Dr. Sameer Bhandari
Closure of gaps between front teeth
Can teeth gaps be closed without braces
Are you conscious of the gaps between your teeth? Gappy teeth are quite common, but sometimes they can become a bit of a bother. Maybe you don’t like the look of them or find that food gets trapped, causing issues with your gums. Fortunately, that gap doesn’t have to be permanent. There are several treatments available for “gappy teeth” and fixing them carries both aesthetic and health benefits for your smile.
#1 Why do you have teeth gaps?
A gap between two teeth is known as a “diastema.” These gaps tend to appear between the two upper front teeth, but gaps can occur between any two teeth and there are several reasons why someone may have gappy teeth.
If there is a mismatch between the size of the jaw bones and the size of the teeth, so if your jawbone is too large and your teeth too small, then you may experience extra space between teeth.
Missing or undersized teeth can cause neighboring teeth to move and attempt to help close one gap, but this movement creates new gaps.
An oversized labial frenum (the piece of tissue extending from the inside of your upper lip to the gums) can create a gap. Sometimes, it can grow too large and pass between the two front teeth, blocking the natural closure of the space between these teeth.
Bad habits like thumb sucking can pull the front teeth forward and create gaps.
Spaces can develop due to an improper swallowing reflex. When you swallow, your tongue should press against the roof of your mouth, but some people push their tongue forward against their front teeth. His pressure will cause the front teeth to move, creating a gap.
Gum disease causes your jawbone to weaken and recede. As the jawbone supports your teeth, losing bone can cause them to become loose and move.
Even if your teeth gaps don’t bother you from an aesthetic point of view, it’s important to get the diastema checked by a dentist in case a more serious condition like gum disease is the cause. Gaps in your teeth could also mean you have an improper bite, which can lead to chipped or broken teeth.
#2 Available treatments for teeth gaps
There are several options available to close the gaps between teeth, and they vary depending on the severity of the case.
Dental bonding, or cosmetic bonding, is the easiest, quickest, and most economical way to fix a gap between teeth. This is the same procedure you would have experienced if you ever chipped part of a tooth and had it fixed. A tooth coloured resin is applied to your teeth and shaped to match their natural look. Then, it is hardened with a UV light, which “bonds” it and closes the gap. Bonding usually only takes one office visit and there is no need to remove any natural enamel, which means that the process can be reversed if required. However, it also means that bonding is not a permanent solution and requires maintenance, as it will wear off over time due to impacts from eating and brushing.
Porcelain veneers are another cosmetic approach to fixing gaps in between front teeth. They require more work and planning than dental bonding, but the procedure is still relatively simple and the results last for many years.
A veneer is a thin piece of porcelain that has been shaped in a lab to match the shape and color of your teeth. Like a mask, it is placed and bonded over the front of your tooth, covering up any imperfections or gaps in your teeth. Once bonded, the thin piece of porcelain becomes very sturdy and difficult to break.
Veneers look great and are long lasting if done properly, but it’s important to know that the process is irreversible. In order to create surface space for the veneers to be attached to, a thin and sometimes substantial layer of enamel needs to be removed from the front of your teeth. Without that enamel, your teeth require veneers for protection, as they would otherwise become exposed and painfully sensitive. Veneers can correct many cosmetic issues, but depending on the cause of the gaps in your teeth, orthodontics might be required.
Orthodontics & Dental Aligners
For more severe cases of teeth gaps, an orthodontic approach may be the best solution. It’s not as simple as it may seem: only moving the front two teeth together would create gaps either side of them, and so on, which is why braces or invisible aligners would be required to correct your arch, or the position of all your visible teeth.
Out of the two options, invisible aligners are very often the easiest, most pain-free and affordable option to close gaps. By adjusting the shape and size of your dental arches, the teeth are moved into their ideal alignment, closing the gap. Because the dental aligners are made from durable yet flexible plastic, they can be removed and cleaned, leading to a healthier smile than when fixed braces are used.
Even though orthodontic treatment takes longer than dental bonding or veneers, it is an effective and long lasting solution. The bonding material can discolor and become weaker over the years, starting to break away, while veneers require the destruction of your natural protective enamel and can come at great financial cost.
Invisible aligners have become much more cost and time efficient than other methods, and you can even save up to 70% on the clinic price or other orthodontic procedures if you choose an at-home solution. Thanks to innovative advances in tele dentistry, this method also cuts out the hassle of having to make dentist appointments, giving you your most naturally straight smile at a fraction of the clinic cost.
#3 Four teeth gaps scenarios and solutions
1. There is a gap between your side teeth and front teeth only
The most common small teeth are the lateral incisors (the upper side front teeth), these are normally rectangular but sometimes “peg shaped” and very skinny.
In this situation the best solution is to restore them to their proper size, which will rebalance the proportions of your smile. This is best done using cosmetic bonding and can be done in as little as 30 minutes by a dentist. In some situations you may be better off having them straightened first with aligners and then bonded, but it varies case by case.
2. There is a gap around your canines on one side
Many people are permanently missing an adult canine tooth, while their baby canine remains in place, too small to fill the gaps either side of it. If the adult canine is in too complex a place to bring into position, the best solution is often the same as above – to bond/restore the baby tooth to make it look bigger. The other teeth may need to be straightened first, but this needs to be done carefully under supervision. The reason for this is that baby teeth have comparatively tiny roots and are at risk of coming loose.
3. There is a gap between the front teeth
This is very common and has many causes. If the front two teeth are very small, then the solution can be to bond them to improve their size before aligning them to be closer together. The gap could also be caused by a small piece of gum/flesh between the teeth called a frenum. This stops the teeth moving together and sometimes needs to be removed. Often, aligners can help move the teeth together to close the space, which is then held closed using retainers. Clear aligners close teeth gaps by exerting pressure on the teeth to move them together. They are a great alternative to improve your smile without having to use ugly elastic bands and metal train tracks. (See below for more details on clear aligners!)
4. There are gaps between all your teeth
If your teeth are too small in relation to your jaw, then gaps can appear between all of them. In this case, using invisible aligners or other orthodontic procedures to adjust the shape of your dental arch and close the gaps would be an ideal solution. In some situations, there are bigger gaps between your top teeth compared to the bottom. This means that some spaces will need to be left at the top or towards the back. The reason for this is your bite. If your dental arch is adjusted so that all upper teeth gaps are closed, your top teeth could possibly go behind your lower teeth, distorting your bite, which is to be avoided. Here, a combination of aligner treatment with subsequent cosmetic bonding might be the solution to opt for.
We are preferred partners for wide range of aligner brands like Invisalign, Illusion Aligners & kiyoclear Aligners.
We aim to guide you with the right brand of aligners to achieve optimal treatment results and save the treatment costs.