American Academy of Cosmetic Dentistry (AACD) annual meetings.
Peyton has published articles in Practical Procedures and Aesthetic Dentistry and the
Journal of Cosmetic Dentistry, where he is a contributing editor. He is an accredited
member, fellow and examiner for the AACD.

64

NOVEMBER 2017 // dentaltown.com


http://www.dentaltown.com

Table of Contents for the Digital Edition of Dentaltown November 2017

Dentaltown November 2017 - Intro
Dentaltown November 2017 - Cover1
Dentaltown November 2017 - Cover2
Dentaltown November 2017 - 1
Dentaltown November 2017 - 2
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Dentaltown November 2017 - Cover3
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