Gap between the upper front teeth. Gap between front teeth

Gap between the upper front teeth. Gap between front teeth - what can be done

Many people suffer from gaps between their teeth. Unpleasantness not only affects the aesthetic perception of one’s appearance, but also creates discomfort in everyday life. Fortunately, modern medical approaches include a number of tools and methods to eliminate this defect. However, is this feature an imperfection?

Different approaches to one issue

While some say that the gap between a child’s teeth looks exceptionally cute and touching, and in an adult it adds zest to the appearance, others are convinced that this is an important imperfection, in order to hide which one can completely abandon the habit of openly smiling. In science, this structural feature of the jaw is called a diastema. Dentists urge it to be assessed not just as a cosmetic feature, but as an important defect that needs to be corrected. The fact is that such a structure causes increased stress on certain teeth. They are destroyed quite quickly, and periodontal disease appears.

Where did the problem come from?

There are several reasons why there is a gap between teeth. Most often, this feature is due to genetic reasons, a hereditary factor. Sometimes cracks appear in people if their baby teeth lingered longer than the average period, and their replacement with permanent ones was accompanied by complications. The reason may be an abnormal structure, development of the incisors, or a too low-set upper lip.

Even habits can play a role - for example, many people bite pencils and nails, which leads to the formation of a gap between the teeth. The reason may be other factors of a psychosomatic nature. The likelihood of gaps appearing in the absence of any tooth is increased, since gaps lead to the spreading of existing ones.

Nuances of the problem

A gap between the front teeth can appear in both children and adults - there are no age restrictions for the formation of a defect. In adolescence and younger years, a prerequisite for the formation of diastema is the change of teeth from temporary to molars. Genetics and individual growth characteristics play a role. But for the adult population, the cause is more often gum pathologies, psychosomatic factors, and operations to remove permanent teeth.

If a gap appears between your front teeth, you should not delay going to the dentist, since this feature is associated with certain dangers. The most primary is aesthetic. It would seem that it does not deserve mention, but many of our contemporaries, having once discovered a diastema, not only refuse to smile, but gradually plunge into the abyss of complexes associated with appearance. This becomes the basis for serious depressive disorders, which can lead to the most negative consequences. Psychological problems caused by a simple gap between the teeth can cause extremely difficult social adaptation.

Danger factor

A large gap between the teeth can cause caries and lead to periodontitis. People who do not take measures to combat the defect more often suffer from destruction of the enamel covering their teeth.

The presence of a gap can cause malocclusion. This often leads to incorrect diction. Over time, this factor becomes the foundation for jaw deformation. The process occurs gradually, slowly, so it is often very difficult to notice.

See a doctor for help

The doctor will tell you how to fix gaps between teeth at your appointment. Modern people have access to an abundance of different technologies for eliminating defects, however, the best option must be selected by a qualified specialist, otherwise there is a risk of harming yourself. When determining the best approach, the doctor identifies why the defect was formed and evaluates all the features of the situation (number of cracks, their size). Additionally, the oral cavity is examined to assess the general condition of all tissues and organs. Of course, the doctor will take into account the client’s wishes.

Telling how to remove the gap between the front teeth, the doctor may suggest performing a restoration operation, resorting to plastic surgery, or adjusting the frenulum. You can make a cosmetic correction of the defect and take advantage of the possibilities of orthodontics.

What is what?

The simplest method to remove a gap between teeth is cosmetic correction. In terms of financial costs, it will also cost much less than other options. The doctor will put a special filling that can attract the teeth to each other, and the defect disappears. True, one cannot do without shortcomings. Cosmetic correction is only suitable for people with healthy, strong gums. Only a small gap can be corrected in this way. Finally, a filling is a relatively short-lived solution, and over time you will have to either repeat the procedure or correct the teeth in another way.

Another common method of eliminating gaps between teeth is restoration. It costs a lot, and the event itself is troublesome, but productive. The doctor uses special technologies and equipment to fuse dental tissue. Typically, the work uses a composite material that matches the natural color of tooth enamel in shade. The procedure requires pain relief and in most cases is completed in one approach. There are practically no disadvantages, but restoration is applicable only to healthy gums and teeth.

There is an option

If a gap appears between the teeth, the doctor may suggest resorting to surgical plastic surgery. This technology has proven itself over many years of active use. At a fairly affordable price, the result is high quality if you manage to make an appointment with a qualified doctor. To make adjustments, the doctor uses crowns. The method gives long-lasting results and allows you to correct not only a crack, but also some other dental problems. No shortcomings have yet been identified.

In some cases, lumineers and veneers are used. Gaps between teeth can be eliminated with dentures. The patient puts on masking systems when needed and removes them as needed. Veneers are recommended if your gums are in poor condition. Removable dentures are more often chosen by older people, but in some cases the doctor recommends that young people also resort to this option, if there are indications.

