What causes a gap in your front teeth?
Teeth gap problems can occur during orthodontic treatment. For example, when your jaw is small during orthodontics, you may develop gaps if you remove the brace early or do not wear a retainer after treating the braces. Diastema (a gap or space between the teeth) treatment options vary from patient to patient. Tooth spacing is usually treated with orthodontics or composite resins, or a combination of veneers or crowns.
If there is extra space between two or more of your teeth, this is called a spacing problem or gap tooth. Diastema is common among children's and adults' teeth. An imbalance in the jaw-tooth size relationship causes Diastema. Also, if a tooth is missing or too small, adjacent teeth will move to fill the space and create a new gap.
Having a gap between teeth can create pockets between the teeth and gums where food gets clogged; Teeth gaps tend to trap food particles. In addition, the openings expose the soft area and even lead to periodontal disease. Fortunately, the tooth gaps don't have to be a permanent problem with the dental bonding or veneers and crowns.
How to fix spacing in teeth
Mr. A came to us because he had small teeth and spaces in the upper front teeth. He always wanted a whiter, fuller smile without gaps and openings between his teeth. We offered two options. One was to do braces, close the gaps as much as possible, attach veneers, or lengthen and straighten teeth without braces using porcelain veneers. Either option requires the attachment of dental veneers.
Having braces before attaching veneers prevents the teeth from spreading wide and contains the space between the teeth from becoming too large. And if we try to close the gap only with dental veneers, the veneer size needs to be more significant, leading to disproportionate teeth size.
The downside is that braces' costs will increase, and the treatment time will be lengthy.
With the digital simulation and the mockup, we discussed which option the patient would prefer, and the patient decided to proceed with his smile makeover without the braces. The second option was to attach eight veneers, a quicker and less expensive option than wearing braces.
Since the patient needed to get used to a new bite, Mr. A wore the temporary/mockup for two weeks to ensure he liked the cosmetic results and function. Before trying the mockup, we lifted his gums slightly to make all his teeth a little longer and get optimal teeth proportions.
We prepared all eight no-prep veneers when he was happy with the mockup results. Since all his teeth were small, we didn't have to remove much of his tooth structure (enamel). Avoiding excessive removal of tooth structure is excellent for maintaining the strength and function of the natural form. Therefore, no-prep veneers or minimum prep veneers could be used to preserve the teeth' structure.
Three weeks later, we filled the gap in his teeth, and he is now smiling brilliantly.
Dr. Shimizu always takes time to achieve the aesthetic and functional results.