title: Prevalence of artificially created maxillary midline diastema and its complications in a selected nigerian population.
abstract: BACKGROUND
  Maxillary midline diastema (MMD) is generally regarded as a symbol of beauty in Nigeria. The desperation to look beautiful has caused many individuals to seek the creation of artificial midline diastema and that comes often with undesirable side effects.
  
  
  OBJECTIVE
  To determine the prevalence of artificially created maxillary midline diastema (MMD) and its complications in a selected Nigerian population.
  
  
  METHODS
  A cross-sectional study using a semi-structured questionnaire as the instrument for data collection was done among patients attending a private clinic in Owerri the capital of Imo state in Nigeria over a period of 18 months. The data were retrieved from the questionnaires and analyzed using the SPSS version 20.
  
  
  RESULTS
  There were 141 respondents comprising 58(41.1%) males and 83(58.9%) females, giving a male to female ratio of 1:1.4. The prevalence of artificially created MMD was 34.0% with increased frequency in: the 21-30 years age group; among the females and in respondents with tertiary level of education. Majority of the respondents (69.5%) desire MMD and 20.8% of those without it wanted it created through cosmetic dentistry. Twenty of the 48 respondents with artificial MMD had it done to enhance personal beauty and aesthetics. The commonest complication was tooth sensitivity (44.8%), followed by toothache (41.4%).
  
  
  CONCLUSIONS
  The prevalence of artificially created MMD was 34.0% in this study; and it is commoner in females and younger age group .The commonest complication was tooth sensitivity. Enhancement of personal beauty and aesthetic was the major reason for having it done.
authors.affiliation: Department Of Restorative Dentistry, Faculty of Dentistry, University of Port Harcourt, Port Harcourt, Rivers State, Nigeria.
authors.forename: Ayama
authors.initials: A
authors.lastname: Umanah
authors.affiliation: District Hospital Egba, Uhunwonde LGA, Edo state.
authors.forename: Abdul-Azeez
authors.initials: AA
authors.lastname: Omogbai
authors.affiliation: Department Of Preventive Dentistry, University of Port Harcourt Teaching Hospital, Rivers State, Nigeria.
authors.forename: Babatope
authors.initials: B
authors.lastname: Osagbemiro
mesh_terms: D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D000368:Aged; D003430:Cross-Sectional Studies; D003970:Diastema / Q000453:epidemiology* / Q000209:etiology / Q000601:surgery; D004955:Esthetics, Dental / Q000523:psychology / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D007180:Incisor / Q000601:surgery*; D007742:Labial Frenum / Q000601:surgery; D008297:Male; D008437:Maxilla / Q000601:surgery*; D009549:Nigeria / Q000453:epidemiology; D015995:Prevalence; D017678:Sex Distribution; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D055815:Young Adult
keywords: Artificially created; Complications; Maxillary Midline Diastema
references.citation: Eur J Orthod. 1995 Dec;17(6):505-12
references.pmid: 8682167
references.citation: Pract Periodontics Aesthet Dent. 1996 Jan-Feb;8(1):95-102; quiz 104
references.pmid: 9028276
references.citation: Afr Health Sci. 2012 Mar;12(1):77-80
references.pmid: 23066425
references.citation: Quintessence Int. 1994 Jan;25(1):7-14
references.pmid: 8190886
references.citation: Angle Orthod. 1973 Oct;43(4):438-43
references.pmid: 4517976
references.citation: Angle Orthod. 1989 Winter;59(4):277-82
references.pmid: 2596749
references.citation: Community Dent Health. 1993 Dec;10(4):375-80
references.pmid: 8124625
references.citation: J Esthet Restor Dent. 2002;14(2):97-106
references.pmid: 12008808
references.citation: J Dent Hyg. 1998 Winter;72(1):23-5
references.pmid: 9495191
references.citation: Int Dent J. 2011 Oct;61(5):257-60
references.pmid: 21995373
references.citation: Am J Orthod. 1977 May;71(5):489-508
references.pmid: 266363
references.citation: J Am Dent Assoc. 1999 Jan;130(1):85-94
references.pmid: 9919036
references.citation: Scand J Dent Res. 1970;78(6):530-4
references.pmid: 5275525
references.citation: Community Dent Oral Epidemiol. 1980;8(5):244-56
references.pmid: 6936127
references.citation: Indian J Dent Res. 2009 Apr-Jun;20(2):195-200
references.pmid: 19553722