Orthodontists will help

One option for eliminating gaps between teeth is braces. The technology is completely safe; its use is not associated with any additional risk to the oral cavity. Currently, the technology is widespread for correcting the position of teeth in children and adolescents, since the effectiveness is observed if the teeth are still growing. For an adult patient, braces are often pointless and inconvenient to use. They are noticeable, so the psychological problem of complexes due to external shortcomings is not solved. To correct the gap between teeth, you must use the system for a long time, which is not always possible in adulthood.

Relatively recently, a new approach to eliminating gaps between teeth has been developed. It is based on familiar braces, but optimized. We are talking about invisible systems, kappas. These are transparent covers that are attached to the incisors. The elements can be removed as needed - for example, before eating.

When is it relevant?

For adult patients, braces (including improved models) are recommended if the problem progresses. The system is useful if a person suffers from bite problems or develops other pathologies affecting the jaws. Affordable price is important. On the other hand, doctors recommend using braces and similar systems only if there are obvious indications for using such a method. But for young patients, this option is the only approach universally approved by dentists.

Is surgery necessary?

In some cases, the gap between the teeth can be eliminated by slightly adjusting the frenulum. It is shortened by cutting off a small piece. The approach is relevant if the problem is secondary, arising due to the incorrect size and structure of the frenulum of the upper lip. After surgery and the recovery period, the teeth will not come together instantly - it takes some time. True, no special measures are needed, just wait, and after some time the jaw will return to normal.

I don't want to see a doctor!

Many people suffering from the described deficiency are panicky about visiting the dentist. Of course, I would like to believe that you can get rid of lye at home, but in practice this is impossible. Home manipulations recommended by traditional healers are variations of the braces described above, but often involve the use of some kind of independent systems, which can only worsen the situation. The best option is to visit a specialist doctor, who will advise which braces to choose, tell you how to use them at home, and also give a general description of the situation, explain why the problem arose and which of the other correction methods in this case will be the most successful.

Absolutely forbidden

There is an opinion that you can tighten your teeth yourself, and this will completely solve the problem of the gap. What they don’t use! However, the most common option is to use floss to connect teeth. Such an event will not give any positive effect, but can provoke a disruption in the functionality of the protective coating, the tissue that forms the tooth. Ultimately, this leads to diseases of both teeth and gums.

Such home-made dentures become a place of accumulation of food residues, which means that putrefactive processes begin almost immediately and a focus of inflammation is formed. The technique is truly barbaric, and its results will sooner or later force you to go to the doctor for full dental treatment. It will cost much more than simply installing braces, which would help at the very beginning.

And I feel so good!

Some people read that a gap between teeth adds a special charm and makes a person more sweet and attractive. This opinion undoubtedly has its place, but it does not eliminate the need to adjust the position of the teeth. Sooner or later, the diastema will begin to grow, causing secondary problems, disrupting the health of the oral cavity. It’s not just about the aesthetic component: fan-shaped spread of teeth and loss due to buoyancy threaten.

ethnoscience

For diastema, traditional healers recommend using some special compounds, compresses and infusions, which should improve the condition of the teeth. Most often, medicines are prepared using oak bark, calendula and chamomile. Having visited the doctor, it is worth clarifying whether such measures are necessary in a particular case? Usually the doctor gives a prescription for an herbal mixture, which should be used to regularly rinse the mouth.

Infusions bring the greatest effect in the long term if you practice rinsing regularly. They improve the health of the oral cavity, help eliminate the tendency to minor bleeding, and make the dental tissues denser. Over time, loose teeth disappear, and small gaps may even disappear on their own. This is explained by an increase in the density of teeth. Compresses come to the rescue if a person feels as if his teeth are not sitting tightly and his gums look loose. True, this is only effective for mild manifestations of the problem. If the symptoms worsen, you need to urgently make an appointment with the dentist to determine the cause and deal with it, and not with the manifestations of the problem.

How will be correct?

The normal condition of teeth is the contact of individual elements with each other on their sides. In this case, gaps are formed, but they are microscopic in size. It will not be a problem to clean such teeth during a hygiene procedure. If there are microscopic gaps, the load is distributed evenly throughout the row. The problem can be not only gaps between the teeth, but also a too tight fit, when neighboring specimens literally rub against each other.

A dental defect in the form of a narrow gap between the front incisors will not please every owner.

How to close the gap between the front teeth? In addition to aesthetics, patients are justifiably concerned about the very presence of the gap and the associated inconveniences.

Gap between the front teeth - what does it mean?

In medical language, the phenomenon is called diastema. Translated from Greek - “distance”. In childhood, the diastema is already noticeable; the child’s teeth do not always shrink during the process of changing milk teeth to molars, and the gap remains. In adults, gradual formation of the lumen is possible.

In essence, diastema is a pathology. The gap between the incisors can reach 1 cm and form on both the upper and lower dentition. Its shape most often resembles a triangle, but can also be parallel or narrowed. Often accompanied by pathologies.

