Abstract

AN INNOVATIVE APPROACH TO MANAGE ANTERIOR DIASTEMA USING PUTTY INDEX AND FIBRE REINFORCED COMPOSITE PONTIC- A CASE REPORT

Meenu Elizabeth Saju*, MDS, B. S. Keshava Prasad MDS, Sandhya Shanmugam, MDS

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Abstract

Aim and objective: To present the management of diastema space closure in the maxillary and mandibular anterior teeth with Fibre – reinforced composite (FRC) bridge. Background: Maxillary and mandibular anterior spacing is a common aesthetic complaint of patients. Various treatment modalities are available for diastema closure. In a condition with moderate diastema space with teeth having 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 a putty index in the maxillary incisors and the FRC bridge as an innovative approach to esthetic management of mandibular anterior teeth. Despite the significant midline diastema, utilizing an FRC pontic proved to be an effective treatment option for closure, showcasing the case's uniqueness. Case description: This case report explains a restorative protocol using the FRC Bridge as an innovative approach to esthetic management of large midline diastema of anterior teeth. FRC pontic was fabricated extraorally which has helped to overcome the increased chairside time necessary for this procedure. Conclusion: This case report along with the literature discusses and highlights the fact that the FRC resin pontic technique is an innovative solution for large diastema closures. Creating an adhesive FRC bridge by using a composite tooth pontic is a successful treatment option for the direct aesthetic management of spacing in anterior teeth. Clinical significance: The FRC pontic offer several clinical benefits including aesthetic appeal, minimally invasive, decreased treatment time and a direct technique. Hence, they provide significant clinical implication offering a conservative and effective solution.

Keywords: Fiber reinforced composite, midline diastema, pontic, restorative treatment, minimally invasive.