Anterior Midline Diastema Closure with Putty Index - A Case Report

Maxillary anterior spacing is a common aesthetic complaint of patients coming to dental clinic. Various treatment modalities are available for diastema closure. However, not all diastemas can be treated the same in terms of modality or timing. While excellent aesthetics are possible with indirect restorations, there may be unnecessary tooth structure removed in order to achieve the desired results. Many innovative therapies have been used, varying from restorative procedures to surgery (frenectomies) and orthodontics for closure of diastema. When a larger space closure is needed, orthodontics may be indicated to allow for a more aesthetic outcome. When a small diastema with teeth in proper orthodontic alignment, no preparation of the tooth structure is necessary and direct composite bonding may yield the desired result. The following case report shows a restorative protocol using direct composite resin build up using an putty index when addressing the midline diastema.