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Diastema of Teeth: Causes and Treatments

Diastema of Teeth

Gaps or diastema of teeth is a normal and quite common aspect of dental development. In young children, diastema is fairly common, but it also may be present in adults. These gaps often naturally close over time when permanent teeth are present. 

Even though a diastema is typically benign and regarded as a natural variation, it can affect the smile’s appearance, which is why many people seek treatment for cosmetic purposes. However, It is important to remember that, in some cases, diastema may be indicative of other problems with one’s teeth, such as gum disease.

In this blog, we’ll take a closer look at the causes, symptoms, and treatment options for diastema to help you better understand the condition and how to manage it.

What is the diastema of teeth?

In dentistry, the term “diastema” refers to a space or gap between two teeth that is typically larger than 0.5 millimetres. The midline diastema, or the gap between the two upper front teeth, is the most common type of diastema.

Some people may have a single prominent gap, while others have multiple spaced teeth. Many people are just aesthetically concerned about these gaps. They want to close the space between their teeth, because they don’t like how it looks.

Even though it’s frequently not a concern to worry about, it’s good to figure out what might be causing the gaps and if any treatments are necessary beyond just making them look nicer.

Common causes of teeth diastema

  • Genetics: Diastema often runs in families due to inherited tooth size, jaw shape, or spacing patterns.

  • Tooth Size or Position: Teeth that are small, crooked, or misaligned may not fit tightly, creating spaces.

  • Missing Teeth: Having one or more teeth missing can create a pretty obvious gap when you smile.

  • Tongue Thrusting: Over time, gaps may widen as a result of improper swallowing techniques or pressing the tongue against the front teeth.

  • Childhood Habits: Thumb sucking and similar behaviors can push teeth forward, creating space.

  • Gum Disease: Tooth shifting and bone loss due to severe gum infections can leave gaps.

Available treatment options 

The most appropriate treatment for a dental diastema will depend on the reason for the gap. If the gap is primarily cosmetic in nature and the teeth are healthy, then multiple effective treatments are available including:

  • Dental Bonding: Used to create a natural-looking filler. A resin that matches the color of your teeth is used, then it’s polished and shaped.

  • Zirconia Veneers: Ultra-thin shells made from highly translucent zirconia are applied to the front surface of the teeth to close gaps and enhance your smile.

  • Braces or Clear Aligners: These are used to slowly move your teeth into better positions and close larger gaps.

  • Dental Bridge: A bridge may be recommended if you are missing a tooth. It uses the teeth on either side to support a false tooth.

  • Dental Implant: A titanium post replaces the missing tooth root, topped with a crown to fill the space without affecting neighboring teeth.

However, if the gaps are due to gum disease periodontal treatment is essential before cosmetic correction:

  • Scaling and root planing: A deep cleaning procedure intended for the removal of bacteria located beneath the gum line.

  • Gum Surgery (Gingival Flap Surgery): In advanced cases, gums are lifted to clean the roots and possibly perform a bone graft if bone loss is present.

Does midline diastema treatment differ?

Even though some core treatment options for diastema which includes bonding, veneers, and orthodontics will be the same regardless of the position of the gap, treatment for midline diastema can require a different approach. Due to its high visibility and common association with a large labial frenum, a frenectomy is often performed first. After that, standard cosmetic or orthodontic treatments may be used to close the gap and restore a symmetrical smile.

Preventing gum disease to avoid dental diastema

Since gum disease can lead to tooth loosening and gaps, maintaining good oral health is key to prevent gum disease and ensure it doesn’t become a risk factor

  • Maintain good oral hygiene: Use mouthwash to prevent plaque accumulation and brush and floss frequently.

  • Visit your dentist frequently: Regular dental examinations assist in identifying early indications of gum disease before they become more serious.

  • Watch for warning signs: Gum swelling, smelly breath, or bleeding gums can all be signs of early gum disease.

  • Discourage harmful childhood habits: Prevent habits like thumb sucking or tongue thrusting, which may contribute to tooth movement and spacing over time.

When should you see a dentist for teeth gaps?

In many cases, diastema of teeth and you don’t need to do anything about it, particularly if it’s not affecting your bite or oral health. However, if you feel self-conscious about the gap’s appearance, a visit to the dentist for cosmetic options may be worth considering. However, if you notice other symptoms along with the gaps such as swollen gums, bleeding, or bad breath this may indicate gum disease, and in this situation, you should see your dentist the soonest as possible 

At El-Shenawy Dental Centers, we blend skill, innovation, and individualized attention to  deliver exceptional results. Our team of very skilled dentists leverages the newest techniques in cosmetic and periodontal dentistry to address a wide range of dental concerns. Equipped with advanced technology and strict adherence to the best sterilization practices, our state-of-the-art clinics set a new benchmark for dental care across the Middle East.

Book your appointment at El-shenawy dental centres today to receive exceptional care. 

Frequently asked questions 

  • Is diastema a genetic disorder?

No, diastema is not a genetic disorder. Even though genetics can shape the size of your teeth and jaw, potentially causing gaps, diastema isn’t a disease or a disorder. It’s simply a dental characteristic that varies from person to person.

  • Can I live with dental diastema?

Yes, as long as it doesn’t affect your self confidence. A diastema doesn’t badly affect the function

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