Case report
Synergistic Approach to Diastema Closure using Frenectomy and Restorative Procedures: A Case Report
Correspondence Address :
Dr. Deepak Moses Ravindran,
No. 1, Sri Ramachandra Nagar, Porur, Chennai 600116, India.
E-mail: deepak_perio@sriramachandra.edu.in
Midline diastema, the space between maxillary central incisors, is a common aesthetic concern with multifactorial aetiology. A 24-year-old female presented with a midline diastema caused by a high papillary frenum, contributing to multifactorial aesthetic disharmony. This created aesthetic concerns and anterior asymmetry. Digital diagnostics, including intraoral scanning and virtual smile design, supported accurate assessment and planning. Treatment involved a diode laser frenectomy to remove the high frenal attachment and restore gingival zenith harmony. This was followed by diastema closure using a digitally guided injectable resin composite technique. A 3D-printed mock-up and customised injection template helped achieve precise morphology, controlled resin placement, and strong aesthetic results while preserving tooth structure. Postoperative review at three months showed smooth healing, high patient satisfaction, and stable functional and aesthetic outcomes with no relapse. This case highlights the combined benefits of laser-assisted surgery and digitally guided restorative methods. The approach offers a minimally invasive, predictable, and refined solution for treating diastema linked to high frenal attachment.
Composite resins, Dental aesthetics, Laser, Three dimensional printing
DOI: 10.7860/JCDR/2026/87584.24409
Date of Submission: Jan 21, 2026
Date of Peer Review: Mar 16, 2026
Date of Acceptance: May 23, 2026
Date of Publishing: Sep 01, 2026
AUTHOR DECLARATION:
• Financial or Other Competing Interests: None
• Was informed consent obtained from the subjects involved in the study? Yes
• For any images presented appropriate consent has been obtained from the subjects. Yes
PLAGIARISM CHECKING METHODS:
• Plagiarism X-checker: Mar 07, 2026
• Manual Googling: May 19, 2026
• iThenticate Software: May 21, 2026 (2%)
ETYMOLOGY: Author Origin
EMENDATIONS: 6
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