If a gap appears between the incisors, this is a reason for dental treatment, because in addition to external unseemlyness, diastema is fraught with some consequences:

Development of periodontitis.
Speech impairments - dyspalia (impaired pronunciation of certain sounds), lisp, whistling, hissing.
Psycho-emotional discomfort.

Causes

Factors influencing the development of the deficiency are speculative. Without reasons and accompanying conditions, diastema does not develop. Why does it occur?

Hereditary or genetic cause. The lumen is formed according to the parent type. It is noteworthy that as the child grows up, he may part with the pathology.
Presence of pronounced interdental papillae.
Low attachment to the lips of the bridle, both upper and lower.
Excessive compaction of the cord of the frenulum of the upper lip.
Late replacement of permanent milk teeth.
Partial, which, in turn, is provoked by improper care and other conditions.
Amputation of anterior tooth and long-term absence of a prosthesis. At the same time, neighboring teeth shift, closing the void, and gaps are formed.
The bad habit of “pulling” the tongue, stretching it, gnawing objects, which leads to jaw deformation.
Periodontal pathologies.
Pathologies of tooth position.
A certain way of eating that is unusual for many.
Some foods, as well as drinking alcoholic beverages and smoking, provoke oral pathologies.
Microdentia, or the patient's teeth are too small, is a genetically determined process.
Supernumerary teeth.
Congenital anomalies accompanied by slow growth of incisors and others.

Treatment of diastema should not be delayed. Dentistry offers therapy, orthopedics, orthodontics, and in rare cases a surgical solution is required.

Photos before and after

Types and classification of the phenomenon

False diastema is a pathology of early age, observed in children when the bite is not yet fully formed. When changing teeth, it can go away on its own without leaving a trace.
True - the one that was preserved after the replacement of teeth and the formation of a bite, or developed in adulthood. It does not go away without timely treatment.
Symmetrical diastema, a phenomenon in which the central incisors, most often the front row, change position symmetrically to each other with the formation of a gap between them.
Asymmetrical diastema is a case in which one of the incisors deviates in any direction, while the second incisor maintains its natural position. The gap between the upper or lower teeth is unequal in relation to each of them.

Classification by tooth position:

Only the crowns of the incisors are deviated, the roots are motionless and retain their natural position. This position is called body shift. A common cause is supernumerary teeth. The diastema is rather small than large.
The crowns of the incisors are not just inclined, but displaced in space, the roots are motionless, but curved. This is the lateral deviation of the crown.
Both the crowns and roots of the teeth are displaced, or there is lateral deviation of the roots. The reason for this phenomenon is supernumerary teeth, congenital or genetic pathologies.

Important: all classifications of the phenomenon are conditional.

How to remove diastema?

The dentist can offer the patient several ways to solve the problem. The need for correction is determined by the type of diastema.

The main methods of correction: artistic restoration, surgical plastic surgery, orthodontics, surgery.

Artistic restoration (aesthetic camouflage of a defect)

Therapeutic techniques are used for such restoration. The interdental tissue is built up using a kind of filling insert, applied in several layers, hardening under ultraviolet radiation. In addition, veneers are used. The procedure has a number of advantages:

The patient can choose the shade of the composite material from which the inlay will be made.
Filling will completely fill the lumen of the diastema.
The procedure does not last long; all manipulations will take about an hour.
The restoration is performed without any anesthesia; the use of anesthesia is not indicated in all cases, depending on the specific situation.
The technique has no contraindications.
Post-treatment care is routine.
No complications.
The procedure is not prohibited if pregnancy occurs, if the patient is diagnosed with cancer, and in a number of other cases.
The restoration is suitable for children.

Of the minuses: traces of treatment are visible to the patient.

Surgical plastic surgery (installation of veneers or crowns)

Pros:

the defect can be visually corrected completely;
there are no visible signs of treatment;
the patient chooses from metal-acrylic, all-ceramic, metal-ceramic crowns or ceramic veneers;
the patient can also choose the shade of the veneers;
the technique takes longer than cosmetic restoration, but does not require long-term adaptation;
the risk of relapse is minimized.

The downside: the cost of such an orthopedic procedure for the patient can be high.

Operation

Indications for intervention are:

abnormal tooth size leading to diastema;
abnormal shape of teeth;
massive, low-set bridle.

Surgical correction is carried out by excision of soft tissues - frenulum, lips, tongue, depending on the type of pathology, with accompanying tooth extraction if necessary. Afterwards, orthopedic and orthodontic treatment methods may be required.

Orthodontic methods

This type of correction has a number of advantages over others.

Orthodontics is safe for the patient and occurs without the removal of teeth and tissue.
for the correction of diastemas, they have an attractive appearance, like other modern products that pursue similar goals. The mouthguards are transparent and also unnoticeable.

