Treating an Orthodontic Case of Midline Diastema with High Frenal Attachment in Association with Laser Assisted Periodontics and Restorative Procedure

Maxillary midline diastema presents with the compromised aesthetic appearance of an individual which includes spacing in between the maxillary central incisors. Such appearances may worsen with the presence of high attachment of the frenum and small or peg-shaped lateral incisors. In order to address such conditions, multiple approaches may be required. It is important to close the space first and eliminate the cause of abnormal frenum followed by compensating the tooth size discrepancy with suitable restorative material. To achieve such objectives fixed orthodontics or bracket assisted closure of space, laser-assisted frenectomy for the removal of abnormal frenal attachment and composite resin crown build up to attain desirable shape of the tooth has to be employed. With such multidisciplinary practice, an aesthetically sound and pleasing profile was achieved for the patient.