Management of Midline Diastema Using M-Spring Appliance in Mixed Dentition - A Case Report
A B BINDU. *
Department of Pediatric & Preventive Dentistry, Sree Anjaneya Institute of Dental Sciences, Kozhikode, Kerala University of Health Sciences, Kerala, India.
MADHU. S
Department of Pediatric & Preventive Dentistry, Government Dental College, Kozhikode, Kerala University of Health Sciences, Kerala, India.
Sameer Punathil
Department of Pediatric & Preventive Dentistry, Sree Anjaneya Institute of Dental Sciences, Kozhikode, Kerala University of Health Sciences, Kerala, India.
JIPSA VENUGOPAL
Department of Pediatric & Preventive Dentistry, Sree Anjaneya Institute of Dental Sciences, Kozhikode, Kerala University of Health Sciences, Kerala, India.
*Author to whom correspondence should be addressed.
Abstract
A midline diastema, particularly when the space is significant, poses considerable aesthetic and malocclusion challenges in children. The cause of midline diastema can be attributed to normal physiological process, genetic and racial inclination, developmental defects and congenital anomalies, local physical obstructions, muscle imbalance, detrimental habits and tooth size arch length discrepancies. It is mandatory to recognise and intercept the cause of the diastema as it cause bite imbalance, changes in the direction of chewing force that can affect neighboring teeth, phonetic disorders, food retention in the gaps that accelerate the risk of caries and periodontal disease and to achieve long-term stability of the diastema closure. Presenting a case of midline diastema which needed earlier intervention using M spring to allow space for eruption of lateral incisors.
Keywords: Midline diastema, M spring appliance, early intervention, children, physiological process, racial inclination, developmental defect