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Abstrak :
Diastemas are spaces or gaps between two or more consecutive teeth. They can occur anywhere in the upper or lower dental arches. Diastemas can occur in mixed dentition and closes spontaneously when the canines erupt, but in certain circumstances, diastema will persist until period of permanent teeth. This etiologic factor has to identify because it will influenc effectivenees of closing the multiple diastemas. The multiple diastemas that happened at the anterior upper and lower which caused by deficient tooth structure and missing of some teeth (agenesis), accompanied of central diastema which influenced by anterior labialis frenulum, should treated comprehensively. Treatment of this case entangle ortodontic, periodontic, conservative dentistry, and prostodontic. Reposition of abnormal frenulum attachment (frenectomy), arrangement of occlusion and teeth interdigitation, getting continuity of dental arch through achieving good approximal teeth contact by crown reshaping and replaced of missing tooth element with prothesis, and then making of retainer to maintain stability of treatment result are serial of treatments for the case. By cooperation of multidicipline proffesionals, the final result is to obtain the optimal esthetics, functional, and stability result of treatment, will achived.

Abstrak :
The anterior teeth have the essential esthetics function , so when the trauma occur, the immediately treatment must be done to avoid its dysfunction. Andreas Jo reported in 1984 that 18 percent to 20 percent of traumatic injury in young permanent teeth caused the crown fractures with exposed pulps. This traumatic injury must be managed correctly to keep the pulp normal. Accurate examination and anamnesis must be done before treatment. The prompt treatment to relieve pain, to cover pulps from irritating material and maintain pulp vitality is neededOne alternative treatment for crown fracture with exposed pulp in young permanent is by using pulpotomy with calcium hydroxide. The function of calcium hydroxide is to maintain pulp vitality and stimulate reparative dentin and close the apex. Then, glass ionomer cement is used to support the pulp cap and then resin composite as temporary restoration to recover the function of mastication and esthetics, until the permanent restoration is made. In this case, ,the radiographic showed reparative dentin after four weeks of pulpotomy calcium hydroxide applied. So there was the fact that it took six month to make the apex is close from the beginning of treatment.

Abstrak :
This new case-based book fills a gap in the literature by guiding the reader through the challenging clinical problems encountered in daily practice. Each case presents the clinician with a complete patient work-up that includes clinical history, radiological and clinical findings, treatment summary and suggested readings.