Diastema a means gap or space between anterior teeth. The spacing affects both adults and children.

Causes of Diastema:

  1. Habits such as tongue thrusting , thumb sucking
  2. Marcoglossia – Enlarged tongue
  3. Periodontal diseases causing gingival recession, bone loss
  4. High Frenal attachment.

Treatment options:

Depending upon the etiology, the treatment options for diastema can be combined. For e.g.: If there is a high frenal attachment present with spacing then first the frenal attachment is corrected and then other options for space closure are undertaken . If the space closure is attempted without correcting the frenal attachment, chances of replase are more. The various treatment options foe diatsema correction are as follows:

  1. Frenectomy : Tension test is done to check the mobility of the frenum. Types of frenum include mucosal, gingival , papillary, pailla-penetrating . If the tension test is positive, dentist advise surgical correction of frenum called as frenectomy. Frenectomy is performed as an adjunct ton other treatment modalities.
  2. Orthodontic Therapy: This treatment option uses wires and brackets to put pressure on the teeth to close the gaps.
  3. Veeners/Composite/Crowns: These are tooth colored restorations that are used to close the gaps or fixed over the teeth to improve the appearance by closing the gaps.
  4. New evidence suggests that if there is a minor diastema of less than 1mm, it can be corrected by periodontal scaling.

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