{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T20:04:15Z","timestamp":1787169855080,"version":"build-2736575974"},"reference-count":9,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2021,4]]},"abstract":"<jats:sec>\n                    <jats:title\/>\n                    <jats:p>Diastema between the teeth negatively affects the patients' smile, psychology and daily activities by creating a disharmony in the patients' face. The development of diastema has been attributed to several factors such as labial frenulum, microdontia, mesiodens, peg-shaped lateral incisors, agenesis, cysts, habits such as finger sucking, tongue thrusting, or lip sucking, dental malformations, genetics, proclinations, dental-skeletal discrepancies, and imperfect coalescence of interdental septum. Patients often present with complex problems that require a multidisciplinary treatment approach which includes determination of the aetiological factors, soft tissue morphology, occlusion, patient demands and aesthetic consideration to achieve satisfactory outcomes. Lack of current literature on classification of diastemas and multi-disciplinary approach of management led to the proposal of a new classification the ATAC (Anatomic and Therapeutic Classification) for management of the diastema. This case report highlights the use of the proposed classification for management of diastemas, requiring a perio-restorative intervention using a Chu's proportion gauge to achieve ideal aesthetics.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ijdr.ijdr_952_20","type":"journal-article","created":{"date-parts":[[2021,11,22]],"date-time":"2021-11-22T10:42:21Z","timestamp":1637577741000},"page":"250-255","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["An Interdisciplinary Approach to Management of Diastemas"],"prefix":"10.4103","volume":"32","author":[{"given":"Sindhu","family":"Saeralaathan","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vamsi","family":"Lavu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mathan","family":"Rajan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"SK","family":"Balaji","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arathi","family":"Ganesh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-21-20240828","doi-asserted-by":"crossref","first-page":"457","DOI":"10.12968\/denu.2014.41.5.457","article-title":"Midline diastema and its aetiology-a review","volume":"41","author":"Abraham","year":"2014","journal-title":"Dent Update"},{"key":"R2-21-20240828","first-page":"171","article-title":"The midline diastema: A review of its etiology and treatment","volume":"17","author":"Huang","year":"1995","journal-title":"Pediatr Dent"},{"key":"R3-21-20240828","first-page":"112","article-title":"The metrics of anterior diastema closure","volume":"30","author":"Schwartz","year":"2011","journal-title":"Dent Today"},{"key":"R4-21-20240828","doi-asserted-by":"crossref","first-page":"1119","DOI":"10.1016\/j.dental.2010.08.004","article-title":"Shade compatibility of esthetic restorative materials-A review","volume":"26","author":"Lee","year":"2010","journal-title":"Dent Mater"},{"key":"R5-21-20240828","first-page":"401","article-title":"A biometric approach to predictable treatment of clinical crown discrepancies","volume":"19","author":"Chu","year":"2007","journal-title":"Pract Proced Aesthet Dent"},{"key":"R6-21-20240828","doi-asserted-by":"crossref","first-page":"623","DOI":"10.1016\/j.cden.2015.03.006","article-title":"Proportional smile design: Using the recurring esthetic dental proportion to correlate the widths and lengths of the maxillary anterior teeth with the size of the face","volume":"59","author":"Ward","year":"2015","journal-title":"Dent Clin North Am"},{"key":"R7-21-20240828","doi-asserted-by":"crossref","first-page":"299","DOI":"10.1016\/j.cden.2006.12.006","article-title":"Smile design","volume":"51","author":"Davis","year":"2007","journal-title":"Dent Clin N Am"},{"key":"R9-21-20240828","doi-asserted-by":"crossref","first-page":"311","DOI":"10.1111\/j.1708-8240.1999.tb00414.x","article-title":"Comparing the perception of dentists and lay people to altered dental esthetics","volume":"11","author":"Kokich","year":"1999","journal-title":"J Esthet Dent"},{"key":"R10-21-20240828","doi-asserted-by":"crossref","first-page":"225","DOI":"10.4103\/0972-0707.73387","article-title":"Principles of smile design","volume":"13","author":"Bhuvaneswaran","year":"2010","journal-title":"J Conserv Dent"}],"container-title":["Indian Journal of Dental Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/ijdr.IJDR_952_20","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T19:14:04Z","timestamp":1787166844000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/ijdr.IJDR_952_20"}},"subtitle":["A Novel Classification and A Case Report"],"short-title":[],"issued":{"date-parts":[[2021,4]]},"references-count":9,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2021]]}},"URL":"https:\/\/doi.org\/10.4103\/ijdr.ijdr_952_20","relation":{},"ISSN":["0970-9290"],"issn-type":[{"value":"0970-9290","type":"print"}],"subject":[],"published":{"date-parts":[[2021,4]]}}}