Conservative Management of Tooth Size Arch Length Discrepancies-a Report of Two Cases

Abstract

Tooth size arch length discrepancies ideally require orthodontic treatment. But in certain exceptional cases like spacing due to aggressive periodontitis, pathological migration and non-compliance of the patient to undergo comprehensive orthodontic procedure, the scenario demands deviation from the routine treatment approaches and to customise the treatment plan based on the patient’s needs. This paper reports two cases: midline diastema in mandibular anteriors due to pathological migration managed with acrylic pontic retained by fiber reinforced composite restoration. The second case discusses anterior crowding managed conservatively by a fixed partial denture and the natural tooth pontic retained by fiber reinforced composite splint. KEYWORDS: Aesthetic transformation, cosmetic recontouring, fiber reinforced composite, natural tooth pontic.