An interdisciplinary approach to management of diastemas: A novel classification and a case report

Diastema between the teeth negatively affects the patients' smile, psychology and daily activities by creating a disharmony in the patients' face. The development of diastema has been attributed to several factors such as labial frenulum, microdontia, mesiodens, peg-shaped lateral incisors...

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Main Authors: Sindhu Saeralaathan, Vamsi Lavu, Mathan Rajan, S K Balaji, Arathi Ganesh
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2021-01-01
Series:Indian Journal of Dental Research
Subjects:
Online Access:http://www.ijdr.in/article.asp?issn=0970-9290;year=2021;volume=32;issue=2;spage=250;epage=255;aulast=Saeralaathan
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author Sindhu Saeralaathan
Vamsi Lavu
Mathan Rajan
S K Balaji
Arathi Ganesh
author_facet Sindhu Saeralaathan
Vamsi Lavu
Mathan Rajan
S K Balaji
Arathi Ganesh
author_sort Sindhu Saeralaathan
collection DOAJ
description Diastema between the teeth negatively affects the patients' smile, psychology and daily activities by creating a disharmony in the patients' face. The development of diastema has been attributed to several factors such as labial frenulum, microdontia, mesiodens, peg-shaped lateral incisors, agenesis, cysts, habits such as finger sucking, tongue thrusting, or lip sucking, dental malformations, genetics, proclinations, dental-skeletal discrepancies, and imperfect coalescence of interdental septum. Patients often present with complex problems that require a multidisciplinary treatment approach which includes determination of the aetiological factors, soft tissue morphology, occlusion, patient demands and aesthetic consideration to achieve satisfactory outcomes. Lack of current literature on classification of diastemas and multi-disciplinary approach of management led to the proposal of a new classification the ATAC (Anatomic and Therapeutic Classification) for management of the diastema. This case report highlights the use of the proposed classification for management of diastemas, requiring a perio-restorative intervention using a Chu's proportion gauge to achieve ideal aesthetics.
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spelling doaj.art-bb4d133addfa48ada0f68d076629f39b2022-12-22T03:32:13ZengWolters Kluwer Medknow PublicationsIndian Journal of Dental Research0970-92901998-36032021-01-0132225025510.4103/ijdr.IJDR_952_20An interdisciplinary approach to management of diastemas: A novel classification and a case reportSindhu SaeralaathanVamsi LavuMathan RajanS K BalajiArathi GaneshDiastema between the teeth negatively affects the patients' smile, psychology and daily activities by creating a disharmony in the patients' face. The development of diastema has been attributed to several factors such as labial frenulum, microdontia, mesiodens, peg-shaped lateral incisors, agenesis, cysts, habits such as finger sucking, tongue thrusting, or lip sucking, dental malformations, genetics, proclinations, dental-skeletal discrepancies, and imperfect coalescence of interdental septum. Patients often present with complex problems that require a multidisciplinary treatment approach which includes determination of the aetiological factors, soft tissue morphology, occlusion, patient demands and aesthetic consideration to achieve satisfactory outcomes. Lack of current literature on classification of diastemas and multi-disciplinary approach of management led to the proposal of a new classification the ATAC (Anatomic and Therapeutic Classification) for management of the diastema. This case report highlights the use of the proposed classification for management of diastemas, requiring a perio-restorative intervention using a Chu's proportion gauge to achieve ideal aesthetics.http://www.ijdr.in/article.asp?issn=0970-9290;year=2021;volume=32;issue=2;spage=250;epage=255;aulast=Saeralaathanbiologic widthbiomimeticcomposite resincrown lengtheningdiastemagingival zenith
spellingShingle Sindhu Saeralaathan
Vamsi Lavu
Mathan Rajan
S K Balaji
Arathi Ganesh
An interdisciplinary approach to management of diastemas: A novel classification and a case report
Indian Journal of Dental Research
biologic width
biomimetic
composite resin
crown lengthening
diastema
gingival zenith
title An interdisciplinary approach to management of diastemas: A novel classification and a case report
title_full An interdisciplinary approach to management of diastemas: A novel classification and a case report
title_fullStr An interdisciplinary approach to management of diastemas: A novel classification and a case report
title_full_unstemmed An interdisciplinary approach to management of diastemas: A novel classification and a case report
title_short An interdisciplinary approach to management of diastemas: A novel classification and a case report
title_sort interdisciplinary approach to management of diastemas a novel classification and a case report
topic biologic width
biomimetic
composite resin
crown lengthening
diastema
gingival zenith
url http://www.ijdr.in/article.asp?issn=0970-9290;year=2021;volume=32;issue=2;spage=250;epage=255;aulast=Saeralaathan
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AT skbalaji aninterdisciplinaryapproachtomanagementofdiastemasanovelclassificationandacasereport
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