Diastema

We present a case with numerous diastemas between teeth

Diastema, or simply speaking, the free space between teeth, usually occurring between the intersecting choppers. In some animals it is a physiological phenomenon, however, in humans it is considered a pathology (above 2 mm).

For some, it's not a problem, on the contrary, often even a reason to be proud, for others a real nightmare, which they want to get rid of as soon as possible. What are the ways for diastema? How and when can it be eliminated?

Let's start with a short characteristic diastema, because we distinguish several types: -
-the real: its cause is the hypertrophy of the frenulum of the upper lip, i.e. the membrane connecting the lip with the gum

- the alleged, which may be the result of the lack of side incisors or a reduction in their size, and the presence of an additional tooth

- physiological: occurring in children between 7 and 9 years of age occurring during the eruption of permanent teeth of lateral incisors.

Depending on the setting of the self-relation of the incisors, we distinguish:

- parallel diastema (incisors set in parallel)

- convergent diastema (crowns of teeth directed towards each other, distant roots)

- divergent diastema (roots facing each other, distant crowns)

Depending on the type of diastema and its occurence reasons, we distinguish different ways of treatments.

Orthodontic braces have been often used, both mobile and permanent (depending on the type of diastema).

Here, however, we will focus on the methods of liquidation of the diastema with the help of aesthetic dentistry.

There are three "most popular" ways to eliminate the unwanted gap between teeth:

1. Closing diastemas with composites In this method, the same materials are used, which are used to fill cavities (light-cured materials). In the first stage, the tooth is etched with a special demineralizing acid, and then the doctor applies the composite to the tooth and shapes it with the delicate paper discs. This method has become more and more popular simply because only one visit to the dentist's cabinet is planned, and the costs of such intervention are not large. This method works well with small-sized diastemas and is completely reversible.

2. Porcelain veneers When larger diastemas, closing them with a composite is not recommended. Then you can use porcelain veneers, or thin porcelain flakes (about 5 mm) that "stick" to the gently polished surface of the teeth.

3. Porcelain crowns, as with veneers, teeth require preparation by grinding (teeth must be cured) and the porcelain crowns are placed on them (cemented), which can be described as "hats".

In the case where diastema is the reason for missing teeth (when teeth have disappeared due to the free space created as a result of the tooth / teeth) for the removal of the diastema it may be advisable to use implants.

Before deciding on the method of diastema elimination, it is best to consult a dentist who will determine the cause of its occurrence and propose appropriate treatment.



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