A child smiles is common to appreciate in their smile a diastema or separation between its upper central incisors, commonly called “pallets”.
This feature so characteristic of young children tends to correct with the passage of time, when they change their milk teeth for the final dentition.
This happens naturally since permanent teeth are larger than milk teeth.
However, and although it is not the most usual, some people maintain the diastemas when they reach adulthood. When this happens, the separation between teeth is no longer corrected naturally.
While there are those who are happy with the child aspect given by the diastema, others are a complex and prefer to carry out a treatment that closes the spaces between their teeth.
Why do I have a gap between my teeth?
By diastema we understand a small space between two teeth. Although most often it occurs between the upper central incisors, the separations can occur between any pair of teeth.
These spaces can be generalized, various along the mouth or localized. Although the causes that originate the separation between the teeth are varied, the main ones are:
Low insertion of the frenulum of the upper lip
The upper labial frenum is a membrane that connects the inner face of the upper lip with the gum. When said frenulum has had an abnormal growth and is larger than usual, it goes down to the two upper central incisors and prevents them from coming together.
Although we also have lower labial frenum, which can develop more than normal and give rise to a diastema, it is more frequent that the separation occurs between the upper teeth.
That said, when the diastema is due to the low insertion of the frenulum, the solution to correct it will be to perform a combined treatment of orthodontics and frenectomy.
- Orthodontics technique: the diastema can be closed with any treatment : metal brackets, sapphire brackets, Incognito and Invisalign lingual brackets
- Frenectomy : it is a minor surgery that is carried out under local anesthesia. It consists of cutting the frenulum and then giving points for the wound to close and heal.
In our clinic, this intervention is performed by a periodontist, Dr. Agnès Roze. All professionals working at Dr Roze British dental clinic in Dubai are specialized in an area of Dentistry and, as such, they practice their specialty exclusively.
At this point, it is important to remember that Periodontics is the specialty of Dentistry that is responsible for the care and treatment of gums.
Given the place of the frenulum in our mouth, the periodontist is one of the professionals indicated to carry out the frenectomy.
Disproportion between maxillary bone size and teeth
Separate teeth can also appear when the jaw bone has grown too large and too wide for the teeth.
As the teeth are proportionally smaller than the maxilla, they do not occupy the full width of the bone and spaces are produced.
In this case, the diastemas can be generalized or localized between any pair of teeth in the mouth.
Depending on the specific case of the patient, the diastemas can be corrected in several ways:
- Orthodontics : the treatment moves the teeth to try to close the spaces
- Veneers or composite reconstructions: these treatments fill the space between the teeth. It is common to perform on the upper lateral incisors
Suction or push of the tongue against the teeth
In the case of the separations between the upper central incisors, these also occur by interposing or pushing the tongue against the teeth.
This gesture can be given by simple habit or because the language is too large (macroglossia ).
Although this gesture seems harmless, if it begins to be performed when we are children and we keep it in time, progressively opens the space between the teeth.
As in the previous case, the closing of the holes between the teeth can be done with orthodontics, veneers or composite reconstructions.
If I have a diastema, do I have to undergo a treatment to close it?
Once you know the reasons why you can have a diastema, it is important to note that the separations between the teeth do not present a direct problem for your oral health.
However, it is very important to influence these spaces when we are brushing our teeth , so that they do not become the refuge of food remains. If this happens, we can develop caries and / or periodontal problems ( Gingivitis).
On the other hand, from the aesthetic point of view , the diastemas can be a problem for those who suffer them. If this is your case, we recommend that you go to an orthodontist specialized in orthodontics to determine the most appropriate solution for you.
It is possible that you have diastema but present good occlusion. However, the most common is that these spaces are accompanied by some type of additional problems related to the bite or alignment of the teeth.