A gap between the front teeth, known as a diastema, is very common. Some people love it as part of their character, while others feel self-conscious about it. If you would like to close a gap, there are several effective options. The right choice depends on the size of the gap, why it formed and how the rest of your teeth are aligned.
Gaps can occur when teeth are small relative to the jaw, when a tooth is missing or undersized, or when the tissue that attaches the upper lip to the gum, called the frenum, is large and extends between the front teeth. Habits such as thumb-sucking and tongue thrusting can push teeth apart. In adults, gum disease can cause teeth to drift and new gaps to open, which needs treatment first.
For small gaps, tooth-coloured composite resin can be added to the sides of the neighbouring teeth to close the space. It is usually done in a single visit with little or no drilling. The result can look very natural, though composite can stain and chip over time and may need occasional maintenance.
If you also want to change the shape, colour or length of the teeth, porcelain veneers can close gaps while transforming the overall smile. They are durable and stain resistant but involve removing some enamel and are a long-term commitment.
Braces or clear aligners move the teeth themselves to close gaps, which is ideal when there are multiple spaces or other alignment issues. Orthodontics preserves natural tooth structure. A permanent retainer behind the front teeth is often recommended afterwards, because gaps have a tendency to reopen.
If a large frenum is contributing to the gap, a minor procedure called a frenectomy may be recommended alongside orthodontic treatment. If gum disease is causing teeth to drift, it must be stabilised before any cosmetic work. Addressing the cause helps the result last.
Composite bonding can often close small gaps in a single appointment.
Gaps closed with orthodontics can reopen without a retainer. Wearing your retainer as instructed helps keep the result.
A small gap is not harmful in itself, but a new or widening gap in adulthood can indicate gum disease and should be checked.
Discuss the best way to close the gap in your smile. Learn more about cosmetic dentistry in Al Ain.
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