Disadvantages:

Orthodontic treatment methods are the longest lasting of all.
Removable products can be created using electronic technology.
Contraindicated in children under 12 years of age (with caution).

Braces, modern barely noticeable products made of plastic, ceramics, metal or a combination, are prepared based on a cast of the jaw. They solve problems of abnormal bite and tooth alignment. Some systems are attached to the back of the dentition, some - from the side of the tongue. The course of treatment takes different time periods, which depends on the age of the patient - the older, the longer the treatment takes.

They differ favorably in that they are removable. These are original bags for several teeth or the entire row. The anatomical shape of the tooth (row) of the required size, selected with the help of advanced technologies, and the teeth displacement function allows you to cope with the phenomenon of unnecessary gaps between teeth.

Such products can only be worn before bed, which is important for active adult patients. In addition, the special material from which the product is made allows you to whiten your teeth from the inside. Before eating, the mouthguards are easily removed and do not cause discomfort.

Important: the cost of the chosen treatment method varies greatly. The most affordable technique is cosmetic filling. It will cost more to fill a gap when choosing orthodontics, while metal braces are cheaper than expensive sapphire braces.

What can you do at home?

Some patients are not suitable for one or another way to get rid of the defect with the help of specialists. There is a folk correction method using ordinary sewing thread. Cut a thread up to 30 cm long, tie it around the incisors and tighten it tightly, leaving it in this state overnight. This may cause discomfort.

This method takes from a year to a year and a half. It helps partially solve the problem. However, if the patient wants to do without braces due to the aesthetic side of the issue, or surgical intervention, it is better to get a detailed consultation with an orthodontist and choose the available treatment methods.

Video: gap between teeth - how to get rid of it at home without braces?

Additional questions

How do you know if your child will have a gap between his teeth?

What is clear is that it is worth conducting a genealogical analysis and studying the frequency of occurrence of the defect in the family. When replacing baby teeth, be sure to wait until the canines are replaced. Then, if anomalies of various etiologies are excluded, make a decision on the choice of treatment, preferably no earlier than the child is 7-10 years old.

A small dental defect, represented by a narrow gap between the upper front incisors, is statistically present in 1/5 of the planet's population.

And if some people consider it their highlight, then for others the gap between the teeth becomes a real problem that they want to get rid of quickly.

Many people with such an aesthetic defect are interested in the question of how to remove the gap between the teeth, the price of the service, and whether it is possible to get rid of the gap forever. This article will tell you about this.

What is a diastema?

The gap between the front teeth is an aesthetic defect that becomes the main obstacle to a sincere and beautiful smile. From Greek, the word “diastema” is translated as “distance”.

The presence of a problem can be detected already in childhood, after. In adults, the formation of a gap in the dentition occurs in stages.

Diastema

At its core, diastema is a pathology. Dentists say that the size of the interdental gap can reach 1 cm, and develop both on the lower dentition and on the upper one.

The shape of the gap is often triangular, but depending on the individual characteristics of the dentition, it can be narrow or parallel, and is often combined with pathologies of the lip frenulum.

Diastema causes the following adverse consequences:

occurrence;
speech pathologies (when a person pronounces certain sounds poorly);
discomfort at the psycho-emotional level.

If you have a diastema between your front teeth, see your dentist as soon as possible.

Reasons for appearance

A gap between the front incisors on the lower or upper jaw can appear for several reasons:

a person suffers from a bad habit - he constantly bites his nails;
baby teeth were replaced by molars much later than the time limits established by medical standards;
hereditary predisposition;
the frenulum of the upper lip is located too low;
one tooth is missing in the top row, causing the remaining elements to move away from each other;
periodontal inflammation, in which the teeth “move” or “diverge” in the center of the jaw row;
the dimensions of the dental elements do not correspond to the parameters of the jaw;
if the patient has suffered some kind of disease in the oral cavity, then diastema can develop as a complication. In this case, treatment is often lengthy.

If, after discovering a diastema, you do not consult a dentist in a timely manner and do not remove the gap between the front teeth (the price of this procedure is not that high), then the gap between itself will not disappear, but will only expand.

Types of diastemas

Interdental gap is divided into two types:

true;
false.

False diastema appears in early childhood, when the child begins to develop teeth. Over time, its size decreases, and when baby teeth are replaced by molars, the gap disappears completely.

True chips are acquired, and to get rid of them, the help of a dentist is required.

