J. Orthod.
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Journal of Orthodontics, Vol. 33, No. 1, 22-27, March 2006 doi:10.1179/146531205225021348
© 2006 British Orthodontic Society

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Clinical Section

Maxillary Midline Diastema: a case report involving a combined orthodontic/maxillofacial approach

A. Campbell

Department of Maxillofacial Surgery, York Hospital, York, UK

J. Kindelan

Department of Orthodontics, York Hospital, York, UK

Address for correspondence: J. Kindelan, Orthodontic Department, York Hospital, Wigginton Road, York, YO31 8HE, UK. Email:Jay.kindelan{at}york.nhs.uk

This paper presents an orthodontic case of a large (14.5 mm) maxillary midline diastema that was related to the presence, and subsequent removal of 2 median maxillary supernumerary teeth and resulting bone loss. A combined orthodontic and maxillofacial approach involving bone grafting and fixed appliances was used to close the space. This episode of care was organized as interceptive treatment during development of the permanent dentition.

Key words: Bone graft, interceptive orthodontics, median/midline diastema, supernumerary teeth







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