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International Journal of Esthetic Dentistry  (English Edition)



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Int J Esthet Dent 10 (2015), No. 4     24. Sep. 2015
Int J Esthet Dent 10 (2015), No. 4  (24.09.2015)

Page 564-574, PubMed:26794052

Rubber dam isolation - key to success in diastema closure technique with direct composite resin
Barros de Campos, Paulo Ricardo / Maia, Rodrigo Rocha / Rodrigues de Menezes, Livia / Barbosa, Isabel Ferreira / Carneiro da Cunha, Amanda / Pereira, Gisele Damiana da Silveira
The use of direct composite resin for diastema closure has technique advantages, including that the restorative procedure can be carried out in one appointment at a reasonable cost and without the removal of sound tooth structure. The use of a rubber dam for closing diastemas with composite resin is of paramount importance as it prevents moisture contamination and ensures increased gingival retraction compared to other techniques. This provides better access to the cervical area of the tooth, facilitating proper placement of resin to recreate the natural anatomical contours and contact point. Thus, there is a more natural adaptation of the restoration to the gingival tissue, avoiding a space between the papilla and the restored tooth. To illustrate the advantages of this technique, two diastema closure cases are presented using direct composite resin with rubber dam isolation.