Depending on the type of displacement, there are several other types of diastema:

lateral corpus displacement. The body of the front incisors moves sideways, and in this case the location of the tooth changes along with the root. This happens due to the loss of one or more elements of the dentition. This type of pathology develops as a result of compaction in the median suture of bone tissue. Dense structures cause units of the dentition to shift to the side, continue to grow out of place, and as a result, gaps appear between the incisors. Growing teeth can also shift if the frenulum of the upper lip is too low;
The central incisors of the crowns are inclined medially. Deviation of dental elements occurs at the root level. The teeth initially grow incorrectly, and they shift not only to the sides, but also rotate around their axis. This type of pathology is the most complex and difficult to correct. The orthodontist has to develop a special treatment regimen to align the dental elements in different directions. The cause of medial pathology may be the growth of supernumerary elements that appear between the anterior incisors. The same problem develops due to the transverse growth of one extra tooth. Divergence of the dentition in this direction occurs when odontoma appears or the absence of several teeth in a row. Before starting treatment for a medial gap, an x-ray must be taken. Thanks to informative photographs, the specialist will be able to see the condition of the part of the teeth located under the gum, the presence of neoplasms or deviations in the growth of the dentition;
the crown is deviated laterally. The incisors in the center of the jaw deviate to the side even with normal roots. A similar defect occurs when a person constantly bites nails, pencils, pens or other hard objects. The cause of such a diastema is the excess number of teeth in a row.

The classification of diastema is conditional.

Do I need to get rid of diastema?

A large gap between the front incisors often prevents a person from living fully, showing sincere emotions and smiling. The question of whether it is necessary and possible to remove the gap between the front teeth in adulthood is asked by many patients in dental clinics who have had to deal with this aesthetic problem.

In modern dentistry, there are many effective ways to get rid of gaps in the teeth in a minimum amount of time. The possibility of correcting the pathology exists, but the decision about whether to do it or not is made by the patient himself.

If you have a diastema removed (the price of the procedure varies depending on the clinic), then it is better to visit the dental office as soon as possible. Compliance with this requirement is especially important if the gap is rapidly expanding.

Gap between front teeth - how to fix?

Dentists offer several ways to correct the gap between the front incisors. The optimal option is selected individually, depending on the presence of individual intolerance, the cause of the pathology and the level of financial capabilities of the patient.

To accurately determine the method of treating diastema and the price of the procedure, you should study in detail each of the existing methods:

. This is one of the most effective ways to remove a gap between your front teeth. The braces system is installed if there are gaps between the incisors, scrolling of the dental elements along the axis, or abnormal growth of teeth in a row. Some patients with diastema do not want to have braces installed because the structure is noticeable to others, oral care is complicated when it is present, and the straightening structures need to be worn for a very long time. But there is also a positive aspect. Braces really do a good job of straightening teeth. They cannot be installed only on the front dental elements, between which a gap has formed. The locks are fixed on each tooth and gradually move them closer to the center. A patient who has had braces installed for diastema must periodically visit the dental office to have a specialist tighten the clasps and straighten the metal arches. Such manipulations help to achieve the desired result and remove the diastema with the help of braces. Inspection of brace systems should be carried out once every 2-3 months;
. Treatment of diastema in adults is especially easy using modern dental elements called veneers. The diastema is closed using plates made of composite material. The visible result from using veneers appears quite quickly, after 1-1.5 hours. The orthodontist does not need to first grind down the teeth to secure the veneers. Correction of diastema using veneers should be used only in cases where there are no other anomalies in the development of elements of the dentition, and the gap is small in width. If the incisors have diverged in different directions, then the situation can also be corrected with the help of veneers. In this case, straight leveling plates would be the best option;
. Ceramic plates of minimal thickness, which are used as overlays. The main feature is that you do not need to grind your teeth before applying lumineers. In fact, these plates do not remove the diastema, but only close the gap. The advantage of this method is to get a snow-white smile. Thanks to lumineers, the incisors acquire the correct shape, eliminating the gap and connecting the teeth together. Orthodontic experts say that once installed, lumineers can last about 20 years;
. Leveling elements, which in their structure resemble covers. After being placed on the incisors and canines, these “covers” exert strong pressure on them and gradually remove the unsightly interdental gap. This correction method is more aesthetically acceptable for the patient, because the aligners are not only invisible, but also visually make the teeth lighter. The production of mouth guards takes place on an individual basis, and at the time of consultation, the orthodontist provides forecasts of the results (often in electronic form). Depending on the complexity of the defect, the duration of wearing mouth guards ranges from 3 months to 3 years;
cosmetic correction of a defect. Correction of a diastema using a cosmetic method involves closing the gap with a special filling. The implementation scheme for this correction method is similar to the use of lumineers or veneers. Cosmetic correction for diastema is ideal for cases where the gap is acquired (for example, it appeared after straightening the dentition, or when the quality of installation of leveling structures is poor);
records. One of the most affordable ways to correct diastema is dental plates. They are simple and effective to use, and can be installed depending on the preferences of the dental clinic client. The plates are made of high quality plastic and do not pose any danger to human health. Metal springs, screws and hooks are used to secure the plastic elements to the teeth. The design gradually attracts the separated teeth to each other. The plates will also cope well with other pathologies of the growth of elements of the dentition (if they exist). The main task of these elements is to hold the teeth in the correct position. However, plastic plates do not help move the elements of the dentition in the desired direction;
. If the width of the diastema is too large, then restoration of the central incisors is used. This option is suitable for those patients who do not want to spend money and time on installing and wearing braces that align the aligners. Restoration is based on building up the walls of the teeth between which a gap has formed. Before the procedure, the orthodontist examines the shade of the enamel and selects a photopolymer to match it. Diastema restoration is a piece of jewelry work that must be performed by a professional dentist. The shape of the restored element should be as similar as possible to a real tooth. After restoration, the patient must carefully monitor the careful chewing of solid food so that the tooth enamel material is not destroyed under its influence.

