DIASTEMA MEDIANA CLOSURE – MULTIDISCIPLINARY DENTAL PROSTHETIC SOLUTION-A CASE REPORT
Atanas Shukov, Budima Pejkovska Shahpaska*, Bruno Nikolovski, Maja Pejkovska Ilieva and Genc Demjaha
ABSTRACT
Introduction: Dental closure of diastema mediana has been an interesting topic in the field of dentistry and its origin has been investigated. Therapists have had different opinions on the fact whether or not to close the space between the two central incisors and the opinions are divided. Some dentists are more prone to the natural approach, while on the other hand others have a tendency to insist on closing the diastema and an important factor is the patients’ opinion. A 50-year-old male patient with previously worn semi-circular dental bridges for a period of 15 years came to the dental office, with immense pain. The semi-circular dental bridges needed replacement. Ortopantomographic pictures were made. The left semi–circular bridge has moved forward and there were periodontal changes with noticeable mobility on his anterior teeth. The patient underwent multidisciplinary treatment. For his periodontal changes the usage of dental lasers was helpful, after which there was stabilization of the mobility of his teeth. After a proper analysis a group of teeth were extracted. Temporary crowns were digitally designed. After that Zirconia circular dental bridge was manufactured with the CAD/CAM technique, with closure of the patients’ diastema mediana. It is of great satisfaction if dental bridges last longer, but when they need replacement, there arouses a new situation needing different approach. In this case study after the multidisciplinary approach the patient was very satisfied with the new construction.
Keywords: Diastema mediana closure, Semi-circular, Circular dental bridges.
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