Diagnostic wax up of teeth with a maxillary central diastema resulting from mesiodens extraction: A case report

Indiani, Sri Redjeki and Goenharto, Sianiwati and Sabilana, Fina Aprilia and Rosa, Mia Laksmi Lita and Halimah, Anisa Nur and Ulfa, Widiya and Sari, Narta Nikita and Kusumawardani, Winda (2025) Diagnostic wax up of teeth with a maxillary central diastema resulting from mesiodens extraction: A case report. World Journal of Advanced Research and Reviews, 25 (3). pp. 109-118. ISSN 2581-9615

A mesiodens is a supernumerary tooth located in the midline between the maxillary central incisors. Extraction of mesiodens often results in a central diastema, characterized by a gap between the m axillary central incisors. Given the significant tooth alterations involved in complex prosthodontic treatment, a diagnostic wax-up is highly recommended to plan and visualize the final restorative outcome. In this case, we received the final cast from the dentist, where teeth 11 and 21 had already been prepared. Closure of the diastema was achieved by creating a diagnostic wax in the form of a cantilever bridge, with the lateral incisors designed as two units. The wax-up was carefully crafted, taking into consideration the midline alignment with the mandibular teeth, the maxillary labial frenulum the tooth width, and the anatomy of similar teeth. Effective communication between the dentist, patient, and dental technician was essential during the diagnostic wax-up process to achieve a well-planned dental restioration, ultimately enhancing both patient and dentist satisfaction.