Management of the Maxillary Diastema by Various Dental Specialties
Abstract
Purpose
There
is considerable controversy in the literature concerning the
indications for frenectomy for treating a maxillary diastema, as well as
timing of the procedure. The purpose of this study was to survey
pediatric dentists, orthodontists and oral and maxillofacial surgeons
regarding their opinion about this matter in an attempt to develop a
consensus.
Materials and Methods
An
anonymous 7-item electronic questionnaire was sent to members of the
American Academy of Pediatric Dentists, the American Association of
Orthodontists and the American Association of Oral and Maxillofacial
Surgeons asking about etiology of the maxillary diastema, its diagnosis,
and treatment.
Results
Although
there was not agreement among the oral and maxillofacial surgeons
regarding timing of frenectomy and when the diastema should be closed,
the pediatric dentists and orthodontists generally agreed that
frenectomy should not be done before the permanent canines are erupted
and that the operation should follow orthodontic closure of the space.
Conclusion
Although
there was no complete consensus among the 3 groups, a logical treatment
approach for the maxillary diastema is proposed.
Comments