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Varna Medical Forum

Closure of maxillary midline diastema after frenectomy and nonsurgical periodontal therapy – a case report

Irena Georgieva


ABSTRACT: Maxillary midline diastema is an aesthetic problem and is more common in children, but can affect the individuals at any age. The etiology of maxillary diastema includes physiological, pathological or iatrogenic factors. Different therapeutic approaches are used for its correction in dental practice: orthodontic, surgical, restorative and prosthetic therapy.

AIM: The aim of this case report is to evaluate the effect after frenectomy of the maxillary labial frenulum and the performed non-surgical periodontal therapy in the closing of the maxillary diastema without subsequent orthodontic treatment.

MATERIAL AND METHODS: Nonsurgical periodontal therapy and a maxillary labial frenectomy were performed on a 34-year-old male with severe periodontitis with risk of tooth loss (stage III).

RESULTS: Complete closure of the maxillary midline diastema was observed 9 months after treatment.

CONCLUSION: This clinical case demonstrates the efficacy of frenectomy as a self-sufficient approach for the correction of maxillary midline diastema.


maxillary diastema; frenectomy; diastema closure

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