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Case Reports
. 2024 Jul 27;16(7):e65484.
doi: 10.7759/cureus.65484. eCollection 2024 Jul.

Midline Diastema Closure Following Frenectomy Using M-spring: A Case Report

Shefali Singh  1 , Rizwan Gilani  1 , Anjali Kathade  1 , Shrutika Tamgadge  2 , Jay Patil  2 , Aishwarya R Atey  1 , Pratik Rathod  3
Affiliations
Case Reports

Midline Diastema Closure Following Frenectomy Using M-spring: A Case Report

Shefali Singh et al. Cureus. .

Abstract

Midline diastemas are one of the most prevalent dental malocclusions. In young adults this may create aesthetics problems, especially in individuals marked by a gap between central incisors higher than 4 mm. This case report demonstrates the treatment of a patient with Angle's Class I malocclusion and midline diastema with the M-spring appliance resulting in complete closure within four months. The case included a frenectomy for correction of the abnormal labial frenal attachment followed by an M-spring orthodontic appliance. This "M" shaped device, with specific activation points, provides control over tooth movement and consequently achieves this site closure in a short duration of time by tipping the crowns of central incisors in a mesial direction. This procedure aimed to resolve aesthetic issues while also enhancing and ensuring functional occlusion.

Keywords: frenectomy; m-spring; midline diastema; midline space closure; orthodontics.

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Conflict of interest statement

Human subjects: Consent was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.

Figures

Figure 1
Figure 1. Pretreatment extraoral photographs: (A) frontal, (B) smiling, and (C) profile
Figure 2
Figure 2. Pretreatment intraoral photographs: (A) right occlusion, (B) frontal, and (C) left occlusion
Figure 3
Figure 3. Intraoral photograph depicting placement of M-spring
Figure 4
Figure 4. Post-treatment intraoral photographs: (A) left occlusion, (B) frontal, and (C) right occlusion
Figure 5
Figure 5. Post-treatment extraoral photographs: (A) frontal, (B) smiling, and (C) profile
See this image and copyright information in PMC

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References

    1. Association between superior labial frenum and maxillary midline diastema - a systematic review. Tadros S, Ben-Dov T, Catháin ÉÓ, Anglin C, April MM. Int J Pediatr Otorhinolaryngol. 2022;156:111063. - PubMed
    1. Midline diastema closure using an M spring in a young adult: a case report. Kumar N, Daigavane P. Cureus. 2022;14:0. - PMC - PubMed
    1. The diastema, the frenum, the frenectomy: a clinical study. Edwards JG. Am J Orthod. 1977;71:489–508. - PubMed
    1. Spontaneous closure of midline diastema following frenectomy. Koora K, Muthu MS, Rathna PV. J Indian Soc Pedod Prev Dent. 2007;25:23–26. - PubMed
    1. 'M' mechanics for midline diastema correction in mixed dentition. Suresh P, Muthukrishnan K, Ramassamy E, Shivashankarappa PG. Br Med J. 2023;16:256179. - PMC - PubMed

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