Patients with diastema have more often oversized upper lip frenulum attachment then patients without diastema. The most often type of frenulum in patients with diastema is papillary and papilla penetrating type. Type of upper lip frenulum attachment has an impact to the size of diastema.
The present study aimed to evaluate the effect of the oral-hygiene regime on the incidence of enamel demineralization in young patients treated with fixed appliances. Research was conducted in a group of 144 patients aged 12–18 years, divided into 2 groups: orthodontically treated and control. The study was divided into three stages: before treatment (I), at 1 month (II), and at 6 months (III) for their follow-up. The International Caries Detection and Assessment System (ICDAS) was used for the visual assessment of white spot lesions (WSL). After 1 month, no new white spot lesions were observed. After 6 months of the treatment, new lesions were observed in 5% of the orthodontically treated patients and in 6% of the patients in the control group. New decalcifications were located on the proximal surfaces of the central incisors, first premolars, and first molars in the orthodontically treated group; and on the lateral incisors, first premolars, and first molars in the control group. We also observed new enamel demineralization on the vestibular surfaces of the canine and first premolar in the study group. The placement of a fixed appliance did not significantly affect teeth with the presence of new white spot lesions compared to the control group during 6 months of observation.
Background:One of the cause of the maxillary midline diastema (MMD) may be discrepancy between teeth and maxilla dimension. That can relate to two situations: when teeth have correct size but maxilla is too large or maxilla bone is in the proper size but teeth have reduced dimensions (microdontia). The present study has been conducted to investigate the differences in the linear dimensions of upper central and lateral incisors and canines in diastematic dentition and to compare them with the control group without diastema.
Material and methods:The study was conducted on Caucasian individuals (n=102) divided into two groups: study group with MMD (n=50) and control group without MMD (n=52). The following measurements were done by digital calliper on their plaster models: 1. Width in the widest mesiodistal portion for upper right and left central incisors, lateral incisors and canines.
Length in the longest apico-coronal portion for the same teeth.Results: Statistical analysis showed that comparison of widths of left canines were significant. In the study group widths of left canines were lower than in the control group. Statistically significant differences in the length were observed for central incisors and canines in both sides. All measurements were lower in the diastema group of patients.
Conclusions:Patients with diastema were characterized by incorrect tooth dimensions. The central incisors and upper canines were shorter in this group. Aesthetic closing of the diastema requires not only widening the crowns of the front teeth but also their elongation.Key words: maxillary midline diastema (MMD), length of incisors, width of incisors, length of canines, width of canines
Patients with diastema had increased in size in both the premolar and molar width of the dental arches. Increase the width affect to both upper and lower dental arch. Patients with diastema also were characterised by often occurrence of normal or increased of the transpalatal width but the width of the diastema did not correlate with the width of the palate. (Folia Morphol 2018; 77, 2: 340-344).
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