title: Conservative Approach for the Esthetic Management of Multiple Interdental Spaces: A Systematic Approach.
abstract: OBJECTIVE
  To describe a conservative approach using resin-based composites following a buccolingual layering technique with a customized silicon index for the management of multiple diastemas.
  
  
  METHODS
  This clinical article describes the case of a patient with their anterior teeth esthetically compromised by multiple diastemas, incisal wear, and dull/low-value cervical composite resin restorations that were managed with nanofilled composite resin using the "buccolingual technique" with a customized silicon index made from a wax-up to build up the restorations. The first layer of composite placed lingually that represents the enamel replacement was placed directly on the silicon index so that it provides in one single step the lingual profile and the position of the incisal edge of the restoration. Then, dentine and effect composite resin can be applied in a precise three-dimensional configuration.
  
  
  CONCLUSIONS
  To solve esthetic dental problems, as anterior diastemas, in a very conservative and even reversible way, the use of direct resin composites for layering is an excellent choice, but should be performed based on simple and reproducible techniques, as the buccolingual technique.
  
  
  CONCLUSIONS
  The clinical technique described in this paper shows the advantages of a conservative approach to correct diastemas on maxillary anterior teeth. The application of these techniques can not only help achieve optimal esthetics, but also avoid the removal of extensive dental hard tissue and achieve a predictable final result, especially in esthetically demanding cases.
authors.affiliation: Department of Restorative Dentistry, Universidad Andrés Bello, Viña del Mar, Chile.
authors.forename: Abelardo
authors.initials: A
authors.lastname: Báez Rosales
authors.affiliation: Department of Restorative Dentistry, Universidad Andrés Bello, Viña del Mar, Chile.
authors.forename: Diego
authors.initials: D
authors.lastname: De Nordenflycht Carvacho
authors.affiliation: Department of Restorative Dentistry, Universidad Andrés Bello, Viña del Mar, Chile.
authors.forename: Ramón
authors.initials: R
authors.lastname: Schlieper Cacciutolo
authors.affiliation: Department of Restorative Dentistry, Universidad Andrés Bello, Viña del Mar, Chile.
authors.forename: Manuel
authors.initials: M
authors.lastname: Gajardo Guineo
authors.affiliation: Department of Restorative Dentistry, Universidad Andrés Bello, Viña del Mar, Chile.
authors.forename: Claudio
authors.initials: C
authors.lastname: Gandarillas Fuentes
mesh_terms: D000328:Adult; D003970:Diastema / Q000628:therapy*; D004955:Esthetics, Dental; D005260:Female; D006801:Humans