Gaps

Gaps

This improper complexity of the teeth and jaws is called diastema. Orthodontic treatment for diastema can appeal to fixing methods such as: full braces for both upper and lower teeth, full braces on only the upper teeth, partial braces on only some of the upper teeth, a removable appliance (retainer-like appliance). Choosing one of these solutions depends on many factors, among which age and dental development are considered.

All types of appliances, both fixed and removable, work by placing gentle pressure on the teeth and jaws, as described in the following.

  • Braces represent the most usual fixed appliances. They are made of bands, wires and brackets which are fixed around the teeth, keeping them together. Arch wires serve to tighten the tension on the teeth, gradually correcting their position. Generally, braces are adjusted monthly, according to the movements the teeth undergo.
  • Aligners are removable appliances which represent an alternative to traditional braces for adults. They are almost entirely invisible and one can remove them when eating, brushing and flossing.
  • Fixed space maintainers are used when a baby’s tooth is lost prematurely. The two teeth bordering the empty space are held by a band until the permanent tooth erupts.
  • Removable space maintainers are similar in function to fixed space maintainers. The difference is in consistency, meaning that they are made of an acrylic base that fits over the jaw, and plastic or wire branches between teeth to keep the space between them open.

Benefits

  • a healthier mouth
  • a more pleasing appearance
  • teeth that are more likely to last a lifetime.

Who is this procedure for?

  • People with chewing difficulties
  • Those with spacing affecting their teeth: gaps between the teeth as a result of missing teeth or teeth that do not “fill up” the mouth

Who should not consider this procedure?
In rare cases, certain patients may have allergic reactions to the metal or latex. There is also an increased possibility of complications in patients with periodontal problems, such as people with type 1 diabetes, who may be predisposed toward the breakdown of gum and supporting tissue. In such people, there is an increased risk that orthodontic treatment could jeopardize the long-term integrity of affected teeth

What happens before the procedure?
Treatment for diastema begins with an appointment to the orthodontist. He is entrusted to perform an initial evaluation and determine if an orthodontic treatment is really necessary for the gap problem. If such is the case, the orthodontist takes impressions and facial pictures of the patient’s teeth, as well as a full series of X-rays, and he has a detailed clinical exam done.

What happens during the procedure?
The procedure is not very complicated and it is performed by a experienced dentist by applying the necessary devices.

What happens after the procedure?
Braces put on to treat diastema should constantly be checked upon by the doctor. So the relation with the dentist does not end where the actual procedure does. Visits to the dentist’s office are recommended in order to receive advice on duration and wear of teeth gap solving devices.