What does “Midline diastema” mean?
A midline diastema is a space between the two front teeth at the center of the dental arch. The term commonly describes a gap between the upper central incisors.
Cause of the gap in the middle
Assessment considers tooth size relative to jaw space, missing adjacent teeth or differences in their shape, the lip frenum, and habits. Tooth movement caused by damage to the supporting periodontal tissues is also distinguished. A midline gap is different from a black triangle, which is a triangular space near the gums.
When a child's permanent teeth change, the space in the middle may change. The timing is determined by looking at the teeth eruption stage, left-right symmetry, and the development of surrounding teeth.
How to close the gap
Orthodontics adjusts the position of the teeth, and resin and veneer restoration complements the width and shape of the teeth. The approach needed will vary depending on whether the teeth are small or spaced apart.
If you close the space without sufficiently examining the cause, the tooth ratio may become awkward or the gap may reappear. We even discuss maintenance plans after treatment.
If it happened recently
If new gaps appear along with bleeding, swelling, loose teeth, check the condition of the gums and bones. Comparison with existing photos to indicate the timing of changes can help assess the cause.
Frequently Asked Questions
Does midline diastema mean any gap between front teeth?
It usually refers to the gap between the two upper middle front teeth. The cause is investigated by distinguishing it from the space between teeth in other locations.
Should I close the gap between my child's middle front teeth right away?
There are also gaps that are visible during the growth and tooth eruption process. After checking the age, eruption stage, surrounding teeth, and other causes, we decide whether to observe or treat the patient.
Once a midline diastema is closed, can it reopen?
The possibility of recurrence varies depending on the cause, such as the position of the teeth and the condition of the gums. If it was closed with orthodontics, you should also check the maintenance plan, such as a retainer.
3 things to check before a consultation for a midline diastema
Please review the questions to ask before deciding on treatment and the treatment standards of TU Dental Clinic.
- A choice suited to your condition
Does the clinic first check the growth stage and the cause of the gap?
TU Dental Clinic’s treatment standardsTU Dental Clinic distinguishes between cases where the shape is supplemented with resin and cases where the position and bite are changed through orthodontic treatment. Compare treatment options depending on the cause of the front tooth gap and desired changes.
Gaps in front teeth: Comparison of resin, braces, and veneers - Preservation of natural teeth
Does the clinic compare resin, orthodontics, or veneers, which method suits the changes needed?
TU Dental Clinic’s treatment standardsTU Dental Clinic distinguishes between the role of restoration to fill a space and the role of orthodontics to move teeth. Together, we look at the range of treatment needed to achieve the desired change.
Gaps in front teeth: Comparison of resin, braces, and veneers - Care after treatment
Does the clinic explain the possibility of the gap reopening and how to maintain closure?
TU Dental Clinic’s treatment standardsTU Dental Clinic provides guidance on hygiene and regular check-ups after gum treatment. Ask about care suited to your teeth and gum condition.
Integrated treatment that examines cavities and gums together
