The new "W" in aesthetic orthodontics - case report

Aims & Objectives: Midline diastemas in adults are considered unaesthetic, and a variety of options are available for their closure. The treatment modality depends on both the etiology and extent of the diastema. On occasion, orthodontic intervention may become mandatory to provide optimum treatment for the patient in terms of aesthetics, function, and preservation of biological tissue. This is often the case when a midline diastema coexists with 1. Microdontia of lateral incisors. 2. Adequate overjet for retraction of teeth. 3. Anterior deepbite. This paper presents an aesthetic, simple, and rapid method of midline diastema closure by a kind of palatal spring, one which may easily be fabricated by a dental surgeon. Results: The midline diastema closed completely in 4 weeks in a single activation. There was very mild tipping and no rotation of the teeth. Conclusion: Most patients with spacing in the upper anteriors who desire aesthetic treatment are not agreeable to conventional orthodontic appliances. This palatal spring provides a very simple, aesthetic, and an inexpensive method to close or rearrange anterior spaces so as to provide optimum aesthetics and a functionally stable restoration. Keywords: midline diastema, orthodontics, aesthetics, springs