diastema closure

Question 1

causes

Answer 1

1) strong labial frenum

Question 2

rubber damn

Answer 2

1) #3 punch for central
2) #2 punch for lateral
3) rubber dam napkin
- for comfort
4) floss distal to canines

Question 3

simulate diastema

Answer 3

1) total 17.5 mm width
2) lightly clean tooth with 0.12 diamond
- sanding strip to get below gingiva

Question 4

etchant

Answer 4

1) force etchant under the gums with mylar
2) bond

Question 5

closure steps for one tooth

Answer 5

1) free hand apply composite to side of tooth
- sculpt it with hollenbeck
2) incisal third, cure
3) opaque shade from lingual to block out show through
- then apply body shade facially
4) measure width with boley
5) sand to correct contour

Question 6

closure for second tooth

Answer 6

1) apply teflon tape
2) do it the same way

Question 7

finish and polish

Answer 7

1) #12 scalpel
2) sanding strips
3) check occlusion
- work on lingual and facial second
- to prevent thinning
4) finishing with graded disks
5) polish with gray mop

Question 8

same concept

Answer 8

1) applied to peg laterals