A 37 year old female patient came for esthetic correction of gaps on her maxillary incisors. Clinical examination presented dentoalveolar discrepancy of multiple diastemas between all the maxillary incisors. Gingivoplasty was done to improve crown length and multiple diastema closure by free hand technique with direct composite restoration

MATERIALS AND METHODS:

Evaluation of the preoperative model is critical in determining the amount of soft tissue reduction that will be necessary and the extent of tooth preparation. The amount of space between the teeth is calculated and then added to the central incisors. Gingivoplasty was done in thinning of the interdental areas of each incisor. The papilla area is sculptured and narrowed subgingivally 2 weeks prior to restorative treatment. Tooth preparation was minimal since arch alignment is good.  A proximal reduction was done on the distal aspect of the maxillary right central incisor to reduce tooth by the amount to be added in the area of diastema to close. Free hand technique with composite resin was done in closing the proximal surfaces of the incisors.

DISCUSSION AND CONCLUSION:

Closing diastema between anterior teeth with the use of composite resin using direct technique may be considered a conservative and time saving procedure. Proper manipulation and treatment planning offers a highly esthetic and durable restoration that can satisfy patient’s needs as under the conditions of the case presented.