Journal of Applied Dental
and Medical Sciences
Journal of Applied Dental and Medical Sciences is A Quarterly Published


Midline diastema closure through combined orthodontic and surgical approach: A case report

Rakhi Gupta, Trilok Shrivastava, Amitabh Kallury, Ankur Chaukse, Syed Akbar Ali, Ashutosh Sthapak 


Midline diastema is a common aesthetic problem in mixed and permanent dentition. Many innovative therapies are available varying from restorative procedures such as composite build-up to surgery (frenectomy) and orthodontics. A high frenum attachment is often the cause of persistent diastemas. Presented herewith is a case report of a 20-year-old female with a high frenal attachment that had caused spacing of the maxillary central incisors. This case report demonstrates closure of midline diastema through fixed orthodontic appliance and removal of abnormal labial frenum attachment through surgery.

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