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Midline Diastema and its Aetiology − A Review
Reji Abraham Geetha Kamath

Dent Update 2014; 41: 457–464

Abstract: Maxillary midline diastema is a common aesthetic complaint of patients. Treating the midline diastema is a matter of concern for
practitioners, as many different aetiologies are reported to be associated with it. The appearance of midline diastema as part of the normal
dental development makes it difficult for practitioners to decide whether to intervene or not at an early stage. The aim of this article is to
review the possible aetiology and management options which will help the clinician to diagnose, intercept and to take effective action
to correct the midline diastema. The available data shows that an early intervention is desirable in cases with large diastemas. Treatment
modality, timing and retention protocol depends on the aetiology of the diastema. Therefore, priority needs to be given to diagnosing the
aetiology before making any treatment decisions.
Clinical Relevance: This article aims to determine and evaluate the aetiology and possible treatment options of midline diastema.
Dent Update 2014; 41: 457–464

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