Orthodontics · single question

A maxillary midline diastema of LESS than 2 mm in the mixed dentition is most appropriately managed by:

  1. Observation — it commonly closes spontaneously with eruption of the permanent canines
  2. Immediate orthodontic closure
  3. Frenectomy in all cases
  4. Restorative closure with composite
Show answer and explanation

Correct answer: A. Observation — it commonly closes spontaneously with eruption of the permanent canines

  • A. Correct. A diastema < 2 mm is often normal in the mixed dentition ('ugly duckling' stage) and frequently closes as the permanent lateral incisors and canines erupt; observation is appropriate.
  • B. Immediate closure is premature for a developmentally normal, small diastema.
  • C. Frenectomy is reserved for a true low/thick frenum with blanching, not done routinely.
  • D. Restorative closure is unnecessary if spontaneous closure is expected.

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