Orthodontic treatment on patient with maxillary diastema: A case report

Maxillary midline diastema is a space seen in between the upper front teeth. Diastema is part of normal development, and this causes a great challenge for practitioners to intervene or not during the early stage. Diastema on maxillary central incisors on a 24-year-old female patient, with crowding on her mandibular incisors was a success using orthodontic treatment, upper palatal expander, and lower lingual expander. The diastema treatment lasted for only 4 months, and great results were observed. It was confirmed by a panoramic x-ray. Although the diastema gap was successfully narrowed to almost normal, another challenge encountered was midline misalignment. The treatment proposed was to extract all third molars, maxillary, and mandible to correct the midline misalignment.