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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.
Article
Aesthetics and function are the two most important goals of modern-day dentistry.1 An attractive well balanced smile and a confident speech are valuable personal assets. Maxillary midline diastema is one of the most frequently seen malocclusions and its incidence ranges from 1.6% to 25.4% and is inversely proportional to age.2,3,4,5,6
Angle7 described the midline diastema as a common form of incomplete occlusion characterized by a space between the maxillary and, less frequently, mandibular central incisors. In his classical article, Andrews8 stated that interdental diastemas should not exist and all contacts should be tight so that the patient has ‘straight and attractive teeth as well as a correct overall dental occlusion’.
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