PS-016 ŞEKİL VE KONUM BOZUKLUĞU GÖSTEREN ANTERİOR DİŞLERE ESTETİK YAKLAŞIMLAR

Aim: Diastema, which defines the space between adjacent teeth is an esthetic problem that can result from tooth malformation, teeth size discrepancies or shape and size differences of the teeth. Despite the various treatment options are available for closure of diastemas, use of composite resin restorations that can be performed in single visit is a conservative and low-cost treatment option. Aim of this study is to describe a patient's smile design with combinated approach who have malposition in tooth and diastemas between upper anterior teeth.   Case Report: Twenty-three year-old female patient referred to our clinic for complaints of malposition and polidiestema of the anterior teeth.  Oral examination revealed the retroclined right upper maxillary incisor and the presence of polydiastema between upper anterior teeth. After the examination, information was given about the treatment options to the patient and direct composite resin build-up application was decided.  The build-up application areas of the teeth were etched and bonding agent OptiBond XTR (Kerr Corporation, Orange, CA, USA) were applied. After the palatal wall was obtained with the help of a silicon key, the nano-hybrid composite resin restoration material Tokuyama Estelite Sigma Quick (Tokuyama Dental Corporation) was applied with incremental technique. Restorations were finished with ultra-fine burs, polishing was performed with Sof-Lex (3M Espe, USA) polishing discs and Twist Dia (Kuraray, Japan) Discussion: At 6-month follow-up results were very satisfying for both the patient and dentist. It was observed that the harmony and aesthetics of the restorations between soft tissues and teeth were clinically ideal. Conclusion: Restoration of fractured tooth and closure of diastemas with direct resin composites is a conservative, low-cost, single-visit, and satisfying treatment option at the true indication.