It is strictly not recommended to treat abnormal growth of front teeth at home. Diastema can be eliminated only in dentistry, using hardware, surgery or a complex (hardware-surgical) method.

Prevention

Many medical experts argue that it is much easier to prevent any disease or pathology than to treat it later. Prevention of diastema consists of following basic rules. Subsequently this

Rules for preventing the occurrence of gaps between the front teeth:

It is necessary to monitor the habits of young children. If they bite their nails or hard objects, you need to stop them from doing this;
The child should be taught how to properly care for the oral cavity. He must know how to brush his teeth, chewing canines, and incisors. This will help keep your gums healthy and prevent the spread of bacteria;
It is necessary to acquire a useful habit - regularly visit the dentist. This will help to detect abnormalities in tooth growth in a timely manner and begin treatment;
If there is a predisposition to diastema, correction should begin as early as possible, while the teeth are still moving in the gums.

Prevention of diastema is a simple procedure, and to obtain an effective result it is necessary to carry it out constantly, and to accustom children to it from a young age.

Price

There are many methods to remove the gap between your front teeth. The cost of the service to get rid of diastema depends on the complexity of the problem and its type:

the price of correcting interdental gaps with braces costs about 50 thousand rubles per jaw. It may vary depending on the materials from which the arcs and clasps of the leveling system are made;
the cost of treatment with mouthguards is about 10 thousand rubles;
the price of lumineers varies from 20 to 40 thousand rubles;
the average cost is 10 thousand rubles. Orthopedic structures are more expensive - about 3 thousand rubles;
Correcting pathology using a cosmetic method will cost about the same as using veneers. The cost of work may vary slightly depending on the width of the chip and consumables;
the price of plastic records varies from 10 to 20 thousand rubles;
The cost of dental restoration with diastema is about 10,000 rubles.

Video on the topic

Do I need to fix a hole between my front teeth? How to fix? What could be the consequences if correction is not carried out? Professor, Head of the Department of Therapeutic Dentistry of Moscow State Medical University named after A. I. M. Sechenova:

For some people, a gap (gap) between teeth is an aesthetic problem, for others it is a confirmation of their individuality.

You should contact a dentist only in case of a true gap between permanent teeth, which provokes embarrassment in society and a decrease in self-esteem.

The gap between baby teeth in children is called false and usually disappears when teeth are replaced with permanent ones.

Most often, people have complexes about the wide gap between the upper front teeth (diastema). Moreover, this arrangement is not pathological (does not provoke health problems), although with age the gap between the teeth may increase.

Reasons for the formation of interdental gaps:

hereditary trait;
delayed change of baby teeth;
the habit of biting pencils and nails in children;
low location of the frenulum of the upper lip;
insufficient development of periodontal tissue or disease of its tissues;
long period after removal of adjacent teeth (front teeth diverge);
underdevelopment of incisors.

Correction methods

Dental care if there is a gap between the teeth is necessary only in case of discomfort and complexes about one’s own appearance. In addition, a wide gap can change the bite, which will cause the abrasion of the enamel on the teeth and, as a result, caries and periodontitis. Our clinic can offer you the best option for eliminating gaps between your teeth, taking into account your wishes and financial capabilities.

Modern technologies for solving aesthetic problems:

Special bracket systems- structures that bring the front teeth together, while the convergence of the teeth occurs gradually. The period of wearing braces (from several months to 1-1.5 years) is determined by the width of the interdental gap. Our dentists install both external systems (attached to the front surface of the teeth) and invisible braces (the structure is attached to the inner surface and is invisible during a conversation or when smiling).

Installation of aligners- special transparent covers for teeth gradually move teeth into the correct position. Their distinctive feature is the ability to remove them while eating and use tooth enamel whitening gels.

Aesthetic restoration- consists of building up teeth and closing the gap between them. Individual selection of the color of the restoration filling material guarantees an excellent result. The procedure is carried out in one stage (in the absence of caries of the teeth being restored) and takes only a few hours.

Installation of crowns- most often used when there is a sufficiently large gap between the teeth or a re-appearing gap. At the same time, you can hide the consequences of treatment of caries and chipped front teeth.

