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Midline Diastema Closure Using Putty Index – Welcome to Dr.Dentique-hub First, a pre-operative impression or diagnostic wax-up is taken. Based on this, a silicone putty index is fabricated. The putty index is then tried intraorally to verify proper fit. This index will serve as a guide for accurate lingual composite placement and help achieve ideal tooth contour. Next, the enamel surface is etched using 37% phosphoric acid for 15 to 20 seconds. The tooth is then rinsed thoroughly and air-dried until a chalky white appearance is seen, indicating proper etching. A bonding agent is applied uniformly over the etched surface. It is gently air-thinned to ensure even distribution and then light-cured for 10 to 20 seconds to achieve strong adhesion. The putty index is then positioned on the lingual surface of the tooth. A thin layer of composite is applied against the index and light-cured. This step creates a stable lingual wall, also known as the lingual shelf. The putty index is then removed. This ensures correct anatomy and prevents over-contouring of the restoration. Next, the composite layering technique is performed. Since the lingual enamel layer is already established, a dentin shade composite is applied to build the internal tooth structure, restoring proper volume and opacity. This layer is light-cured. Finally, an enamel shade composite is applied to close the diastema completely. A Mylar strip is used to create tight proximal contact and proper contour. The composite is shaped to achieve natural translucency and then light-cured. Once layering is complete, contouring and finishing are performed using finishing burs to refine line angles, emergence profile, and ensure symmetry between both central incisors. Polishing is then carried out using polishing discs in sequence from coarse to superfine to achieve a smooth surface and natural gloss. Finally, occlusion is checked in centric and protrusive movements. Any premature contacts are adjusted to ensure patient comfort and restoration longevity. Main Hashtags #MidlineDiastema #DiastemaClosure #GapBetweenTeeth #SmileMakeover #CompositeBonding #DentalAesthetics #CosmeticDentistry #ToothGap #SmileDesign #LingualShelf #PuttyIndexTechnique #CompositeLayering #ProximalStripping #MylarStrip #EtchingAndBonding #DentalProcedure #BeforeAfterSmile #SmileTransformation #ConfidentSmile #FixYourSmile #DentalCare #HealthySmile #TeethCare #DentistLife #InstaDentist #DentalReels Tags 1. midline diastema closure procedure 2. how to close gap between front teeth 3. diastema closure with composite bonding 4. composite bonding for gap teeth 5. lingual shelf technique diastema 6. putty index technique composite 7. step by step diastema closure 8. cosmetic dentistry gap closure 9. anterior composite layering technique 10. dental bonding for front teeth gap