How is midline diastema treated?
Etiology of midline diastema is multifactorial. Proper diagnosis and timing is the important part of management. Management options are observation and follow up, orthodontic treatment, frenectomy and space closure and restorative treatment. Permanent retention is the most important part of treatment.
How do you close the median diastema?
Removable appliances generally close diastemas by tipping the crowns of incisors. They do not provide effective vertical or torque control, which results in a strong tendency toward relapse. Fixed appliances can move teeth bodily.
Is midline diastema genetic?
The importance of the presence of a maxillary midline diastema resides in its position and the concern it causes to patients. This specific diastema has been attributed to genetic and environmental factors, even though it is often a normal feature of growth, especially in primary and mixed dentition.
What causes midline diastema?
If a person’s teeth are too small, relative to the size of their jawbone, gaps may develop between the teeth. Jawbone and tooth sizes can be genetic, which is one reason that diastemas can run in families.
What is diastema diagnosis?
Diagnosis of a diastema is straightforward — the dentist spots the gap while examining the teeth. Typically, the individual will notice the gap first, while brushing or flossing.
Is there a way to retain midline diastema?
RETENTION Midline diastema is often considered easy to treat but difficult to retain. 48. Retention can be achieved by:- Lingual bonded retainers Banded retainers Hawley’s retainer
What is the Blanch test for midline diastema?
BLANCH TEST- lift the upper lip and pull in outward and look for blanching of the soft tissue lingual to and between two central incisors. presence of blanch indicates high frenal attachment as cause of midline diastema. Free template from www.brainybetty.com4/19/2012 20 (copyright 2007)
What did Broadbent call the maxillary midline diastema?
Broadbent (1941) described the maxillary midline diastema in growing children as non-esthetically pleasing and characterized it as the “ugly duckling” stage of dental development. [1,2,5] He considered this stage as a transitional phase for the maxillary interincisal diastema, indicating the space available for the erupting permanent dentition.
How does abnormal frenal attachment cause midline diastema?
Abnormal frenal attachment• The presence of thick and fleshy labial frenum can give rise to midline diastema.• This kind of frenal attachment prevents the two central incisors from approximating each other due to fibrous connective tissue interposed between them.