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VOLUME 14 , ISSUE 1 ( January-June, 2022 ) > List of Articles


Esthetic Management of Maxillary Anterior Teeth in a Patient with Midline Diastema Having Deep Bite Using Palatal Loop Connector: A Case Report

Sujata Chahal, Divya Dahiya, Aman Duhan, Surbhi Mittal

Keywords : Diastema, Esthetics, Fixed partial denture, Loop connector, Spacing

Citation Information : Chahal S, Dahiya D, Duhan A, Mittal S. Esthetic Management of Maxillary Anterior Teeth in a Patient with Midline Diastema Having Deep Bite Using Palatal Loop Connector: A Case Report. CODS J Dent 2022; 14 (1):20-23.

DOI: 10.5005/jp-journals-10063-0128

License: CC BY-NC 4.0

Published Online: 02-03-2023

Copyright Statement:  Copyright © 2022; The Author(s).


Aim: To rehabilitate the missing anterior teeth with already existing diastema through a fixed partial denture (FPD) with loop connectors. Background: When a conventional FPD is used to replace missing teeth with already existing diastema, the anterior teeth may become overly wide, resulting in poor esthetics. Implant-supported prosthesis or FPD with loop connectors can be used to address the diastema caused by missing central incisors. Case description: This clinical report discusses the fabrication of a modified FPD with loop connectors to rehabilitate the missing maxillary anterior teeth with a wide span created by an existing diastema. Conclusion: Diligent treatment planning and patient motivation regarding oral hygiene are crucial steps for the success of the restoration. Clinical significance: The modified FPD with loop connectors improves the natural appearance of the restoration, maintains the diastema and the emergence profile, and preserves the remaining tooth structure of the abutment teeth.

  1. Miller TE. Implications of congenitally missing teeth: orthodontic and restorative procedures in the adult patient. J Prosthet Dent 1995;73(2):115–122. DOI: 10.1016/s0022-3913(05)80148-9
  2. Prasad A, Nagappan, Gokul, et al. Aesthetic rehabilitation of missing anterior tooth using loop connector FPD to maintain midline diastema: a case report. J Res Med Dent Sci 2022;10(4):88–91.
  3. Levin EI. Dental esthetics and the golden proportion. J Prosthet Dent 1978;40(3):244–252. DOI: 10.1016/0022-3913(78)90028-8
  4. Kalra A, Gowda ME, Verma K. Aesthetic rehabilitation with multiple loop connectors. Contemp Clin Dent 2013;4(1):112–115. DOI: 10.4103/0976-237X.111632
  5. Shenoy K, Sajjad A. Anterior loop connector fixed partial denture: a simple solution to a complex prosthodontic dilemma. J Indian Prosthodont Soc 2008;8(3):162–164. DOI: 10.4103/0972-4052.49022
  6. Rosensteil SF, Land MF, Fujimoto J. 3rd ed. St. Louis, Mo: Mosbay; 2001. Contemporary Fixed Prosthodontics; p. 710.
  7. Bhandari S, Bakshi S. Survival and complications of unconventional fixed dental prosthesis for maintaining diastema and splint pathologically migrated teeth: a case series up to 8 years follow-up. Indian J Dent Res 2013;24(3):375–380. DOI: 10.4103/0970-9290.118018
  8. Nayar S, Jayesh R, Venkateshwaran, et al. Loop connectors in dentogenic diastema. J Pharm Bioallied Sci 2015;7(Suppl 1):S279–S281. DOI: 10.4103/0975-7406.155956
  9. Mathew TA, Koshy AT, Thomas AS, et al. Using loop connectors as an interim mode of treatment: an interdisciplinary approach. Indian J Dent Res 2016;27(6):672–676. DOI: 10.4103/0970-9290.199584
  10. Piancino MG, Tortarolo A, Di Benedetto L, et al. Chewing patterns and muscular activation in deep bite malocclusion. J Clin Med 2022;11(6):1702. DOI: 10.3390/jcm11061702
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