Crown based on zirconium oxide with ceramic coating

All-ceramic crown

Crown with screw fixation on an implant (zirconium oxide)

Surgical correction- necessary for low position of the frenulum of the upper lip. In this case, treatment should be carried out in adolescence for further normal development of teeth.

Plastic surgery of the frenulum of the lips and tongue

Rubber dam (isolation) and anesthesia are paid separately.

An even dentition and a snow-white smile that adorns any face is a solvable task using modern dentistry. Experienced specialists at our clinic will help you regain your self-confidence.

In dentistry, the gap between teeth is called diastema or trema. The problem is noticeable even in childhood, when the child’s fundamental elements begin to form. In adults, the defect may appear over time due to external and internal factors. In fact, trema in medicine is considered a pathology. The distance between the elements can be more than 1 cm for both the upper and lower jaws.

The shape of the diastema can be parallel or triangular. Often the problem is accompanied by a violation of the lip frenulum. Gapped teeth are a reason to visit the dentist. In addition to the aesthetic defect, the defect leads to a number of other, more complex complications: psychological disorders, speech impediments, and the development of periodontitis.

Description of the problem

Tremes occur in the absence of some elements of the series, and in their presence. Gaps can form not only in the area of the front teeth, but also in the area of the lateral elements. Normally, the distance between the lateral units should be no more than 0.7 mm. Such gaps do not lead to pathological changes in the dentition and periodontium. Abnormal trema are characteristic of the elements of the upper jaw, and they are rarely observed on the lower jaw. Gaps between teeth exceeding 1 mm are considered dangerous.

The problem can affect not only the aesthetic, but also the physiological characteristics of a person. A hole between the front teeth increases the risk of developing caries. The contact surface of the elements protects them from the penetration of harmful bacteria. Gingival papillae with diastema become more vulnerable to mechanical damage that can occur as a result of eating or consuming solid foods.

In places where soft tissue is damaged, periodontal pockets form, in which bacterial plaque and food particles accumulate. Thus, patients who are diagnosed with cracks between teeth are more susceptible to dental diseases

The main sign of the problem is a gap between the teeth in the upper or lower jaw. Based on the reasons for its occurrence, the problem is classified into 2 categories: physiological and pathological. Trema between the teeth in the first case is observed only in childhood, during a certain period of development. The pathological form of the problem most often occurs in adults whose dentition is fully formed.

Dentists advise eliminating the problem in the early stages of its manifestation. This will help to avoid increasing the distance between the teeth and displacing other elements into the wrong anatomical position. The question of the need for treatment is decided by the dentist after assessing the severity of the problem and the factors for the development of the diastema.

Causes

The exact reasons influencing the formation of gaps between teeth have not been identified. Among the factors predisposing to the problem are:

Heredity. Pathology is more often observed in children whose parents experienced the defect. It is noteworthy that over time, gaps can disappear on their own without specific treatment.
The presence of well-developed intergingival papillae.
Low or high positioned labial frenulum.
Delayed replacement of baby teeth with permanent teeth.
Partial adentia caused by improper dental care or other factors.
Amputation of the front tooth and long-term lack of dental care in this situation.
Periodontal diseases and pathologies of the arrangement of elements in a row.
Small teeth due to genetic predisposition.
Congenital pathologies, expressed in late change of incisors and other elements.

The gap between the teeth should be removed immediately. To do this, they seek help from a dentist, orthodontist, and less often from a surgeon.

Types of problem

In dentistry, there are several types of diastema and three. According to this classification, the problem is divided into true and false, lateral and corpus-lateral, and medial.

True diastema is visualized only between the molar units. The problem must be corrected by a doctor, since self-treatment of diastema will not bring results. The sooner therapy is started, the greater the patient’s chances of regaining an attractive smile. True tremes are corrected using orthodontic devices, surgery, and restorative procedures.

The lateral type of problem is associated with deviation of the central teeth to the sides. In this case, the roots of the elements usually do not have deviations in location. Lateral lateral deviation is the divergence of the coronal parts of the tooth relative to each other. The pathology manifests itself against the background of frequent nail biting, the habit of opening objects with teeth, etc. Also, the cause of gapped teeth can be a supernumerary row.

The corpus lateral lateral displacement is associated with a change in the position of the crown of the elements. The position of the incisors changes along with the location of their roots. The problem develops due to a lack of units in the oral cavity

With the medial type of problem, deviation in the location of the incisors is observed at the level of the root. In this case, the teeth can rotate relative to their axis. This type of pathology is the most difficult to correct, since an incorrectly located unit must be aligned in all directions. The cause of medial diastema of teeth is supernumerary elements or partial adentia.

False teeth occur during the period when the primary dentition changes to a permanent one. Diastemas in children gradually disappear as molars, canines and chewing elements grow in size. Parents should monitor the condition of the teeth in the child’s oral cavity so as not to miss the development of true pathology. At the time of teething, the child may experience speech defects, expressed by a lisp or whistling when pronouncing words.

