Multidisciplinary clinical decision-making of anterior diastema closure
10.7518/hxkq.2024.2023460
- VernacularTitle:关闭前牙牙间隙的口腔门诊多科室合作临床决策
- Author:
Haiyang YU
1
;
Yusen SHUI
;
Qingsong JIANG
Author Information
1. 口腔疾病防治全国重点实验室 国家口腔医学中心 国家口腔疾病临床医学研究中心 四川大学华西口腔医院修复科,成都 610041
- Keywords:
anterior diastema;
etiological diagno-sis;
clinical decision;
multidisciplinary clinical proce-dure;
actual measurement;
adjacent laminate veneer
- From:
West China Journal of Stomatology
2024;42(3):277-285
- CountryChina
- Language:Chinese
-
Abstract:
Anterior diastema is a common esthetic defect in China.The general treatment for a patient with diastema-ta,including orthodontics and direct and indirect restorations,is a multidisciplinary clinical procedure covering the ortho-dontics,operative dentistry,general dentistry,and prosthodontics department.Given the diversity of departments and the complex etiology of this defect,decision-making regarding the closing methods and time selection is undefined and unin-tegrated,which makes the long-term stability of closure unpredictable.This article proposed an etiology-based decision tree with actual measurement of diastemata width for diastemata closure.The decisional steps include classifying the eti-ological factors based on patients'medical history and clinical manifestation to evaluate the stability of diastemata.After maintaining the stability of diastemata,contemporary and multidisciplinary treatment plans were selected in accordance with the measured width of diastemata and patients'cosmetic psychology,economics,and available time.These decision trees focus on the challenges of collaboration among dental departments,propose an objective and efficient ways for con-nections,and promote efficient and effective diastemata closure.
