Diastema (Separate Tooth Treatment)

Diastemas are the gaps formed between the teeth in the mouth. These gaps can vary in size and are often more noticeable between the front teeth. People may consider various treatment options due to such gaps. Diastema may generally only cause an aesthetic concern and may not require treatment in terms of health. However, in some cases, it may occur due to health problems such as gum diseases or disorders in the tooth structure. In such cases, dentists may recommend different treatment methods.

What is the Cause of Diastema?

There are several possible reasons for diastema, some preventable and others not. The most common causes of gaps between teeth, both large and small, include:

• Genetic Factors: Genetics play a significant role in the development of diastema. Tooth gaps and various dental issues can be inherited from family history. Some individuals may develop gaps only during childhood as their teeth develop.
• Periodontitis: Gum disease, a result of poor oral hygiene known as periodontitis, can lead to unhealthy gum tissue and gum recession. This can result in gaps between teeth below the gumline.
• Developmental Issues: Habits during early and late childhood, injuries, or dental issues can lead to gaps between teeth. For example, extra teeth (hyperdontia) can affect tooth positioning.

The majority of gaps between teeth can often be corrected.

How Can Gaps Between Teeth be Repaired?

In some cases, such as those caused by genetics, it may not be necessary to treat diastema. There are also preventive methods that can reduce the likelihood of developing diastema in children. Below are some potential treatments for diastema:

• Treat Gum Disease: Gum disease can lead to gum and bone loss, which can cause gaps to form or become visible. Advanced gum disease may require gum grafting, jaw surgery, or other treatments to control the disease. Good oral hygiene can prevent gum diseases.
• Orthodontic Treatment: Placement of metal braces or Invisalign orthodontic devices can close gaps between front teeth or other teeth in the mouth. Braces are a good option for crooked teeth and larger gaps, though significant diastemas may reopen years later.
• Consider Counseling: Most diastemas do not cause any health problems. Psychological counseling may be a good option to avoid unnecessary treatments. Counseling or therapy can boost confidence, reduce anxiety, and alleviate stress caused by diastema.
• Embrace the Gap: Many people prefer to embrace the gap between their front teeth. This may require strong self-confidence, but most people may not notice it unless your upper lip extends significantly above the tooth or gum line when smiling.
• Dental Veneers: If the gap originates from a missing tooth due to injury, dental veneers can correct the issue with a procedure called dental veneers. Using composite resin veneers in tooth color will make new teeth look completely natural.
• Prevent Thumb Sucking in Children: Childhood diastema can often be prevented by avoiding habits such as thumb sucking that create significant pressure on developing teeth. Parents can try methods like finger guards and bitter nail polishes.
• Prevent Tongue Thrusting: Another habit that can cause diastema is tongue thrusting, where the tongue exerts pressure on the front teeth during swallowing. Speech therapy may be necessary to relearn a healthy swallowing pattern.

There are many preventive methods to prevent diastema, which can be a good option for parents who notice diastema in children. Oral hygiene and early treatment of dental problems can prevent diastema from causing problems or even occurring.

I have gaps in almost all of my teeth, can braces fix spaced teeth?

Yes. Braces and other safe dental alignment treatments can correct spaced teeth, crooked teeth, and other problems that arise during development or as a result of habits. Braces are great because they are simple and have effective results. One caution to remember when trying braces for diastema is that gaps may reopen after braces are removed, necessitating the need for a retainer.

Is Diastema a Disease?

Diastema is a medical term used for gaps between teeth; it is not a disease or deformity in itself. However, sometimes people may experience diastema as a result of a disease, especially as a consequence of periodontitis, which can be a source of confusion. Some habits can also cause diastema, so psychological disorders could be another reason for diastema.

Can Diastema Correct Itself?

Childhood diastema, very common as teeth develop, can often correct itself. Many children have diastema; studies vary, but some sources suggest that diastema rates in children can reach up to 50%. However, it is less likely that the position of your teeth will change significantly in adults. Adults can prevent diastema caused by gum disease through oral care.

Are gaps in teeth attractive?

Many people find gaps in teeth attractive, natural, and otherwise appealing. Often, perfectly straight teeth or excessively whitened teeth can appear unattractive. As a result, teeth with natural flaws often have very distinct characteristics.

The above is for informational purposes only. It cannot replace medical examination or diagnosis. For detailed information, please call Cafe Diş Oral and Dental Health Polyclinic and make an appointment to see our experienced doctors in the field.