Ways to fight

How to close the gap between the front teeth? There are many ways to fix clefts. Diastemas are masked using composite materials, orthodontic structures (braces, veneers), and surgical intervention. Each of the ways to correct the problem will be discussed in detail.

Artistic restoration

The essence of the procedure is to disguise the gap between the front teeth. There is no cure for the problem or elimination of the cause of its occurrence. Using this method, the defect is eliminated in 1-2 visits to the dentist. The main advantage of artistic restoration is painlessness and speed. The disadvantage is the impossibility of masking diastema in children.

The technology for masking gaps between teeth is similar in stages to dental filling and includes:

Visual examination by a dentist.
Filling carious cavities, if necessary, postponing artistic restoration for a certain time.
Selection of restoration material, which in color is as close as possible to the natural tone of the enamel.
Dental tissue is built up layer by layer using composite material.
Polishing and drying each layer of applied material.
Formation of a partition between the incisors.

Installation of crowns and veneers

This method of correcting the gap between teeth is considered the most economical, especially if metal-ceramic or all-ceramic materials are used. Products are manufactured in laboratory conditions according to individual parameters. After manufacturing, the crowns are ground down to ensure a tight fit to the natural dental tissue.

Veneers are thin overlays made of highly durable materials. On average, the thickness of the product does not exceed 0.7 mm. But there are also ultra-thin overlays with a thickness of less than 0.3 mm - lumineers. Veneers can close the diastema between the central elements.

Photos before and after correction of gaps between teeth using orthodontic structures (veneers)

The structures are designed to camouflage loose teeth. They are installed on the outside of the row on a special adhesive base. Veneers and lumineers are not used to correct primary occlusion. The disadvantages of the devices include the need to grind the elements, which further increases the risk of developing carious processes and the high cost of installation. Lumineers can be fixed in the oral cavity without grinding teeth due to their structure and minimal thickness.

The advantages of overlays include:

strength;
durability;
ease of care;
resistance to staining from drinks and food;
safety for gums.

Surgical intervention

To get rid of the gap through surgery is offered to those patients whose problem is associated with improper placement of the labial frenulum. The procedure is performed using a laser using painkillers.

Surgery is most often prescribed during adolescence. Since during this period the optimal effect can be achieved from its implementation. Among the advantages of the intervention are a short rehabilitation period and complete elimination of signs of pathology. Correction of the diastema does not occur immediately after the operation, but over time.

Mouth guards

For small cases, the use of mouthguards, which are “covers” made of transparent silicone, is recommended. Mouthguards can be produced using standard templates or taking into account the individual parameters of the patient’s jaw. Some models are capable of changing size and shape in the oral cavity when heated.

Among the advantages of the designs are:

the ability to be removed from the mouth during sleep or eating;
treatment of small diastemas;
possibility of correction of small bite defects;
A gel designed for attaching trays in the oral cavity has a whitening effect on the enamel.

Braces

Traditionally, cracks that appear between teeth are eliminated using braces. They are used to correct pathology in adults and children, but the best effect is achieved during the period of primary occlusion, when bone structures are more susceptible to external influences.

Braces are divided into adult and children's. The latter type of products is installed on patients under the age of 12-13 years

Depending on the structural features, the structures can be fixed on the external (vestibular) or internal (lingual) side of the dentition. You can get rid of three in children using the system in 1.5 – 2 years. In adults, the period of bite correction can take a longer period: it takes 2 to 3 years to eliminate the gap between the teeth. After braces, adult patients are recommended to wear plates to consolidate the treatment results.

Pathology in children

In children, jaw structures are formed before the age of 6 years. A gap between teeth at an early age indicates the need to visit a specialist. To correct the defect at an early age, specialists resort to surgery, orthodontic and pre-orthodontic therapy. In the latter case, trainers shaped like soft silicone mouth guards are installed in the child’s oral cavity.

The trainers are easily removed from the mouth and inserted into place. They gently correct crooked teeth and do not harm the gums.

If a child has a small gap between his teeth, then plates are used, which are as easy to use as trainers. With the help of plates, teeth are shifted to the correct anatomical position within a week. The therapy is supported by the installation of a carbon retainer, which the patient will have to wear for at least 1 year.

Surgical intervention is used for abnormal frenulum or supernumerary teeth. In the latter case, excess elements are removed from the oral cavity under local anesthesia

Modern dentistry offers many ways to get rid of three (from the Latin meaning gap) in a short time. The method of correction is selected depending on the severity of the pathology, the desire and financial capabilities of the patient. If the gap increases over time. Then you need to visit the dentist and adhere to preventive measures at home. To prevent the problem, you must follow the following basic rules: refrain from opening objects with your teeth; clean the enamel from food particles every day and teach children how to do this; visit the dentist regularly.