Diastema a means gap or space between anterior teeth. The spacing affects both adults and children.
Causes of Diastema:
- Habits such as tongue thrusting , thumb sucking
- Marcoglossia – Enlarged tongue
- Periodontal diseases causing gingival recession, bone loss
- High Frenal attachment.
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:
- 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.
- Orthodontic Therapy: This treatment option uses wires and brackets to put pressure on the teeth to close the gaps.
- 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.
- 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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