Saleem D. Makandar, Pradeep A. Bapna, Tarang Tyagi


Objective: To describe a traditional technique that helps the clinician on designing spacing closure with ideal width proportions, dimension of both
the side of the arch kept in balance to avoid undue Unesthetic zone at cervical to contact point.
Materials and Methods: The dimensions of the each tooth measured snd the spacing present in the area between upper incisors measured using
digital calliper, to perform and achieve ideal dimensions of teeth maintaining the proportions.
Results: The use artistic work and direct manipulation of composite on teeth give the clinician sufficiently save the time and achieve adequate
smile within single visit.
Conclusions: The use of a traditional and more artistic method of direct manipulation of composites on the teeth helps in achieving the successful
smile and adequate aesthetic appearance of patient. Can bee achieved desired aesthetic with single visit without much consuming time of patient
and operators. The most in important aspect is you should have sufficient knowledge of smile design and proportion of teeth. The challenges lies
in the technique of shade selection and manipulation of composite on to the tooth surface. novel silicone index technique allowed for ensuring the
same width for both upper central incisors in a midline diastema closure, improving gingival tissue's health.
Clinical Significance: The main difficulties regarding diastema closure are related to reaching an appropriate width proportion of the incisors and
avoiding a ledge at the gingival aspect of the contact area.


Diastema, Spacing between Incisors, Diastema closure, Direct Composite Restorations, Traditional Smile Design.

Full Text:



Barros de Campos PR, Maia RR, Rodrigues de Menezes L,Barbosa IF, Carneiro da Cunha A, da Silveira Pereira GD. Rubber dam isolation-key to success in diastema closure technique with direct composite resin. Int J Esthet Dent. 2015;10:564-74.

Saratti CM, Krejci I, Rocca GT. Multiple diastema closure in periodontally compromised teeth: how to achieve an enamel like emergence profile. J Prosthet Dent. 2016;116:642-646.

Lampel E, Lovasz BV, Meszarics R, Jeges S, Toth A, Szalma J. Direct Resin composite restorations for fractured maxillary teeth and diastema closure: a 7 years retroprospective evaluation of survival and influencing factors. Dent Mater. 2007;33:467-76.

Kerosuo H, Hausen H, Laine T, Shaw WC. The influen of incisal malocclusion on the social attractiveness young adults in Finland. Eur J Orthod 1995;17:505-12.

Dlugokinski MD, Frazier KB, Goldstein, Treatment of Diastema. In: Esthet (Vol.2).RE Goldstein, VB Hoywood (BC Decker Inc. London, 2002;703-732.

Bolton WA. Clinical application of tooth size analysis. Am J Orthod 1962;61:504-29.

Bhoyar AG. Esthetic Closure of Diastema using porcelain Laminate Veneers: A Case Report. Peoples Journal of Scientific Research 2011;4(1):47-50.

Shuman IE, Goldstein MB. Anterior esthetic using Direct Composite With custom matrix guide. Dent Today. 2008;27:126-31.

Lal SM, Jagadish S. Direct composite veneering technique producing a smile design with a costomised matrix. J Conserv Dent 2006;9:87-92.

Hickel R, Peschke A, Tyas M, Mjor I, Bayne S, Peters M,et al. FDI World Dental federation-clinical crieteria for the evaluation of Direct direct and Indirect restorations. Update and Clinical examples. Clin Oral Invest 2010;14:349-66.

Baum AT: The midline diastema. J Oral Med. 1966;21:30-39.


  • There are currently no refbacks.